The purpose of this project is to develop and evaluate a culturally appropriate, computer-delivered smoking cessation treatment for African American (AA) smokers. Participants (N=500; including approximately 20 participants enrolled in the pilot phase of the study) will be randomly assigned to receive standard care (SC) consisting of nicotine patch therapy, culturally sensitive self-help material, and individual counseling; or standard care plus interactive, real time palmtop computer-delivered treatment (CDT). Traditional behavioral interventions lack effectiveness in responding to high-risk situations/lapses because they are physically and temporally removed from these episodes. Unlike conventional treatments, CDT can deliver an appropriate intervention precisely when needed because it is carried with the smoker and is available on demand in natural settings.
Interactive computer-delivered interventions have the potential to produce significant advances in the individualization, accessibility, and acceptability of behavioral treatments for nicotine dependence, and if effective, would have broad clinical and public health applications. It is critically important that minority populations (particularly those at high risk for adverse health consequences) have access to new health behavior technologies.
The objectives of this project are to:1. Develop/evaluate the efficacy of an interactive, culturally sensitive, individualized, palmtop computer-delivered smoking cessation intervention for AAs
2. Examine how hypothesized treatment mechanisms mediate the effects of CDT on abstinence.
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