This collaborative, community-engaged project developed and tested a Culturally Tailored Treatment (CTT) for American Indian/Alaska Native (AI/AN) smokers in the Menominee tribal community. One hundred three adult AI/AN smokers were randomized to receive either Standard Treatment (ST; n = 53) or CTT (n = 50) for smoking cessation. Both treatment conditions included 12 weeks of varenicline and four individual counseling sessions but differed in terms of cultural tailoring of the counseling. The primary outcome was 7-day, biochemically confirmed point-prevalence abstinence (PPA) at the 6-month end-of-study visit. Both intention-to-treat (ITT) and responder-only analyses were conducted. There were no statistically significant group differences in 7-day PPA. The overall ITT abstinence rate at 6 months was 20%; the responder-only rate was 42%. The current study represents the first randomized smoking cessation clinical trial testing a culturally tailored smoking cessation intervention designed for a specific AI/AN tribal community that combined Food and Drug Administration (FDA)-approved cessation medication (varenicline) and innovative cultural intervention components.
AhrensD.BandiP.UllsvikJ.MobergD. P. (2005). Who smokes? A demographic analysis of Wisconsin smokers. Wisconsin Medical Journal, 104, 18-22.
2.
ArndtL.CaskeyM.FossumJ.SchmidtN.DavisA.SmithS. S.. . . WaukauJ. (2013). Menominee perspectives on commercial and sacred tobacco use. American Indian and Alaska Native Mental Health Research, 20, 1-22. doi:10.5820/aian.2003.2013.1
3.
BakerT. B.PiperM. E.McCarthyD. E.BoltD. M.SmithS. S.KimS. Y.. . .TollB. A. (2007). Time to first cigarette in the morning as an index of ability to quit smoking: Implications for nicotine dependence. Nicotine & Tobacco Research, 9(Suppl.), S555-S570. doi:10.1080/14622200701673480
Brave HeartM.ChaseJ.ElkinsJ.AltschulD. B. (2011). Historical trauma among indigenous peoples of the Americas: Concepts, research, and clinical considerations. Journal of Psychoactive Drugs, 43, 282-290. doi:10.1080/02791072.2011.628913
BukiL. P. (2007). Reducing health disparities: The perfect fit for counseling psychology. The Counseling Psychologist, 35, 706-715. doi:10.1177/0011-000007303632
8.
BukiL. P.SelemM. (2012). Health disparities: Issues and opportunities for counseling psychologists. In FouadN. (Ed.) & CarterJ.SubichL. (Associate Eds.), APA handbook of counseling psychology: Practice, interventions, and applications (Vol. 2, pp. 235-249). Washington, DC: American Psychological Association. doi:10.1037/13755-010
9.
BurgessD.FuS. S.JosephA. M.HatsukamiD. K.SolomanJ.van RynM. (2007). Beliefs and experiences regarding smoking cessation among American Indians. Nicotine & Tobacco Research, 9, 19-28. doi:10.1080/14622200-601083426
10.
BurhansstipanovL.ChristopherS.SchumacherS. A. (2005). Lessons learned from community-based participatory research in Indian country. Cancer Control, 12, 70-76.
11.
CahillK.SteadL. F.LancasterT. (2011). Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews, 2, CD006103. doi:10.1002/14651858.CD006103.pub5
12.
CahillK.StevensS.LancasterT. (2014). Pharmacological treatments for smoking cessation. Journal of the American Medical Association, 311, 193-194. doi:10.1001/jama.2013.283787
13.
CarsonK. V.BrinnM. P.PetersM.VealeA.EstermanA. J.SmithB. J. (2012). Interventions for smoking cessation in Indigenous populations. Cochrane Database of Systematic Reviews, CD009046. doi:10.1002/14651858.CD009046.pub2
14.
Centers for Disease Control and Prevention. (2003). Cigarette smoking-attributable morbidity—United States, 2000. Morbidity and Mortality Weekly Report, 52, 842-844.
15.
Centers for Disease Control and Prevention. (2011a). Vital signs: Current cigarette smoking among adults aged ≥ 18 years—United States, 2005-2010. Morbidity and Mortality Weekly Report, 60, 1207-1212.
16.
Centers for Disease Control and Prevention. (2011b). Quitting smoking among adults—United States, 2001–2010. Morbidity and Mortality Weekly Report, 60, 1513-1519.
