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A health coach-led smoking cessation program for Chinese Americans at a community health center in New York City

Published online by Cambridge University Press:  14 April 2020

Jennifer D. Lau Open the ORCID record for Jennifer D. Lau [Opens in a new window] ,
Naumi Feldman ,
Regina Lee ,
Annie Xu  and
Ady Oster
Jennifer D. Lau*
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA
Naumi Feldman
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA
Regina Lee
Affiliation:
Development Department, Charles B. Wang Community Health Center, New York, NY, USA
Annie Xu
Affiliation:
Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY, USA Vassar College, Poughkeepsie, NY, USA
Ady Oster
Affiliation:
Internal Medicine Department, Charles B. Wang Community Health Center, New York, NY, USA
*
Author for correspondence: Jennifer D. Lau, E-mail: jelau@cbwchc.org
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Abstract

Introduction

A health coach-led smoking cessation program was implemented in a community of immigrant Chinese Americans. Follow-up was provided face-to-face or over-the-phone to provide support and address barriers. Free nicotine replacement treatment was provided for eligible participants.

Aim

The aim is to assess smoking cessation outcome by program components.

Methods

Quitting was defined as self-reported smoking abstention for at least 3 months. Factors contributing to successful cessation were evaluated using chi-squared tests and regression analysis. Participants were randomly surveyed to measure the helpfulness of and satisfaction with the program.

Results/Findings

The program enrolled 184 participants from November 2015 to January 2017. Participants were mostly men (89%) with a mean age of 44. An intent-to-treat analysis found that 19% quit. Phone counseling had the same success as face-to-face counseling. Each additional session attended was associated with 2.1 times the odds of quitting, P < 0.001. Among the participants who quit, 70% reported the health coach was helpful in their cessation.

Conclusions

A health coach-led smoking cessation program that offered phone-based counseling was successful in reducing smoking. Future programs should consider using a health coach to reduce physician burden and phone-based counseling for difficult-to-access patients to increase program reach.

Keywords

Chinese Americancounselinghealth coachnicotine replacement therapyphone counseling
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 15 , Issue 3 , September 2020 , pp. 128 - 135
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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