Project: Research project

Project Details


The overall goal of this study is to develop a scientifically valid and
ethnically approved, lay-led smoking cessation intervention for Southeast
Asian men, i-e., those from Cambodia, Laos, and Vietnam. In particular,
economically disadvantaged S.E. Asian men are targeted because of their
higher than average smoking prevalence rate, their extraordinary increased
numbers, and the relative paucity of strategies to reach this hard-to-reach
group. Trained, lay S.E. Asian counselors (cadre) will be the primary
agents for this study's assessment, intervention, and follow up of smoking
cessation behaviors. Seven reasons for using this approach are cited,
including the potential generalization of this approach to other
populations. Over the five year demonstration and education research study period, we
propose following objectives: (1) Collect baseline data on smoking and
smoking cessation behaviors; (2) Design ethnically approved strategies for
the cessation and maintenance of smoking cessation behaviors based upon
findings from the baseline assessment; (3) Implement ethnically approved
strategies from objective #2 for smoking cessation; (4) Maintain smoking
cessation after initial quitting; and (5) Evaluate the effectiveness of the
intervention utilized (objectives #3 and #4) for the intervention subjects
in comparison with control subjects for the cessation and maintenance of
smoking cessation. On the macro level, 600 randomly selected subjects (E1) allocated equally
among the three ethnic groups in one county will be compared to 600 control
subjects in geographically separate counties. On the micro level, E1
subjects will also be compared to control subjects (C1) in the intervention
county. All subjects will be longitudinally followed. The standard for
successful cessation will be biochemically verified through salivary
cotinine tests at one year of self-reported abstinence. Among the study's features are the community-based (versus academic or
clinical) nature of lay change agents, the deliberate integration of
baseline data and scientific principles with ethnic values in the
intervention approach, and a research design that allows for both macro and
micro comparisons of the intervention with control conditions.
Effective start/end date9/1/908/31/96


  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health
  • National Institutes of Health


  • Medicine(all)


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