The 131st Annual Meeting (November 15-19, 2003) of APHA |
Vicki Cleaver, EdD, Department of Health Promotion Sciences, University of Oklahoma Health Sciences Center, PO Box 26901, Oklahoma City, OK 73190, 405-271-2017 x46744, vicki-cleaver@ouhsc.edu, Laura A. Beebe, PhD, Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, P.O. Box 26901, Oklahoma City, OK 73190, LaDonna BlueEye, BA, Native American Prevention Research Center, University of Oklahoma, 800 NE 15th Street, Room 532, Oklahoma City, OK 73104, and Tim Tall Chief, MEd, Oklahoma State Department of Health, 1000 NE 10th Street, Oklahoma City, OK 73117.
Objective: The purpose of this project was to implement and evaluate the American Lung Association’s teen smoking cessation curriculum (Not on Tobacco N-O-T) with Native American teen smokers. The results of this research are being used to develop culturally specific modifications to the N-O-T curriculum. Methods: A 10 week curriculum was implemented in a high school setting. Students completed the N-O-T program evaluation form consisting of 16 questions during Session ten. The facilitators completed process evaluation forms following each session. This information was entered into a qualitative software package, NVIVO, to facilitate the analysis. A coding scheme was developed to capture themes and recommendations. Results: All of the smokers reported they had reduced the number of cigarettes by 1-10 per weekday. Sixty-seven percent reduced the number of cigarettes by 1-10 and 33% reduced by 11-20 cigarettes per weekend day. Program length was appropriate and important facilitator characteristics were identified as caring about students, trustworthiness and confidentiality. The activities most helpful to them included the group exercise chart, deep breathing, and muscle relaxation activities. Findings and recommendations from students and facilitators are being utilized to develop a Native American teen smoking cessation program that is culturally appropriate and suitable for use in the school setting. Conclusion: Because of the unique issues surrounding tobacco in the Native American communities (ceremonial and religious purposes), mainstream cessation programs will not be effective within this community. By having a better understanding of these unique issues, culturally appropriate cessation programs can be developed.
Learning Objectives:
Keywords: Tobacco Control, Adolescents
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.