Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-18T03:59:21.192Z Has data issue: false hasContentIssue false
  • English
  • Français

A health coach-led smoking cessation program for Chinese Americans at a community health center in New York City

Published online by Cambridge University Press:  14 April 2020

Jennifer D. Lau Open the ORCID record for Jennifer D. Lau [Opens in a new window] ,
Naumi Feldman ,
Regina Lee ,
Annie Xu  and
Ady Oster
Jennifer D. Lau*
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA
Naumi Feldman
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA
Regina Lee
Affiliation:
Development Department, Charles B. Wang Community Health Center, New York, NY, USA
Annie Xu
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA Vassar College, Poughkeepsie, NY, USA
Ady Oster
Affiliation:
Internal Medicine Department, Charles B. Wang Community Health Center, New York, NY, USA
*
Author for correspondence: Jennifer D. Lau, E-mail: jelau@cbwchc.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction

A health coach-led smoking cessation program was implemented in a community of immigrant Chinese Americans. Follow-up was provided face-to-face or over-the-phone to provide support and address barriers. Free nicotine replacement treatment was provided for eligible participants.

Aim

The aim is to assess smoking cessation outcome by program components.

Methods

Quitting was defined as self-reported smoking abstention for at least 3 months. Factors contributing to successful cessation were evaluated using chi-squared tests and regression analysis. Participants were randomly surveyed to measure the helpfulness of and satisfaction with the program.

Results/Findings

The program enrolled 184 participants from November 2015 to January 2017. Participants were mostly men (89%) with a mean age of 44. An intent-to-treat analysis found that 19% quit. Phone counseling had the same success as face-to-face counseling. Each additional session attended was associated with 2.1 times the odds of quitting, P < 0.001. Among the participants who quit, 70% reported the health coach was helpful in their cessation.

Conclusions

A health coach-led smoking cessation program that offered phone-based counseling was successful in reducing smoking. Future programs should consider using a health coach to reduce physician burden and phone-based counseling for difficult-to-access patients to increase program reach.

