Tobacco Dependence Treatment for Korean Americans

Authors: Sun S Kim SeongHo Kim Douglas Ziedonis

Publish Date: 2011/07/23

Volume: 14, Issue: 3, Pages: 395-404

PDF Link

Abstract

The study was conducted to examine the relative effectiveness of cognitive behavior therapy with a cultural tailoring intervention compared to brief medication management The study used a twoarm randomized controlled trial in which participant assignment was stratified by gender The intervention condition received eight weekly 40min individualized counseling sessions of culturally tailored cognitive behavior therapy while the control condition received eight weekly 10min individualized counseling sessions of medication management Both conditions received nicotine patches for 8 weeks Data were collected at baseline and at four followup points one and 4 weeks and three and 6 months postquit Treatment outcomes were presented as an intentiontotreat analysis Thirty Korean immigrants participated in the study At 6month followup 571 of participants in the intervention and 188 of participants in the control had 7day point prevalence abstinence odds ratio = 58 95 confidence interval = 112–2604 P = 004 Participants’ selfreported abstinence was biochemically verified with exhaled carbon monoxide and salivary cotinine levels A combination of the culturally tailored cognitive behavior therapy and nicotine replacement therapy had a better treatment outcome compared to brief medication management The promising result suggests a need to further test the intervention in larger samples and longer followup assessments before it can be adapted in clinical settings

Keywords: