Pathways to health: A cluster randomized trial of nicotine gum and motivational interviewing for smoking cessation in low-income housing

Kolawole S. Okuyemi, Aimee S. James, Matthew S. Mayo, Nicole Nollen, Delwyn Catley, Won S. Choi, Jasjit S. Ahluwalia

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

Despite high smoking rates among those living in poverty, few cessation studies are conducted in these populations. This cluster-randomized trial tested nicotine gum plus motivational interviewing (MI) for smoking cessation in 20 low-income housing developments (HDs). Intervention participants (10 HDs, n = 66) received educational materials, 8 weeks of 4 mg nicotine gum, and 5 MI sessions on quitting smoking. Comparison participants (10 HDs, n = 107) received 5 MI sessions and educational materials addressing fruit and vegetable consumption. Participants had a mean age of 46.3 years and were predominantly female (70%) and African American (83%). Biochemically-verified 7-day abstinence rates at 8 weeks were 6.1% and 5.6% in the intervention and comparison arms, respectively (p = ns); and at 26 weeks were 7.6% and 9.3%, respectively (p = ns). Results suggest that nicotine gum plus MI were not effective for smoking cessation in low-income housing. Programs are needed to enhance the effectiveness of pharmacotherapy and counseling in underserved populations.

Original languageEnglish
Pages (from-to)43-54
Number of pages12
JournalHealth Education and Behavior
Volume34
Issue number1
DOIs
StatePublished - Feb 2007

Keywords

  • Cluster randomized trial
  • Low-income housing
  • Motivational interviewing
  • Nicotine gum
  • Smoking cessation

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