Online Program

Examining Dropout in a CBPR Approach to Smoking Cessation: Lessons Learned from the CEASE Partnership

Tuesday, November 3, 2015 : 3:30 p.m. - 3:50 p.m.

Anthony Estreet, Ph.D., LCSW-C, LCADC, School of Social Work, Morgan State University, Baltimore, MD
Payam Sheikhattari, MD, MPH, School of Community Health and Policy, Morgan State University School of Community Health and Policy, Baltimore, MD
Anne O'Keefe, PhD, JD, Public Health Program, Department of Health Policy and Management, Morgan State University, School of Community Health and Policy, Baltimore, MD
Jummai Apata, MBBS, MPH, School of Community Health and Policy, Morgan State University, Baltimore, MD
Fernando A. Wagner, ScD, MPH, Prevention Sciences Research Center and the Center for Health Disparities Solutions, Morgan State University School of Community Health and Policy, Baltimore, MD
Timeeka Addison, CEASE Baltimore, Baltimore, MD
CEASE (Communities Engaged and Advocating for Smoke-free Environments) builds on a 13-year partnership between Morgan State University and Southwest Baltimore. Now in its third phase, CEASE has learned from and revised each intervention to increase retention, the single best predictor of success in quitting smoking.

Phase I included weekly interventions over 12 weeks conducted in a Community Health Center by CHC health personnel. Participants were assigned randomly to individual or group counseling. Of the 400 participants, 9.4% quit smoking; among the 13.7% who attended more than six sessions, the cessation rate was 27.3%. Post-intervention research revealed that: participants did not like the health care setting; they wandered in and out of their assigned groups; health providers were not especially effective.

Because the Phase I outcomes were the same for both individual and group counseling, and the group approach was much more cost-efficient, Phase II used only groups who met in community settings. Instead of health personnel, Peer Motivators were recruited from the same neighborhoods they served, and trained to deliver the 12-week intervention. Improving the cultural competence of the group leaders, meeting in familiar places, and closing the group to increase cohesion improved retention. Of the 386 participants who started Phase II, 21.8% quit smoking. Of the 40.9% who attended more than six sessions, 40.5% quit.

Phase III is taking advantage of all lessons learned to continue improving retention and cessation rates. Perhaps the most important lesson is that quitting smoking is more of a social than a clinical event.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Explain what increases retention, and hence success, in CBPR smoking cessation effort. Describe the greater importance of social compared to clinical attributes of smoking cessation efforts.

Keyword(s): Community-Based Partnership & Collaboration, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am part of the Research Team for the CEASE project. I will be conducting data analysis on the findings. I will participate in the preparation of future manuscripts that report on this CBPR.
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.