17.
ChoiW. S.DaleyC. M.JamesA.ThomasJ.SchupbachR.SegravesM.. . . AhluwaliaJ. S. (2006). Beliefs and attitudes regarding smoking cessation among American Indians: A pilot study. Ethnicity & Disease, 16, 35-40.
18.
CohenG. L.ShermanD. K. (2014). The psychology of change: Self-affirmation and social psychological intervention. Annual Review of Psychology, 65, 333-371. doi:10.1146/annurev-psych-010213-115137
19.
CoxL. S.OkuyemiK.ChoiW. S.AhluwaliaJ. S. (2011). A review of tobacco use treatments in U.S. ethnic minority populations. American Journal of Health Promotion, 25(Suppl.), S11-S30. doi:10.4278/ajhp.100610-LIT-177
20.
CreswellJ. W.KlassenA. C.Plano ClarkV. L.SmithK. C. (2011). Best practices for mixed methods research in the health sciences (Office of Behavioral and Social Sciences Research). Washington, DC: National Institutes of Health. Retrieved from http://obssr.od.nih.gov/mixed_methods_research
21.
DaleyC. M.JamesA. S.BarnoskieR. S.SegravesM.SchupbachR.ChoiW. S. (2006). “Tobacco has a purpose, not just a past”: Feasibility of developing a culturally appropriate smoking cessation program for a Pan-Tribal Native population. Medical Anthropology Quarterly, 20, 421-440.
22.
DennisM. K.MomperS. L. (2012). “It’s bad around here now”: Tobacco, alcohol and other drug use among American Indians living on a rural reservation. Journal of Ethnicity in Substance Abuse, 11, 130-148. doi:10.1080/1533-2640.2012.675244
23.
DennyC. H.HoltzmanD.GoinsR. T.CroftJ. B. (2005). Disparities in chronic disease risk factors and health status between American Indian/Alaska Native and White elders: Findings from a telephone survey, 2001 and 2002. American Journal of Public Health, 95, 825-827. doi:10.2105/AJPH.2004.043489
24.
D’SilvaJ.SchilloB. A.SandmanN. R.LeonardT. L.BoyleR. G. (2011). Evaluation of a tailored approach for tobacco dependence treatment for American Indians. American Journal of Health Promotion, 25(Suppl.), S66-S69. doi:10.4278/ajhp.100611-QUAN-180
25.
Evans-CampbellT. (2008). Historical trauma in American Indian/Native Alaska communities: A multilevel framework for exploring impacts on individuals, families, and communities. Journal of Interpersonal Violence, 23, 316-338. doi:10.1177/0886260507312290
26.
FaganP.MoolchanE. T.LawrenceD.FernanderA.PonderP. K. (2007). Identifying health disparities across the tobacco continuum. Addiction, 102(Suppl. 2), 5-29. doi:10.1111/j.1360-0443.2007.01952.x
FriedmanL. M.FurbergC. D.DeMetsD. L. (2010). Fundamentals of clinical trials (4th ed.). New York, NY: Springer-Verlag.
29.
FuS. S.RhodesK. L.RobertC.WidomeR.ForsterJ. L.JosephA. M. (2014). Designing and evaluating culturally specific smoking cessation interventions for American Indian Communities. Nicotine & Tobacco Research, 16, 42-49. doi:10.1093/ntr/ntt111
30.
Geishirt CantrellB. A.HodgeF. S.StruthersR.DecoraL. H. (2005). The high incidence of cigarette smoking among American Indians of the Northern Plains. Journal of Cancer Education, 20(Suppl.), 97-100. doi:10.1207/s15430154jce2001s_19
31.
GohdesD.HarwellT. S.CummingsS.MooreK. R.SmilieJ. G.HelgersonS. D. (2002). Smoking cessation and prevention: An urgent public health priority for American Indians in the Northern Plains. Public Health Reports, 117, 281-290.
32.
HallS.DelucchiK.VelicerW.KahlerC.Ranger-MooreJ.HedekerD.. . . NiauraR. (2001). Statistical analysis of randomized trials in tobacco treatment: Longitudinal designs with dichotomous outcome. Nicotine & Tobacco Research, 3, 193-202. doi:10.1080/14622200110050411
33.
HeathertonT. F.KozlowskiL. T.FreckerR. C.FagerströmK. A. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86, 1119-1127.
