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Grant Details

Grant Number: 5R01CA093957-04 Interpret this number
Primary Investigator: Muramoto, Myra
Organization: University Of Arizona
Project Title: Community Based Training Models for Tobacco Cessations
Fiscal Year: 2005


Description (provided by applicant): Cessation programs are a key component of comprehensive tobacco control, producing public health benefits more quickly, and with greater magnitude, than any other component. Currently states have spent or are preparing to spend significant dollars on training models to develop and/or expand tobacco cessation programs as part of their investment in statewide tobacco control, and discussion has already begun at the national level regarding the need for training and certification programs. The PHS guidelines for treatment of tobacco dependence reaffirmed earlier meta-analyses demonstrating the effectiveness of brief interventions for tobacco cessation, and the effectiveness of a range of provider types as interventionists. While extended counseling and pharmacotherapy can generate higher long term quit rates, the gain in efficacy is insufficient to offset the higher cost, leading to costs p e r quitter that are several times higher than those found under low-intensity, brief intervention. To maximize the reduction in smoking attained under a given tobacco control budget, the cost-effectiveness advantages of low-intensity treatments suggest that brief interventions should be extended to as many smokers as possible. The emphasis on healthcare providers and systems for broad dissemination of brief interventions at the community level has been insufficient, missing opportunities to activate the broad range of human service providers (e.g. social services, education, human resources, law and corrections, clergy, and community outreach workers) as interventionists. There is an urgent need to examine training models a p p licable to large-scale community-based implementation in terms of effectiveness, cost, accessibility and acceptability. This project will compare two models of brief intervention training to each other and to a usual practice control group within the target population of human services providers. The primary outcome is the rate of brief interventions for tobacco cessation performed in the community. As a secondary measure, this project will test the effect of each model of training on rates of referral to more intensive tobacco cessation programs, and the attitudes and behaviors of training participants with regard to: reduction of environmental tobacco smoke (ETS) in personal spaces and support of tobacco control policies in the workplace and community. The project will be accomplished in four-phases: Phase I will focus on revision of traditional in-person (IP) training curriculum for use with a population of human services providers, followed by design and production of analogous interactive, multimedia Internet (Web) curriculum. Phase II: Beta testing of Web curriculum through the World Wide Web (WWW) in preparation for randomized controlled effectiveness trial. Phase III: Randomized controlled study testing the relative effectiveness (and cost effectiveness) of the IP and Web models to each other and to a usual practice control group. Phase IV: Dissemination study of the training model shown to be most effective though participating community partners.


Integrative tobacco cessation: A survey assessing past quit strategies and future interest.
Authors: Howerter A. , Floden L. , Matthews E. , Muramoto M.L. .
Source: Advances in integrative medicine, 2016 Apr; 3(1), p. 22-25.
EPub date: 2015-12-12.
PMID: 27747150
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Activating lay health influencers to promote tobacco cessation.
Authors: Muramoto M.L. , Hall J.R. , Nichter M. , Nichter M. , Aickin M. , Connolly T. , Matthews E. , Campbell J.Z. , Lando H.A. .
Source: American journal of health behavior, 2014 May; 38(3), p. 392-403.
PMID: 24636035
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Lay health influencers: how they tailor brief tobacco cessation interventions.
Authors: Yuan N.P. , Castañeda H. , Nichter M. , Nichter M. , Wind S. , Carruth L. , Muramoto M. .
Source: Health education & behavior : the official publication of the Society for Public Health Education, 2012 Oct; 39(5), p. 544-54.
EPub date: 2011-10-10.
PMID: 21986244
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Types of lay health influencers in tobacco cessation: a qualitative study.
Authors: Yuan N.P. , Wind S. , Nichter M. , Nichter M. , Castañeda H. , Carruth L. , Muramoto M. .
Source: American journal of health behavior, 2010 Sep-Oct; 34(5), p. 607-17.
PMID: 20524890
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Enabling and sustaining the activities of lay health influencers: lessons from a community-based tobacco cessation intervention study.
Authors: Castañeda H. , Nichter M. , Nichter M. , Muramoto M. .
Source: Health promotion practice, 2010 Jul; 11(4), p. 483-92.
EPub date: 2008-06-06.
PMID: 18540006
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Helpers program: A pilot test of brief tobacco intervention training in three corporations.
Authors: Muramoto M.L. , Wassum K. , Connolly T. , Matthews E. , Floden L. .
Source: American journal of preventive medicine, 2010 Mar; 38(3 Suppl), p. S319-26.
PMID: 20176303
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Faculty development in tobacco cessation: training health professionals and promoting tobacco control in developing countries.
Authors: Muramoto M.L. , Lando H. .
Source: Drug and alcohol review, 2009 Sep; 28(5), p. 498-506.
PMID: 19737208
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Who are health influencers? Characterizing a sample of tobacco cessation interveners.
Authors: Campbell J. , Mays M.Z. , Yuan N.P. , Muramoto M.L. .
Source: American journal of health behavior, 2007 Mar-Apr; 31(2), p. 181-92.
PMID: 17269908
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Tobacco use among medical professionals in Kerala, India: the need for enhanced tobacco cessation and control efforts.
Authors: Mohan S. , Pradeepkumar A.S. , Thresia C.U. , Thankappan K.R. , Poston W.S. , Haddock C.K. , Pinkston M.M. , Muramoto M.L. , Nichter M. , Nichter M. , et al. .
Source: Addictive behaviors, 2006 Dec; 31(12), p. 2313-8.
EPub date: 2006-03-27.
PMID: 16564137
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