Keywords

Chinese Americancounselinghealth coachnicotine replacement therapyphone counseling
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 15 , Issue 3 , September 2020 , pp. 128 - 135
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adelman, A. M., & Graybill, M. (2005). Integrating a health coach into primary care: Reflections from the Penn State Ambulatory Research Network. Annals of Family Medicine, 3(Suppl 2), S33–S35. https://doi.org/10.1370/afm.317.CrossRefGoogle ScholarPubMed
Ahluwalia, J. S., McNagny, S. E., & Clark, W. S. (1998). Smoking cessation among inner-city African Americans using the nicotine transdermal patch. Journal of General Internal Medicine, 13(1), 1–8. https://doi.org/10.1046/j.1525-1497.1998.00001.x.CrossRefGoogle ScholarPubMed
An, L. C., Schillo, B. A., Kavanaugh, A. M., Lachter, R. B., Luxenberg, M. G., Wendling, A. H., & Joseph, A. M. (2006). Increased reach and effectiveness of a statewide tobacco quitline after the addition of access to free nicotine replacement therapy. Tobacco Control, 15(4), 286–293. https://doi.org/10.1136/tc.2005.014555.CrossRefGoogle ScholarPubMed
Asian American Federation. (2013). Profile of New York City's Chinese Americans: 2013 Edition.Google Scholar
Boccio, M., Sanna, R. S., Adams, S. R., Goler, N. C., Brown, S. D., Neugebauer, R. S., … Author, C. (2017). Telephone-Based coaching: A comparison of tobacco cessation programs in an integrated health care system HHS public access. American Journal of Health Promotion, 31(2), 136–142. https://doi.org/10.4278/ajhp.140821-QUAN-424.CrossRefGoogle Scholar
Chen, Z., Peto, R., Zhou, M., Iona, A., Smith, M., Yang, L., … Li, L. (2015). Contrasting male and female trends in tobacco-attributed mortality in China: Evidence from successive nationwide prospective cohort studies. The Lancet, 386(10002), 1447–1456. https://doi.org/10.1016/S0140-6736(15)00340-2.CrossRefGoogle ScholarPubMed
Ferketich, A. K., Kwong, K., Shek, A., & Lee, M. (2007). Design and evaluation of a tobacco-prevention program targeting Chinese American youth in New York City. Nicotine & Tobacco Research, 9(2), 249–256. https://doi.org/10.1080/14622200601080356.CrossRefGoogle ScholarPubMed
Ferketich, A. K., Wewers, M. E., Kwong, K., Louie, E., Moeschberger, M. L., Tso, A., & Chen, M. S. (2004). Smoking cessation interventions among Chinese Americans: The role of families, physicians, and the media. Nicotine & Tobacco Research, 6(2), 241–248. https://doi.org/10.1080/14622200410001676350.Google ScholarPubMed
From Attebring, M., Herlitz, J., Berndt, A. K., Karlsson, T., & Hjalmarson, A. (2001). Are patients truthful about their smoking habits? A validation of self-report about smoking cessation with biochemical markers of smoking activity amongst patients with ischaemic heart disease. Journal of Internal Medicine, 249(2), 145–151. https://doi.org/10.1046/j.1365-2796.2001.00770.x.CrossRefGoogle ScholarPubMed
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119–1127.CrossRefGoogle ScholarPubMed
Jamal, A. (2018). Current cigarette smoking among adults – United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67(2), 53–59. https://doi.org/10.15585/mmwr.mm6702a1.CrossRefGoogle ScholarPubMed
Karhula, T., Vuorinen, A. L., Rääpysjärvi, K., Pakanen, M., Itkonen, P., Tepponen, M., … Saranummi, N. (2015). Telemonitoring and mobile phone-based health coaching among Finnish diabetic and heart disease patients: Randomized controlled trial. Journal of Medical Internet Research, 17(6), e153. https://doi.org/10.2196/jmir.4059.CrossRefGoogle ScholarPubMed
Kivelä, K., Elo, S., Kyngäs, H., & Kääriäinen, M. (2014). The effects of health coaching on adult patients with chronic diseases: A systematic review. Patient Education and Counseling, 97, pp. 147–157. https://doi.org/10.1016/j.pec.2014.07.026.CrossRefGoogle ScholarPubMed
Kwong, K., Ferketich, A. K., Wewers, M. E., Shek, A., Tsang, T., & Tso, A. (2009). Development and evaluation of a physician-led smoking cessation intervention for low-income Chinese Americans. Journal of Smoking Cessation, 4(2), 92–98. https://doi.org/10.1375/jsc.4.2.92.CrossRefGoogle Scholar
Li, S., Kwon, S. C., Weerasinghe, I., Rey, M. J., & Trinh-Shevrin, C. (2013). Smoking among Asian Americans: Acculturation and gender in the context of tobacco control policies in New York City. Health Promotion Practice, 14(5 Suppl), 18S–28S. https://doi.org/10.1177/1524839913485757.CrossRefGoogle ScholarPubMed
