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Increasing access to smoking cessation treatment among Latino smokers using case management

Published online by Cambridge University Press:  11 March 2019

Francisco Cartujano-Barrera ,
Jaime Perales ,
Evelyn Arana ,
Lisa Sanderson Cox ,
Hung-Wen Yeh ,
Edward F. Ellerbeck ,
Kimber P. Richter  and
Ana Paula Cupertino
Francisco Cartujano-Barrera*
Affiliation:
Department of Cancer Prevention and Control, Hackensack University Medical Center, Hackensack, NJ 07047, USA
Jaime Perales
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Evelyn Arana
Affiliation:
Department of Cancer Prevention and Control, Hackensack University Medical Center, Hackensack, NJ 07047, USA
Lisa Sanderson Cox
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Hung-Wen Yeh
Affiliation:
Department of Biostatistics, University of Kansas Medical Center, Kansas City, KS 66160, USA
Edward F. Ellerbeck
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Kimber P. Richter
Affiliation:
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
Ana Paula Cupertino
Affiliation:
Department of Cancer Prevention and Control, Hackensack University Medical Center, Hackensack, NJ 07047, USA
*
Author for correspondence: Francisco Cartujano-Barrera, E-mail: Francisco.cartujano@hackensackmeridian.org
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Abstract

Introduction

Disparities exist among Latino smokers with respect to knowledge and access to smoking cessation resources. This study tested the feasibility of using case management (CM) to increase access to pharmacotherapy and quitlines among Latino smokers.

Methods

Latino smokers were randomized to CM (n = 40) or standard care (SC, n = 40). All participants received educational materials describing how to utilize pharmacy assistance for cessation pharmacotherapy and connect with quitlines. CM participants received four phone calls from staff to encourage pharmacotherapy and quitline use. At 6-months follow-up, we assessed the utilization of pharmacotherapy and quitline. Additional outcomes included self-reported smoking status and approval for pharmacotherapy assistance.

Results

Using intention-to-treat analysis, CM produced higher utilization than SC of both pharmacotherapy (15.0% versus 2.5%; P = 0.108) and quitlines (12.5% versus 5.0%; P = 0.432), although differences were not statistically significant. Approval for pharmacotherapy assistance programs (20.0% versus 0.0%; P = 0.0005) was significantly higher for CM than SC participants. Self-reported point-prevalence smoking abstinence at 6-months were 20.0% and 17.5% for CM and SC, respectively (P = 0.775).

Conclusions

CM holds promise as an effective intervention to connect Latino smokers to evidence-based cessation treatment.

Keywords

Case managementLatinossmokingsmoking cessation
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 3 , September 2019 , pp. 168 - 175
Copyright
Copyright © The Author(s) 2019 

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