34.
HendricksP. S.WestmaasJ. L.Ta ParkV. M.ThorneC. B.WoodS. B.BakerM. R.. . . HallS. M. (2014). Smoking abstinence-related expectancies among American Indians, African Americans, and women: Potential mechanisms of tobacco-related disparities. Psychology of Addictive Behaviors, 28, 193-205. doi:10.1037/a0031938
35.
HermanK. C.TuckerC. M.FerdinandL. A.Mirsu-PaunA.HasanN. T.BeatoC. (2007). Culturally sensitive health care and counseling psychology: An overview. The Counseling Psychologist, 35, 633-649. doi:10.1177/0011000007301672
36.
HodgeF. S.CaskenJ. (1999). Characteristics of American Indian women cigarette smokers: Prevalence and cessation status. Health Care for Women International, 20, 455-469. doi:10.1080/073993399245557
HughesJ. R.KeelyJ. P.NaudS. (2004). Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction, 99, 29-38. doi:10.1111/j.1360-0443.2004.00540.x
39.
HughesJ. R.KeelyJ. P.NiauraR. S.Ossip-KleinD. J.RichmondR. L.SwanG. E. (2003). Measures of abstinence in clinical trials: Issues and recommendations. Nicotine & Tobacco Research, 5, 13-25. doi:10.1093/ntr/5.1.13
40.
JohnsonK. M.LandoH. A.SchmidL. S.SolbergL. I. (1997). The GAINS project: Outcome of smoking cessation strategies in four urban Native American clinics. Giving American Indians no-smoking strategies. Addictive Behaviors, 22, 207-218. doi:10.1016/S0306-4603(96)00015-9
41.
KaurJ. S.DignanM.BurhansstipanovL.BaukolP.ClausC. (2006). The “spirit of eagles” legacy. Cancer, 107(Suppl.), 1987-1994. doi:10.1002/cncr.22152
42.
LeffingwellT. R.BabitzkeA. C. (2006). Tobacco intervention practices of licensed psychologists. Journal of Clinical Psychology, 62, 313-323. doi:10.1002/00000000jclp.20234
43.
MackowickK. M.LynchM. J.WeinbergerA. H.GeorgeT. P. (2012). Treatment of tobacco dependence in people with mental health and addictive disorders. Current Psychiatry Reports, 14, 478-485. doi:10.1007/s11920-012-0299-2
44.
MorganR.FreemanL. (2009). The healing of our people: Substance abuse and historical trauma. Substance Use & Misuse, 44, 84-98. doi:10.1080/1082-6080802525678
45.
MottilloS.FilionK. B.BélisleP.JosephL.GervaisA.O’LoughlinJ.. . . EisenbergM. J. (2009). Behavioural interventions for smoking cessation: A meta-analysis of randomized controlled trials. European Heart Journal, 30, 718-730. doi:10.1093/eurheartj/ehn552
46.
Nez HendersonP.JacobsenC.BealsJ. (2005). Correlates of cigarette smoking among selected Southwest and Northern Plains tribal groups: The AI-SUPERPFP Study. American Journal of Public Health, 95, 867-872. doi:10.2105/AJPH.2004.050096
47.
NortonI. M.MansonS. M. (1996). Research in American Indian and Alaska Native communities: Navigating the cultural universe of values and process. Journal of Consulting and Clinical Psychology, 64, 856-860. doi:10.1037/0022-006X.64.5.856
48.
OberlyJ.MacedoJ. (2004). The R word in Indian Country: Culturally appropriate commercial tobacco-use research strategies. Health Promotion Practice, 5, 355-361. doi:10.1177/1524839904267391
49.
OstensoA.RemingtonP.AhrensD. (2001). Lung cancer mortality report card: Measuring progress in Wisconsin’s counties, 1979-1998. Wisconsin Medical Journal, 100, 70-74.
50.
PalmersheimK. A.VoskuilK. R.GlyschR. L. (2011, September). The prevalence of smoking in Wisconsin: Variability at the county level (Research Brief). Center for Urban Initiative & Research, University of Wisconsin–Milwaukee. Available from http://www4.uwm.edu/cuir/news/upload/Wisconsin-County-Smoking-Prevalence.pdf
51.
PegoC. M.HillR. F.SolomonG. W.ChisholmR. M.IveyS. E. (1995). Tobacco, culture, and health among American Indians: A historical review. American Indian Culture and Research Journal, 19, 143-164.
