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      Culturally specific interventions for African American smokers: an efficacy experiment.

      Journal of the National Medical Association
      Acculturation, Adolescent, Adult, African Americans, statistics & numerical data, Aged, Cultural Competency, Female, Health Behavior, Health Knowledge, Attitudes, Practice, Health Status Indicators, Health Surveys, Humans, Male, Middle Aged, Pilot Projects, Questionnaires, Risk Factors, Risk-Taking, Smoking, epidemiology, ethnology, prevention & control, psychology, Smoking Cessation, methods, Statistics as Topic, Tobacco, United States, Young Adult

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          This pilot study sought to dismantle the efficacy of culturally specific print materials for smoking cessation. Two-hundred sixty-one African American smokers were randomized into 1 of 2 conditions: standard booklet or culturally specific booklet. The content and length of the interventions were identical yet varied in their degree of cultural specificity. Three-month follow-up assessments were completed by 70% (N = 183) of participants. Dependent variables included content evaluation, readiness to quit smoking, and actual behavior change. Evidence suggested that the culturally specific material was more effective at capturing attention, providing encouragement and gaining interest compared to standard materials; however, greater credibility was found for standard materials. In addition, greater readiness to quit and more 24-hour quit attempts were found in the standard condition. No differences were found in abstinence rates. In conclusion, culturally specific interventions may be preferred over standard approaches among African American smokers. Culturally specific approaches, however, may not result in greater behavior change. Implications for written interventions and cultural specificity are discussed.

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