A randomized controlled trial of a videoconferencing smoking cessation intervention for Korean American women: preliminary findings - PubMed (original) (raw)

A randomized controlled trial of a videoconferencing smoking cessation intervention for Korean American women: preliminary findings

Sun S Kim et al. Int J Womens Health. 2016.

Abstract

Introduction: Korean women are reluctant to pursue in-person smoking cessation treatment due to stigma attached to women smokers and prefer treatment such as telephone and online smoking cessation programs that they can access secretively at home. However, there is some evidence that face-to-face interaction is the most helpful intervention component for them to quit smoking.

Methods: This study is a pilot clinical trial that examined the acceptability and feasibility of a videoconferencing smoking cessation intervention for Korean American women and compared its preliminary efficacy with a telephone-based intervention. Women of Korean ethnicity were recruited nationwide in the United States and randomly assigned at a ratio of 1:1 to either a video arm or a telephone arm. Both arms received eight 30-minute weekly individualized counseling sessions of a deep cultural smoking cessation intervention and nicotine patches for 8 weeks. Participants were followed over 3 months from the quit day.

Results: The videoconferencing intervention was acceptable and feasible for Korean women aged <50 years, whereas it was not for older women. Self-reported abstinence was high at 67% and 48% for the video and telephone arm at 1 month post-quit, respectively. The rates declined to 33% for the video arm and 28% for the telephone arm at 3 months post-quit when salivary cotinine test was performed.

Conclusion: Findings support that both videoconferencing and telephone counseling can be effective, and personal preference is likely an important factor in treatment matching. The deep cultural smoking cessation intervention may account for the outcomes of telephone counseling being better than prior studies in the literature for Korean women.

Keywords: Asian American; nicotine; remote biochemical validation; smoking cessation; videoconferencing; women.

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Figures

Figure 1

Figure 1

CONSORT diagram showing a flow of subjects in the study. Abbreviation: CONSORT, CONsolidated Standards of Reporting Trials.

Figure 2

Figure 2

Kaplan–Meier survival curve of days of abstinence between the two arms. Note: Log-rank test _χ_2 =0.13, _P_=0.72.

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References

    1. East-West Center Asia matters for America: Korean-American population data. [Accessed March 3, 2016]. Available from: http://www.asiamattersforamerica.org/southkorea/data/koreanamericanpopul....
    1. Caraballo RS, Yee SL, Gfroerer J, Mirza SA. Adult tobacco use among racial and ethnic groups living in the United States, 2002–2005. Prev Chronic Dis. 2008;5(3):A78. - PMC - PubMed
    1. Li S, Kwon SC, Weerasinghe I, Rey MJ, Trinh-Shevrin C. Smoking among Asian Americans: acculturation and gender in the context of tobacco control policies in New York City. Health Promot Pract. 2013;14(5):18S–28S. - PMC - PubMed
    1. University of California Los Angeles California Health Interview Survey, adult survey, 2011. [Accessed June 13, 2015]. Available from: http://healthpolicy.ucla.edu/chis/Pages/default.aspx.
    1. Kim SS, Kim S, Seward G, Fortuna L, McKee SA. Korean American women’s experiences with smoking and factors associated with their quit intentions. ISRN Addiction. 2013;2013 ID 796570. - PMC - PubMed

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