Dissertation
Smoking cessation and lung cancer screening focus groups in African American smokers
Doctor of Nursing Practice (D.N.P.), Drexel University
2017
DOI:
https://doi.org/10.17918/etd-7387
Abstract
Background: African Americans have the highest lung cancer mortality rates compared to other ethnic groups. Smoking cessation programs have reported low quit attempt rates in racially diverse groups, including African Americans (Asvat, Cao, Africk, Matthews, & King, 2014). The Doctor of Nursing Practice (DNP) evidence-based practice project assessed smoking behaviors and lung cancer screening beliefs of African American smokers in Philadelphia, PA. The ecological model for health promotion guided the DNP project objectives to identify factors influencing smoking behaviors and resources needed for patient-centered smoking cessation and lung cancer screening programs. Methods: Two focus groups were conducted with African American smokers in Philadelphia, PA using semi-structured questions. The Contemplation Ladder assessed readiness to quit smoking. Heaviness of Smoking Index (HSI) evaluated nicotine dependence. The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) assessed reading levels. Thematic data analysis identified factors influencing tobacco use and resources to develop a patient-centered program. Results: The Contemplation Ladder mean score of 5.8 indicated thoughts of quitting smoking but not ready. The HSI 2.25 mean score indicated moderate nicotine dependence. The reading level was 7- 8 grade using REALM-SF. Health reasons influenced thoughts of quitting smoking. Cigarette taxes resulted in decrease in smoking and finding cheaper locations to buy cigarettes. Participants were not aware of lung cancer screening tests. Significance and Implications: Leadership of DNPs is crucial to address nicotine dependence in African American smokers in Philadelphia, PA. The Nurses for Tobacco Cessation program provides a framework for DNPs to develop patient-centered programs.
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Details
- Title
- Smoking cessation and lung cancer screening focus groups in African American smokers
- Creators
- Terri L. Washington - DU
- Contributors
- Carol M. Patton (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 7387; 991014632150704721