225984 CBPR to reduce smoking in a low-income urban community

Monday, November 8, 2010

Darin Wall , Peoples' Community Health Centers, Baltimore, MD
Payam Sheikhattari, MD, MPH , School of Community Health and Policy, Morgan State University, Baltimore, MD
Lisa Bleich , CEASE Initiative, Baltimore, MD
Fernando A. Wagner, ScD, MPH , Prevention Sciences Research Center and the Center for Health Disparities Solutions, Morgan State University School of Public Health and Policy, Baltimore, MD
Low-income urban populations smoke at much higher rates and quit at much lower rates than their wealthier and better educated counterparts. This report is based on a partnership project between a low-income urban community and the Morgan State University to develop, implement, and evaluate smoking cessation interventions through participatory randomized control trials. The partnership is called “Communities Engaged and Advocating for a Smoke-free Environment (CEASE).” Leaders from the Community Based Organizations, local stakeholders, and community residents worked with their academic partners and identified tobacco smoking as a high priority problem. Hence, the proposed project was designed and funded as a Community Based Participatory Experimental Research, with mix quantitative and qualitative methods. A Community Advisory Board (CAB) is formed with ultimate power to set and change directions of the planning, program development, and implementation of the projects. Data from a cross-sectional study (n=1,442), two intercept surveys (n= 113), and several focus group discussions and individual interviews provide contextual information about the community necessary to understands specific steps and challenges for creating a full equitable partnership. Preliminary data on tobacco treatment trial are used to describe how a diverse body of partners may effectively team work on an experimental participatory project. The process of the partnership formation such as the recruitment the CAB members and their function will be described. Major challenges were maintaining a full equitable partnership and the issue of fostering trust. The activities and conflicts to design and submit a successful participatory application for NIH funding will be described.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Provision of health care to the public
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss collaborative research process between community-based organizations and academic institutions. Identify the challenges of integrating research capacity into the community-based organizations. Articulate a CBPR process for securing NIH funding and implementing research to explore and address disparities in health and healthcare.

Keywords: Smoking Cessation, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a Co-PI of the project and oversee the program's activities such as the creation of the partnership, the participatory needs assessment, and the randomized control trial
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.