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This version was published on February 1, 2007
Health Education & Behavior, Vol. 34, No. 1, 43-54 (2007)
DOI: 10.1177/1090198106288046
© 2007 Society for Public Health Education

Pathways to Health: A Cluster Randomized Trial of Nicotine Gum and Motivational Interviewing for Smoking Cessation in Low-Income Housing

Kolawole S. Okuyemi, MD, MPH

University of Minnesota Medical School, Minneapolis, kokuyemi{at}umn.edu

Aimee S. James, PhD, MPH

University of Kansas Medical Center, Kansas City

Matthew S. Mayo, PhD

University of Kansas Medical Center, Kansas City

Nicole Nollen, PhD

University of Kansas Medical Center, Kansas City

Delwyn Catley, PhD

University of Missouri-Kansas City

Won S. Choi, PhD, MPH

University of Kansas Medical Center, Kansas City

Jasjit S. Ahluwalia, MD, MPH, MS

University of Minnesota Academic Health Center, Minneapolis

Despite high smoking rates among those living in poverty, few cessation studies are conducted in these populations. This cluster-randomized trial tested nicotine gum plus motivational interviewing (MI) for smoking cessation in 20 low-income housing developments (HDs). Intervention participants (10 HDs, n = 66) received educational materials, 8 weeks of 4 mg nicotine gum, and 5 MI sessions on quitting smoking. Comparison participants (10 HDs, n = 107) received 5 MI sessions and educational materials addressing fruit and vegetable consumption. Participants had a mean age of 46.3 years and were predominantly female (70%) and African American (83%). Biochemically-verified 7-day abstinence rates at 8 weeks were 6.1% and 5.6% in the intervention and comparison arms, respectively (p = ns); and at 26 weeks were 7.6% and 9.3%, respectively (p = ns). Results suggest that nicotine gum plus MI were not effective for smoking cessation in low-income housing. Programs are needed to enhance the effectiveness of pharmacotherapy and counseling in underserved populations.

Key Words: smoking cessation • low-income housing • nicotine gum • motivational interviewing • cluster randomized trial


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[Abstract] [Full Text] [PDF]