Li, S., Meng, L., Chiolero, A., Ma, C., & Xi, B. (2016). Trends in smoking prevalence and attributable mortality in China, 1991–2011. Preventive Medicine, 93, 82–87. https://doi.org/10.1016/j.ypmed.2016.09.027.CrossRefGoogle Scholar
Linden, A., Butterworth, S. W., & Prochaska, J. O. (2010). Motivational interviewing-based health coaching as a chronic care intervention. Journal of Evaluation in Clinical Practice, 16(1), 166–174. https://doi.org/10.1111/j.1365-2753.2009.01300.x.CrossRefGoogle ScholarPubMed
Liu, S., Zhang, M., Yang, L., Li, Y., Wang, L., Huang, Z., … Zhou, M. (2017). Prevalence and patterns of tobacco smoking among Chinese adult men and women: Findings of the 2010 national smoking survey. Journal of Epidemiology and Community Health, 71(2), 154–161. https://doi.org/10.1136/jech-2016-207805.CrossRefGoogle ScholarPubMed
Mohr, D. C., Ho, J., Duffecy, J., Reifler, D., Sokol, L., Nicole Burns, N., … Author manuscript, J. (2012). Effect of telephone-administered vs face-to-face cognitive behavioral therapy on adherence to therapy and depression outcomes among primary care patients: A randomized trial. JAMA, 307(21), 2278–2285. https://doi.org/10.1001/jama.2012.5588.CrossRefGoogle ScholarPubMed
Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. JAMA, 291(10), 1238. https://doi.org/10.1001/jama.291.10.1238.CrossRefGoogle ScholarPubMed
Nguyen Thanh, V., Guignard, R., Lancrenon, S., Bertrand, C., Delva, C., Berlin, I., … Arwidson, P. (2019). Effectiveness of a fully automated internet-based smoking cessation program: A randomized controlled trial (STAMP). Nicotine & Tobacco Research, 21(2), 163–172. https://doi.org/10.1093/ntr/nty016.CrossRefGoogle Scholar
Olsen, J. M., & Nesbitt, B. J. (2010). Health coaching to improve healthy lifestyle behaviors: An integrative review. American Journal of Health Promotion, 25(1), e1–e12. https://doi.org/10.4278/ajhp.090313-LIT-101.CrossRefGoogle ScholarPubMed
Roods, K., Jasek, J., & Farley, S. M. (2019). Recent survey findings on smoking and cessation behaviors among Asians in New York City. Journal of Community Health, 44(6), 1141–1149. https://doi.org/10.1007/s10900-019-00695-w.CrossRefGoogle ScholarPubMed
Sforzo, G. A., Kaye, M., Ayers, G. D., Talbert, B., & Hill, M. (2014). Effective tobacco cessation via health coaching: An institutional case report. Global Advances in Health and Medicine, 3(5), 37–44. https://doi.org/10.7453/gahmj.2014.029.CrossRefGoogle ScholarPubMed
Shah, V., Stokes, J., & Sutton, M. (2019). Effects of non-medical health coaching on multimorbid patients in primary care: A difference-in-differences analysis. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4367-8.CrossRefGoogle ScholarPubMed
Shelley, D., Nguyen, N., Peng, C.-H., Chin, M., Chang, M., & Fahs, M. (2010). Increasing access to evidence-based smoking cessation treatment: Effectiveness of a free nicotine patch program among Chinese immigrants. Journal of Immigrant and Minority Health, 12(2), 198–205. https://doi.org/10.1007/s10903-008-9194-7.CrossRefGoogle ScholarPubMed
Tsai, Y.-W., Tsai, T.-I., Yang, C.-L., & Kuo, K. N. (2008). Gender differences in smoking behaviors in an Asian population. Journal of Women's Health (2002), 17(6), 971–978. https://doi.org/10.1089/jwh.2007.0621.CrossRefGoogle Scholar
Tu, S.-P., Walsh, M., Tseng, B., & Thompson, B. (2000). Tobacco use by Chinese American men: An exploratory study of the factors associated with cigarette use and smoking cessation. Asian American and Pacific Islander Journal of Health, 8(1), 46–57.Google ScholarPubMed
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2014). The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General. Atlanta (GA).Google Scholar
Walker, N., Howe, C., Bullen, C., Grigg, M., Glover, M., McRobbie, H., … Rodgers, A. (2011). Does improved access and greater choice of nicotine replacement therapy affect smoking cessation success? Findings from a randomized controlled trial. Addiction, 106(6), 1176–1185. https://doi.org/10.1111/j.1360-0443.2011.03419.x.CrossRefGoogle ScholarPubMed
Wu, D., Ma, G. X., Zhou, K., Zhou, D., Liu, A., & Poon, A. N. (2009). The effect of a culturally tailored smoking cessation for Chinese American smokers. Nicotine & Tobacco Research, 11(12), 1448–1457. https://doi.org/10.1093/ntr/ntp159.CrossRefGoogle ScholarPubMed
Zhu, J., Shi, F., Xu, G., Li, N., Li, J., He, Y., & Yu, J. (2019). Conventional cigarette and E-cigarette smoking among school personnel in shanghai, China: Prevalence and determinants. International Journal of Environmental Research and Public Health, 16(17), 3197. https://doi.org/10.3390/ijerph16173197.CrossRefGoogle ScholarPubMed