Do Smoking Cessation Programs Tailored to Specific Audiences Improve Cessation Outcomes?

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Dr. Rob Simmons, Capstone Chair

Lorraine Dean, Capstone Preceptor

Dr. Al Crawford, Capstone preceptor


Smoking is the leading cause of preventable disease causing 443,000 deaths annually (CDC, 2012). Philadelphia has one of the highest adult smoking rates of the top 10 cities in the U.S. at 23.5% (PDPH, 2012). Relative to other large cities, Philadelphia has one of the lowest prices for cigarettes at $5.50 a pack (PDPH, 2010). Philadelphia also has over 4,500 tobacco retailers with a breakdown of one retailer for every 320-city residents - giving it one of the highest densities of tobacco retailers of major cities. To help reduce the smoking prevalence in Philadelphia County, The Philadelphia Department of Public Health (PDPH), Tobacco Policy and Control Program, has been offering general cessation programs at various locations in Philadelphia for several years and has contracted community agencies to provide “tailored” smoking cessation programs to Philadelphia County/City residents based on age, gender, and language. Secondary data analyses of 717 smokers, who reside in Philadelphia and attended a free community-based program from January 2009 through July 2010 were used to determine whether “tailored” programs offered in Philadelphia have higher quit/reduction rates than non-tailored programs. Analyses included Chi-square statistic, t-test, and Analyses of Variance. Among the 717 participants, 34.1% and 36.6% of the tailored and non-tailored groups quit smoking, respectively. Cut down rates for each program type were similar, a mean of 7.3 cigarettes per day for tailored programs and 8.5 cigarettes per day for non-tailored. Results of this study found no difference in smoking cessation or reduction rates between tailored and non-tailored programs based on the selected tailoring criteria. These results do not support previous studies that have reported that tailored cessation programs have a higher quit frequency than non-tailored programs. Recommendations include continued refinement of tailored programs by the PDPH, Tobacco Policy and Control Program.

Presentation: 35 minutes