C.H.A.N.G.E. Project

Community Health Allies Nicotine Guidance Education

Our study

Adults with low socioeconomic status (SES) smoke at significantly higher rates than the general population and are less likely to attend primary care visits, where a majority of tobacco cessation interventions occur. Community health workers (CHW), who are frontline public health workers and trusted members of the communities in which they serve, are well-positioned to engage persons with low SES outside of the traditional primary care setting to intervene on commercial tobacco use directly. The objective of the proposed study is to modify a tobacco cessation training to develop an efficient, timesaving resource for CHW who serve low SES communities. We will modify the well-established Clinical Practice Guidelines 5A’s model using the results of the needs assessment. We will use a community-engaged approach by conducting qualitative focus groups to obtain input of CHW during the adaptation of the training. Major outcomes of the focus groups will be to determine a) the type of tobacco-related content to include in the training curriculum and b) a training delivery design that is relevant for CHW.

Cancer Relevance

Adults with low SES smoke at a higher rate than the national average (24% compared to 15%), and cigarette use, which contributes to approximately 30% of diagnosed cancers, is well documented as a primary underlying cause of cancer disparities. Results from this project will guide the development of a curriculum to test the feasibility and effectiveness of the tailored curriculum on CHW knowledge and the effectiveness of the curriculum on patient abstinence rates. By understanding the training needs of CHW, we can better adapt tobacco cessation trainings to increase CHW’s knowledge about core tobacco concepts. Increased knowledge will promote the delivery of brief interventions to their patients with low SES, reducing tobacco use among low SES individuals and ultimately reducing disparities in cancer incidence.

Specific Aims

  1. To adapt an evidence-based tobacco cessation curriculum for CHW.
  2. To evaluate the receptivity of the adapted training curriculum.

Smoking rates 

V Foundation for Cancer Research

The V Foundation for Cancer Research was founded by ESPN and legendary basketball coach Jim Valvano with one goal in mind: to achieve Victory Over Cancer®. Our C.H.A.N.G.E. study received one of their V Scholar grants, allowing us to continue working with CHWs to create an evidence based tobacco cessation curriculum.