Online Program

Expert advice: Delivering health information to African American smokers who are not motivated to quit

Wednesday, November 6, 2013 : 1:10 p.m. - 1:30 p.m.

Andrea Bradley-Ewing, MPA, MA, Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Delwyn Catley, PhD, Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Kathy Goggin, PhD, Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Kari Harris, PhD, MPH, School of Public Health and Community Health Sciences, University of Montana, Missoula, MT
Kimber Richter, PhD, MPH, Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS
Christi Patten, PhD, Mayo Clinic College of Medicine, Rochester, MN
Karen Williams, PhD, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, MO
Ken Resnicow, PhD, School of Public Health - Health Behavior & Health Education, University of Michigan, Ann Arbor, MI
Hyoung Lee, PhD, Interdisciplinary Arts and Sciences, University of Washington-Tacoma, Tacoma, WA
Jose Moreno, MA, Department of Psychology, University of Missouri- Kansas City, Kansas City, MO
Although African Americans suffer disproportionately from smoking related illnesses, few studies have examined ethnic differences in processing health and smoking information. This study examines ethnic differences in unmotivated smokers' preference for receiving counseling to quit smoking in an expert oriented style, and whether ethnicity and style of counseling predicts alliance with counselor, perceived influence on smoking, and treatment satisfaction. Participants were 255 community residents (57% male; 68% African American) in a randomized controlled trial comparing expert-oriented Health Education (HE) with patient-centered Motivational Interviewing. Compared to Whites, African American participants had a significantly higher preference for “being told what to do by an expert” (p < .031), although on average both African Americans (M = 2.84, SD = 1.13) and Whites (M = 3.18, SD = 1.) indicated only a moderate degree of preference for expert direction on a 5 point scale. Separate GLM analyses predicting therapeutic alliance and study satisfaction from ethnicity and treatment group revealed neither main effects nor any significant interactions. However, a GLM model predicting perceived influence of counseling on smoking behavior revealed a trend (p <.065) of treatment group favoring the impact of HE. Results of this study suggest that although African Americans may prefer more expert direction than Whites, this preference does not appear to negatively impact therapeutic alliance or satisfaction with more patient-centered counseling. Understanding the ways patients prefer processing information and the real impact on outcomes may help researchers and practitioners design and implement more effective strategies to promote smoking cessation.

Learning Areas:

Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe ethnic differences in processing health and smoking information. Discuss the impact of an expert oriented counseling intervention on perceived counseling influence on African American smoking behavior.

Keyword(s): Smoking, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the project director or research associate of multiple federally funded grants focusing on smoking cessation, tretment adherence for MS and HIV positive patients, and faith based HIV education. Other research interests include engaging faith and community based organizations in translational research.
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.