Identifying pragmatic solutions to reduce cigarette smoking prevalence in Indigenous North Americans: A sequential exploratory mixed-methods study protocol.

Autor: Rusk AM; Division of Pulmonary Medicine, Mayo Clinic, Phoenix, Arizona, United States of America.; Department of Critical Care Medicine, Mayo Clinic, Phoenix, Arizona, United States of America.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, United States of America.; Robert A. Winn Diversity in Clinical Trials Award Program, United States of America.; Respiratory Health Equity Clinical Research Laboratory at Mayo Clinic, Rochester, Minnesota, United States of America., Paul M; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, United States of America., Kelleher DP; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, United States of America., Tilburt J; Mayo Clinic Department of Internal Medicine, United States of America.; Department of Quantitative Health Sciences, Mayo Clinic, Phoenix, Arizona, United States of America., Northfelt D; Department of Hematology and Oncology, Mayo Clinic, Arizona, United States of America.; Phoenix Indian Medical Center, United States of America., Rank M; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, United States of America.; Mayo Clinic Department of Internal Medicine, United States of America.; Division of Allergy and Immunology, Mayo Clinic, Scottsdale, Arizona, United States of America.; Department of Head and Neck Surgery, Mayo Clinic, Phoenix, Arizona, United States of America.; Division of Pulmonology, Phoenix Children's Hospital, Phoenix, Arizona, United States of America., Cartin-Ceba R; Division of Pulmonary Medicine, Mayo Clinic, Phoenix, Arizona, United States of America.; Department of Critical Care Medicine, Mayo Clinic, Phoenix, Arizona, United States of America., Capossela G; Mayo Clinic, Rochester, Minnesota, United States of America., Jackson T; Mayo Clinic Center for Health Equity and Community Engagement Research, Phoenix, Arizona, United States of America., Sabaque C; Mayo Clinic, Rochester, Minnesota, United States of America., Chamberlain AM; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, United States of America.; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, United States of America., Ortega VE; Division of Pulmonary Medicine, Mayo Clinic, Phoenix, Arizona, United States of America.; Department of Quantitative Health Sciences, Mayo Clinic, Phoenix, Arizona, United States of America., Benzo R; Division of Pulmonary, Critical Care, and Sleep Medicine, Mayo Clinic, Rochester, Minnesota, United States of America., Kennedy C; Respiratory Health Equity Clinical Research Laboratory at Mayo Clinic, Rochester, Minnesota, United States of America.; Division of Pulmonary, Critical Care, and Sleep Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Nov 11; Vol. 19 (11), pp. e0306512. Date of Electronic Publication: 2024 Nov 11 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0306512
Abstrakt: Background: American Indians and Alaska Natives (AI/AN) have the highest prevalence of cigarette smoking of any race or ethnicity in the United States. Efforts to address smoking prevalence in this population have not historically targeted maintenance of smoking cessation, or behaviors associated with pregnancy. Recent longitudinal cohort studies have identified maintenance of cessation and pregnancy as potential opportunities to address smoking in AI/AN people.
Methods: To promote success in achieving sustained smoking cessation in AI/AN people, we propose a community engaged sequential exploratory mixed-methods study focused on identifying pragmatic elements of cessation interventions. A discovery sample of 45 AI/AN people will be included in the qualitative study in one of two arms consisting of small groups or one-on-one interviews to develop elements of cessation interventions for evaluation in a discrete choice experiment survey. These one-on-one interviews will characterize the key drivers of smoking relapse and unique experiences of smoking during pregnancy. An additional, independent small group will consist of counselors who engage in smoking cessation counseling. A larger-scale survey will be administered to an AI/AN cohort from Olmsted County, Minnesota (n = 898). Elements of successful interventions will be used to inform a smoking cessation intervention pilot study. Community stakeholders have informed the methods outlined in this protocol, and there is a longitudinal engagement plan for the duration of study.
Discussion: We outline the methods to understand optimal strategies to promote sustained cigarette smoking cessation and cessation during pregnancy in AI/AN people. This study is critical to inform a pilot intervention aimed at reducing smoking prevalence in AI/AN people.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Rusk et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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