Faith Based Pilot Intervention to Reduce Tobacco Use Among Somali Males
| Status: | Recruiting |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 79 |
| Updated: | 5/18/2018 |
| Start Date: | December 30, 2017 |
| End Date: | December 21, 2019 |
| Contact: | Kathy Mischke |
| Email: | misch016@umn.edu |
| Phone: | 612-618-9766 |
1.1 In the last five years, representatives of WellShare International and the University of
Minnesota have engaged a large community of Muslims of Somali descent in the Twin Cities of
Minnesota in a community-academic research program to understand smoking and cessation
behaviors. This followed research by WellShare International which discovered a smoking
prevalence among Somali men of 44%, which is nearly three times that of the general
population (14.4%) in Minnesota. More recently, pilot data from ecological momentary
assessments (EMA) conducted by WellShare International and the University of Minnesota
Program in Health Disparities Research before and during Ramadan, showed that the majority of
smokers achieved spontaneous significant reductions in cigarettes smoked per day during
Ramadan. Guided by the NIH Stage Based Intervention Development Model, this study aims to
understand the processes underlying smoking reduction and cessation during Ramadan. The
investigators plan to harness this knowledge and develop a culturally-tailored, faith-based
smoking cessation intervention (Stage 1). The investigators also plan to assess the
feasibility of the new culturally-tailored smoking cessation intervention by conducting a
pilot study (Stage 2).
The study aims are as follows:
Aim 1: To develop a faith-based, community-informed innovative smoking cessation intervention
for use with a Somali immigrant population in Minnesota:
Aim 2: To assess the feasibility of a faith-based smoking cessation intervention delivered
via a mobile phone during the Ramadan period:
This pilot study will test a protocol for use of faith based text messages, as informed by
the scholarly work of the Imams, Community Advisory Group (CAG) and focus groups conducted in
Stage 1.
Minnesota have engaged a large community of Muslims of Somali descent in the Twin Cities of
Minnesota in a community-academic research program to understand smoking and cessation
behaviors. This followed research by WellShare International which discovered a smoking
prevalence among Somali men of 44%, which is nearly three times that of the general
population (14.4%) in Minnesota. More recently, pilot data from ecological momentary
assessments (EMA) conducted by WellShare International and the University of Minnesota
Program in Health Disparities Research before and during Ramadan, showed that the majority of
smokers achieved spontaneous significant reductions in cigarettes smoked per day during
Ramadan. Guided by the NIH Stage Based Intervention Development Model, this study aims to
understand the processes underlying smoking reduction and cessation during Ramadan. The
investigators plan to harness this knowledge and develop a culturally-tailored, faith-based
smoking cessation intervention (Stage 1). The investigators also plan to assess the
feasibility of the new culturally-tailored smoking cessation intervention by conducting a
pilot study (Stage 2).
The study aims are as follows:
Aim 1: To develop a faith-based, community-informed innovative smoking cessation intervention
for use with a Somali immigrant population in Minnesota:
Aim 2: To assess the feasibility of a faith-based smoking cessation intervention delivered
via a mobile phone during the Ramadan period:
This pilot study will test a protocol for use of faith based text messages, as informed by
the scholarly work of the Imams, Community Advisory Group (CAG) and focus groups conducted in
Stage 1.
Smoking Prevalence in the Muslim communities: Although significant declines in cigarette
smoking prevalence have been realized in the United States (U.S.), this decline is not
universal. Muslim communities continue to have disproportionately high smoking prevalence
rates. For example, one of WellShare International's studies showed a smoking prevalence rate
of 44.1% among Somali adult (predominantly Muslim) men in Minnesota, compared to the average
smoking rate for adult men in Minnesota (14.4%) and in the United States of 17.8%. Despite
ample evidence that pharmacotherapy and counselling are effective for smoking cessation in
the general population, no one has identified effective ways to extend these benefits to the
Muslim communities and the U.S.'s largest Somali population which resides in Minnesota. Even
when readily available, such aids seem to be underutilized, reflecting the commonly held
belief among Muslims that giving up smoking primarily requires only will power. Although
approaches that draw on the need for will power around the Ramadan fast (during which smoking
is prohibited during daylight hours) have been considered, no systematic attempt has been
made to make effective evidence-based smoking cessation methods available leveraged on the
Ramadan. Muslim smokers face yet another challenge during the holy month of Ramadan, where
adherence to medications during this month has been documented as challenging. However,
because cigarette smoking continues to be the leading cause of morbidity and mortality, it is
critical to identify evidence-based methods for promoting adherence to known effective
methods for reducing tobacco related health disparities in this underserved minority
population in Minnesota.
smoking prevalence have been realized in the United States (U.S.), this decline is not
universal. Muslim communities continue to have disproportionately high smoking prevalence
rates. For example, one of WellShare International's studies showed a smoking prevalence rate
of 44.1% among Somali adult (predominantly Muslim) men in Minnesota, compared to the average
smoking rate for adult men in Minnesota (14.4%) and in the United States of 17.8%. Despite
ample evidence that pharmacotherapy and counselling are effective for smoking cessation in
the general population, no one has identified effective ways to extend these benefits to the
Muslim communities and the U.S.'s largest Somali population which resides in Minnesota. Even
when readily available, such aids seem to be underutilized, reflecting the commonly held
belief among Muslims that giving up smoking primarily requires only will power. Although
approaches that draw on the need for will power around the Ramadan fast (during which smoking
is prohibited during daylight hours) have been considered, no systematic attempt has been
made to make effective evidence-based smoking cessation methods available leveraged on the
Ramadan. Muslim smokers face yet another challenge during the holy month of Ramadan, where
adherence to medications during this month has been documented as challenging. However,
because cigarette smoking continues to be the leading cause of morbidity and mortality, it is
critical to identify evidence-based methods for promoting adherence to known effective
methods for reducing tobacco related health disparities in this underserved minority
population in Minnesota.
Inclusion Criteria:
- Somali Male
- 18 years of age or older
- Can read either Somali or English (Non English Speaking Participants will be included)
- Current smokers defined as smoking ≥ 1 cigarette per day
- Self-report of smoking ≥ 100 cigarettes in their lifetime
- Willingness to use nicotine patch or other selected pharmacotherapy
- Possess a working mobile phone with texting
- Planning to fast during Ramadan
Exclusion Criteria:
- Currently using any form of smoking cessation service
- Any medical contraindication
- Current history or in past 6 months of a psychotic disorder
- Suicidal ideation
- Cognitive impairment
- Any other medical condition that, in the opinion of the investigator, may interfere
with the patient's ability to successfully and safely complete the study
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