Tobacco cessation treatment for Alaska native adolescents: Group randomized pilot trial

Christi Ann Patten, Oluwole Fadahunsi, Marcelo M K Hanza, Christina A. Smith, Paul A. Decker, Rahnia Boyer, Laura Ellsworth, Tabetha A. Brockman, Christine A. Hughes, Carrie A. Bronars, Kenneth P. Offord

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and the potential efficacy of a targeted cessation intervention for AN youth using a group randomized design. Methods: Eight villages in western Alaska were randomly assigned to receive the intervention (n = 4 villages) or a delayed treatment control condition (written materials only; n = 4 villages). Ten adolescents aged 12-17 years were targeted from each village with a planned enrollment of 80. The intervention was held over a weekend, and youth traveled from their villages to quit tobacco use with other teens. The intervention comprised 8hr of group-based counseling. Talking circles, personal stories from elders, and recreational activities were included to enhance cultural acceptability and participation. Newsletters were mailed weekly for 5-weeks postprogram. Assessments were conducted at baseline, week 6 (end-of-treatment), and 6 months. Self-reported tobacco abstinence was confirmed with salivary cotinine. Results: Recruitment targets were met in the intervention (41 enrolled) but not in control villages (27 enrolled). All intervention participants attended the weekend program. Retention was high; 98% of intervention and 86% of control participants completed 6-month follow-up. The 7-day point-prevalence self-reported tobacco abstinence rates for intervention and control participants were 10% (4/41) and 0% (0/27) at both week 6 and 6 months (p = .15). Only 1 adolescent in the intervention condition was biochemically confirmed abstinent at week 6 and none at 6 months. Conclusion: The intensive individual-focused intervention used in this study was feasible but not effective for tobacco cessation among AN youth. Alternative approaches are warranted.

Original languageEnglish (US)
Article numberntu004
Pages (from-to)836-845
Number of pages10
JournalNicotine and Tobacco Research
Volume16
Issue number6
DOIs
StatePublished - 2014

Fingerprint

Tobacco Use Cessation
Withholding Treatment
Tobacco
Cotinine
Tobacco Use
Alaska Natives
Counseling
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Patten, C. A., Fadahunsi, O., Hanza, M. M. K., Smith, C. A., Decker, P. A., Boyer, R., ... Offord, K. P. (2014). Tobacco cessation treatment for Alaska native adolescents: Group randomized pilot trial. Nicotine and Tobacco Research, 16(6), 836-845. [ntu004]. https://doi.org/10.1093/ntr/ntu004

Tobacco cessation treatment for Alaska native adolescents : Group randomized pilot trial. / Patten, Christi Ann; Fadahunsi, Oluwole; Hanza, Marcelo M K; Smith, Christina A.; Decker, Paul A.; Boyer, Rahnia; Ellsworth, Laura; Brockman, Tabetha A.; Hughes, Christine A.; Bronars, Carrie A.; Offord, Kenneth P.

In: Nicotine and Tobacco Research, Vol. 16, No. 6, ntu004, 2014, p. 836-845.

Research output: Contribution to journalArticle

Patten, CA, Fadahunsi, O, Hanza, MMK, Smith, CA, Decker, PA, Boyer, R, Ellsworth, L, Brockman, TA, Hughes, CA, Bronars, CA & Offord, KP 2014, 'Tobacco cessation treatment for Alaska native adolescents: Group randomized pilot trial', Nicotine and Tobacco Research, vol. 16, no. 6, ntu004, pp. 836-845. https://doi.org/10.1093/ntr/ntu004
Patten, Christi Ann ; Fadahunsi, Oluwole ; Hanza, Marcelo M K ; Smith, Christina A. ; Decker, Paul A. ; Boyer, Rahnia ; Ellsworth, Laura ; Brockman, Tabetha A. ; Hughes, Christine A. ; Bronars, Carrie A. ; Offord, Kenneth P. / Tobacco cessation treatment for Alaska native adolescents : Group randomized pilot trial. In: Nicotine and Tobacco Research. 2014 ; Vol. 16, No. 6. pp. 836-845.
@article{40570f5f75cb422fa291d9ec6e9877db,
title = "Tobacco cessation treatment for Alaska native adolescents: Group randomized pilot trial",
abstract = "Introduction: Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and the potential efficacy of a targeted cessation intervention for AN youth using a group randomized design. Methods: Eight villages in western Alaska were randomly assigned to receive the intervention (n = 4 villages) or a delayed treatment control condition (written materials only; n = 4 villages). Ten adolescents aged 12-17 years were targeted from each village with a planned enrollment of 80. The intervention was held over a weekend, and youth traveled from their villages to quit tobacco use with other teens. The intervention comprised 8hr of group-based counseling. Talking circles, personal stories from elders, and recreational activities were included to enhance cultural acceptability and participation. Newsletters were mailed weekly for 5-weeks postprogram. Assessments were conducted at baseline, week 6 (end-of-treatment), and 6 months. Self-reported tobacco abstinence was confirmed with salivary cotinine. Results: Recruitment targets were met in the intervention (41 enrolled) but not in control villages (27 enrolled). All intervention participants attended the weekend program. Retention was high; 98{\%} of intervention and 86{\%} of control participants completed 6-month follow-up. The 7-day point-prevalence self-reported tobacco abstinence rates for intervention and control participants were 10{\%} (4/41) and 0{\%} (0/27) at both week 6 and 6 months (p = .15). Only 1 adolescent in the intervention condition was biochemically confirmed abstinent at week 6 and none at 6 months. Conclusion: The intensive individual-focused intervention used in this study was feasible but not effective for tobacco cessation among AN youth. Alternative approaches are warranted.",
author = "Patten, {Christi Ann} and Oluwole Fadahunsi and Hanza, {Marcelo M K} and Smith, {Christina A.} and Decker, {Paul A.} and Rahnia Boyer and Laura Ellsworth and Brockman, {Tabetha A.} and Hughes, {Christine A.} and Bronars, {Carrie A.} and Offord, {Kenneth P.}",
year = "2014",
doi = "10.1093/ntr/ntu004",
language = "English (US)",
volume = "16",
pages = "836--845",
journal = "Nicotine and Tobacco Research",
issn = "1462-2203",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Tobacco cessation treatment for Alaska native adolescents

