Courage to Quit® rolling group: Implementation in an urban medical center in primarily low-income Black smokers

• Published in: Healthcare : the journal of delivery science and innovation 2023-06, Vol.11 (2), p.100674-100674, Article 100674
• Main Authors: Brett, Emma I., Feather, Abigayle R., Lee, Zoe, Fridberg, Daniel J., Asvat, Yasmin, King, Andrea C.
• Format: Article
• Language: English
• Subjects: Black People; Courage; Health disparities; Humans; Implementation; Poverty; Smokers; Smoking cessation; Smoking Cessation - methods; Tobacco use; Urban areas
• ISSN: 2213-0764; 2213-0772
• DOI: 10.1016/j.hjdsi.2023.100674

Continuous “rolling” tobacco group treatments may help reduce cessation disparities by increasing access among underserved people who smoke cigarettes. We evaluated the implementation of a rolling enrollment adaptation of an evidence-based tobacco treatment group intervention, Courage to Quit®-Rolling (CTQ®-R). The 4-session CTQ®-R incorporating psychoeducation, motivational enhancement, and cognitive behavioral skills was evaluated by examining feasibility and preliminary program outcomes with a pre-post design using the SQUIRE method in a sample of 289 primarily low-income, Black people who smoke. Feasibility was measured by examining program retention. Paired t-tests evaluated changes in behavioral intentions and knowledge about smoking cessation and differences in average daily cigarettes smoked from first to last session attended. CTQ-R was feasible to implement in an urban medical center program enrolling primarily low-income Black people who smoke, with 52% attending at least 2 sessions and 24% completing the full program. Participants demonstrated improvements in knowledge of smoking cessation strategies and confidence in quitting (ps