Smoking Cessation Among Native Hawaiians: A Test of Pharmacotherapies and Group-Based Counseling
University of Hawaii
Summary
This study aims to help Native Hawaiian adults quit smoking by testing two common methods: nicotine gum and group-based counseling. Participants will be assigned to one of three groups: (1) nicotine gum only, (2) group counseling only, or (3) a combination of both. The study will take place at public housing sites on O'ahu. Researchers will check if these approaches-alone or in combination-can support people in successfully quitting smoking. The goal is to find out which method works best and is most acceptable in this community.
Eligibility
- Age range
- 18–80 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Self-identifies as full or part Native Hawaiian * Between the ages of 18 and 80 years, inclusive, at eligibility screening * Currently smoking ≥5 cigarettes per day (self-report) at eligibility screening * Has smoked more than 100 cigarettes in his/her lifetime (self-report) * Affiliated with one of three (3) designated public housing complexes at which the intervention will be delivered: Kalihi Valley Homes, Kuhio Park Terrace, Mayor Wright Housing * Willing to make a smoking cessation attempt the day after the first study visit (i.e., date of consent) * Willing to enga…
Interventions
- DrugNicotine Polacrilex Gum (2 mg)
Participants chew 2 mg nicotine gum according to a tapering 12-week schedule: Weeks 1-6: 1 piece every 1-2 hours; at least 9 pieces/day; Weeks 7-9: 1 piece every 2-4 hours; Weeks 10-12: 1 piece every 4-8 hours. Max 24 pieces/day. Gum is distributed every 2 weeks during study visits. Arm(s) Used In: NRT Gum Only CBGT + NRT Gum
- BehavioralCognitive Behavioral Group Therapy (CBGT)
Participants attend six sessions of group-based cognitive behavioral therapy focused on smoking cessation, over the 12-week study period. Sessions include education on cravings, relapse prevention, stress management, and self-efficacy building. Arm(s) Used In: CBGT Only CBGT + NRT Gum
Location
- University of Hawai'iHonolulu, Hawaii