T2 - Group randomized pilot trial

AU - Patten, Christi Ann

AU - Fadahunsi, Oluwole

AU - Hanza, Marcelo M K

AU - Smith, Christina A.

AU - Decker, Paul A.

AU - Boyer, Rahnia

AU - Ellsworth, Laura

AU - Brockman, Tabetha A.

AU - Hughes, Christine A.

AU - Bronars, Carrie A.

AU - Offord, Kenneth P.

PY - 2014

Y1 - 2014

N2 - Introduction: Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and the potential efficacy of a targeted cessation intervention for AN youth using a group randomized design. Methods: Eight villages in western Alaska were randomly assigned to receive the intervention (n = 4 villages) or a delayed treatment control condition (written materials only; n = 4 villages). Ten adolescents aged 12-17 years were targeted from each village with a planned enrollment of 80. The intervention was held over a weekend, and youth traveled from their villages to quit tobacco use with other teens. The intervention comprised 8hr of group-based counseling. Talking circles, personal stories from elders, and recreational activities were included to enhance cultural acceptability and participation. Newsletters were mailed weekly for 5-weeks postprogram. Assessments were conducted at baseline, week 6 (end-of-treatment), and 6 months. Self-reported tobacco abstinence was confirmed with salivary cotinine. Results: Recruitment targets were met in the intervention (41 enrolled) but not in control villages (27 enrolled). All intervention participants attended the weekend program. Retention was high; 98% of intervention and 86% of control participants completed 6-month follow-up. The 7-day point-prevalence self-reported tobacco abstinence rates for intervention and control participants were 10% (4/41) and 0% (0/27) at both week 6 and 6 months (p = .15). Only 1 adolescent in the intervention condition was biochemically confirmed abstinent at week 6 and none at 6 months. Conclusion: The intensive individual-focused intervention used in this study was feasible but not effective for tobacco cessation among AN youth. Alternative approaches are warranted.

AB - Introduction: Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and the potential efficacy of a targeted cessation intervention for AN youth using a group randomized design. Methods: Eight villages in western Alaska were randomly assigned to receive the intervention (n = 4 villages) or a delayed treatment control condition (written materials only; n = 4 villages). Ten adolescents aged 12-17 years were targeted from each village with a planned enrollment of 80. The intervention was held over a weekend, and youth traveled from their villages to quit tobacco use with other teens. The intervention comprised 8hr of group-based counseling. Talking circles, personal stories from elders, and recreational activities were included to enhance cultural acceptability and participation. Newsletters were mailed weekly for 5-weeks postprogram. Assessments were conducted at baseline, week 6 (end-of-treatment), and 6 months. Self-reported tobacco abstinence was confirmed with salivary cotinine. Results: Recruitment targets were met in the intervention (41 enrolled) but not in control villages (27 enrolled). All intervention participants attended the weekend program. Retention was high; 98% of intervention and 86% of control participants completed 6-month follow-up. The 7-day point-prevalence self-reported tobacco abstinence rates for intervention and control participants were 10% (4/41) and 0% (0/27) at both week 6 and 6 months (p = .15). Only 1 adolescent in the intervention condition was biochemically confirmed abstinent at week 6 and none at 6 months. Conclusion: The intensive individual-focused intervention used in this study was feasible but not effective for tobacco cessation among AN youth. Alternative approaches are warranted.

UR - http://www.scopus.com/inward/record.url?scp=84900037224&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84900037224&partnerID=8YFLogxK

U2 - 10.1093/ntr/ntu004

DO - 10.1093/ntr/ntu004

M3 - Article

C2 - 24532352

AN - SCOPUS:84900037224

VL - 16

SP - 836

EP - 845

JO - Nicotine and Tobacco Research

JF - Nicotine and Tobacco Research

SN - 1462-2203

IS - 6

M1 - ntu004

ER -