52.
PhillipsK. M.BrandonT. H. (2004). Do psychologists adhere to the clinical practice guidelines for tobacco cessation? A survey of practitioners. Professional Psychology: Research and Practice, 35, 281-285. doi:10.1037/0735-7028.35.3.281
53.
SametJ. M. (2000). Health effects of tobacco use by Native Americans. In WinterJ. C. (Ed.), Tobacco use by Native North Americans: Sacred smoke and silent killer (pp. 331-341). Norman: University of Oklahoma Press.
54.
SchlamT. R.BakerT. B. (2013). Interventions for tobacco smoking. Annual Review of Clinical Psychology, 9, 675-702. doi:10.1146/annurev-clinpsy-050212-185602
55.
ShiffmanS.BrockwellS. E.PillitteriJ. L.GitchellJ. G. (2008). Use of smoking-cessation treatments in the United States. American Journal of Preventive Medicine, 34, 102-111. doi:10.1016/j.amepre.2007.09.033
56.
Society for Research on Nicotine and Tobacco Subcommittee on Biochemical Verification. (2002). Biochemical verification of tobacco use and cessation. Nicotine & Tobacco Research, 4, 149-159. doi:10.1080/14622200210123581
57.
SteadL. F.LancasterT. (2012). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database of Systematic Reviews, 10, CD008286. doi:10.1002/14651858.CD008286.pub2
58.
StruthersR.HodgeF. S. (2004). Sacred tobacco use in Ojibwe communities. Journal of Holistic Nursing, 22, 209-225.
59.
TuckerC. M.FerdinandL. A.Mirsu-PaunA.HermanK. C.Delgado-RomeroE.van den BergJ. J.JonesJ. D. (2007). The roles of counseling psychologists in reducing health disparities. The Counseling Psychologist, 35, 650-678. doi:10.1177/0011000007301687
60.
U.S. Department of Health and Human Services, Office of the Surgeon General. (2004). The health consequences of smoking: A report of the surgeon general. Washington, DC: U.S. Department of Health and Human Services.
61.
WaltersK. L.SimoniJ. M. (2002). Reconceptualizing Native women’s health: An “Indigenist” stress-coping model. American Journal of Public Health, 92, 520-524. doi:10.2105/AJPH.92.4.520
62.
Watanabe-GallowayS.FlomN.XuL.DuranT.FrerichsL.KennedyF.. . . JaiyeolaA. O. (2011). Cancer-related disparities and opportunities for intervention in Northern Plains American Indian communities. Public Health Reports, 126, 318-329.
63.
WhitbeckL. B.AdamsG. W.HoytD. R.ChenX. (2004). Conceptualizing and measuring historical trauma among American Indian people. American Journal of Community Psychology, 33, 119-130. doi:10.1023/B:AJCP.0000027000.77357.31
64.
WhitbeckL. B.ChenX.HoytD. R.AdamsG. W. (2004). Discrimination, historical loss and enculturation: Culturally specific risk and resiliency factors for alcohol abuse among American Indians. Journal of Studies on Alcohol, 33, 409-418.
65.
WinterJ. C. (2000). Traditional uses of tobacco by Native Americans. In WinterJ. C. (Ed.), Tobacco use by Native North Americans: Sacred smoke and silent killer (pp. 9-58). Norman: University of Oklahoma Press.
66.
Wisconsin Tobacco Prevention and Control Program. (2009a, December). Tobacco related disparities in Wisconsin: Selected tobacco prevention and control data (Updated Report P-00142). Division of Public Health, Wisconsin Department of Health Services. Retrieved from http://www.dhs.wisconsin.gov/publications/P0/P00142.pdf
67.
Wisconsin Tobacco Prevention and Control Program. (2009b, December). Wisconsin tobacco facts 2009 (Report P-43021B). Division of Public Health, Wisconsin Department of Health Services. Retrieved from http://www.dhs.wisconsin.gov/publications/P4/P43021b.pdf
68.
ZhangX.Martinez-DonateA. P.KuoD.JonesN. R.PalmersheimK. A. (2011). Trends in home smoking bans in the USA, 1995-2007: Prevalence, discrepancies and disparities. Tobacco Control, 21, 330-336. doi:10.1136/tc.2011.043802
