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Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project
Open Access Articles
  • Andrea Cherrington, University of Alabama at Birmingham
  • Jessica H. Williams, University of Alabama at Birmingham
  • Pamela Payne Foster, University of Alabama School of Medicine
  • Heather L. Coley, University of Alabama at Birmingham
  • Connie Kohler, University of Alabama at Birmingham
  • Jeroan J. Allison, University of Massachusetts Medical School
  • Catarina I. Kiefe, University of Massachusetts Medical School
  • Julie E. Volkman, Center for Health Quality, Outcomes and Economic Research (CHQOER)
  • Thomas K. Houston, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
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BACKGROUND: Low-income, African-American smokers are less likely to have resources to aid in quitting smoking. Narrative communication may provide an enhancement to traditional smoking cessation interventions like NRT, medications, or behavioral treatments for this audience. After extensive pilot testing of stories and personal experiences with smoking cessation from African-Americans from a low-income community, we conducted a randomized control trial using stories to augment routine inpatient treatment among African-Americans at an urban Southern hospital (N = 300).

RESULTS: Differences in smoking cessation outcomes between the intervention (stories DVD + routine clinical treatment) and control (routine clinical treatment) arms were compared using self-report and carbon monoxide measurement at 6-months. Compared to control, individuals who viewed the intervention stories DVD reported greater intentions to quit. Although continuous quitting marginally favored the intervention, our main result did not reach statistical significance (p = 0.16).

CONCLUSION: Narrative communication via storytelling to promote smoking cessation among African-Americans in the South is one method to communicate smoking cessation. Results suggest this may not be sufficient as a stand-alone augmentation of routine clinical treatment for continuous smoking cessation. Smoking cessation efforts need to continually assess different means of communicating to smokers about quitting.

CLINICAL TRIALS REGISTRATION: The Identifier is NCT00101491. This trial was registered January 10, 2005.

  • UMCCTS funding
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© 2015 Cherrington et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons. org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

DOI of Published Version
BMC Res Notes. 2015 Oct 14;8(1):567. doi: 10.1186/s13104-015-1513-1. Link to article on publisher's site
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Citation Information
Andrea Cherrington, Jessica H. Williams, Pamela Payne Foster, Heather L. Coley, et al.. "Narratives to enhance smoking cessation interventions among African-American smokers, the ACCE project" Vol. 8 Iss. 1 (2015) ISSN: 1756-0500 (Linking)
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