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Health Education & Behavior
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A Randomized Trial of Targeted Educational Materials for Smoking Cessation in African Americans Using Transdermal Nicotine

Nicole Nollen, PhD

University of Kansas Medical Center, Kansas City, nnollen{at}kumc.edu

Jasjit S. Ahluwalia, MD, MPH, MS

University of Minnesota, Minneapolis

Matthew S. Mayo, PhD

University of Kansas Medical Center, Kansas City

Kim Richter, PhD

University of Kansas Medical Center, Kansas City

Won S. Choi, PhD, MPH

University of Kansas Medical Center, Kansas City

Kolawole S. Okuyemi, MD, MPH

University of Kansas Medical Center, Kansas City

Ken Resnicow, PhD

University of Michigan School of Public Health, Ann Arbor

This study examines the efficacy of targeted versus standard care smoking cessation materials among urban African American smokers. Five hundred smokers (250 to each group) are randomized to receive a culturally targeted or standard care videotape and print guide. Both groups receive 8 weeks of nicotine patches and reminder telephone calls at Weeks 1 and 3. Process outcomes include material use and salience at 1 and 4 weeks postbaseline. Smoking outcomes include 7-day abstinence, smoking reduction, and readiness to quit at 4 weeks and 6 months postbaseline. Despite greater use of the targeted guide (68.8% vs. 59.6%, p < .05), intervention participants do not perceive the targeted materials as more salient, and no significant differences are found between groups on the smoking outcomes. Findings point to the importance of greater audience segmentation and individual tailoring to better match intervention materials to the needs of the priority population.

Key Words: targeting • smoking cessation • African Americans

This version was published on December 1, 2007

Health Education & Behavior, Vol. 34, No. 6, 911-927 (2007)
DOI: 10.1177/1090198106294652
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