Pilot testing all nations snuff out smokeless (Ansos): A culturally tailored smokeless tobacco cessation program for American Indians

Christine Makosky Daley, Charley Lewis, Niaman Nazir, Sean M. Daley, Ryan Goeckner, Jason Hale, Jordyn Gunville, Babalola Faseru, K. Allen Greiner, Won S. Choi

Research output: Contribution to journalArticlepeer-review

Abstract

American Indians have the highest rates of smokeless tobacco (SLT) use of any racial/ethnic group in the United States, yet no proven effective cessation programs exist for them. Because tobacco is a sacred plant to many American Indians, cessation programs must not portray it in a completely negative manner. Based on our successful All Nations Breath of Life smoking cessation program, we developed and pilot-tested the All Nations Snuff Out Smokeless (ANSOS) program. Of 48 participants who began the program, 33 completed to six months (68.8% retention rate). Among participants who completed the program, 11 (34%) self-reported abstinence. When those lost to follow-up are considered current users, the cessation rate is 22.9%. An additional 14 individuals reported decreasing use (29.2% of all participants), with an average of 3.4 days per week decrease. All Nations Snuff Out Smokeless shows promise as a culturally appropriate SLT cessation program and is ready for efficacy testing.

Original languageEnglish (US)
Pages (from-to)2154-2166
Number of pages13
JournalJournal of health care for the poor and underserved
Volume32
Issue number4
DOIs
StatePublished - Nov 2021
Externally publishedYes

Keywords

  • American Indians
  • Community-based participatory research
  • Cultural tailoring
  • Smokeless tobacco cessation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Pilot testing all nations snuff out smokeless (Ansos): A culturally tailored smokeless tobacco cessation program for American Indians'. Together they form a unique fingerprint.

Cite this