Latino No Fumes: A Demonstration Smoking Cessation Program for Hispanics ____________________________

1. Latino No Fumes:A Demonstration Smoking Cessation Program for Hispanics____________________________ Authors: Cari Carter, MSW Leah Stroman, BA

2. Co-Authors Jeremy Barbagallo, LPC Ellen Dornelas, Ph D Hartford Hospital, Preventive Cardiology Josefa Martinez, BA Marta Moret, MPH Urban Policy Strategies

3. Interventionists Leslie Escobales Sonia Gatzamides Brunella Iberolla Hartford Hospital, Preventive Cardiology

4. Quitline Service Stacy Costello Connecticut Quitline

5. Media Consultant Ana Alfaro & Fernando Betancourt Alfaro & Associates

6. This project was made possible by a grant from: American Legacy Foundation

8. Rationale • Hispanic/Latino population in the Northeast is growing rapidly • Virtually no smoking cessation programs are offered in Spanish • Little is known about whether the Hispanic population would take advantage of cessation services in Spanish

9. Challenges • Creating a culturally appropriate tobacco cessation program • Raising awareness of availability of the bilingual cessation services • Attaining and retaining solid program enrollment

10. The Program • Culturally Appropriate • Accessible • Affordable

11. Cultural Considerations • Respeto (Respect) • Personalismo (Welcoming) • Confinaza (Trust) • Espiritismo (Body, Mind & Spirit) • Bochorno (Shame) • La Familia (Family)

12. Translation Services

13. Cultural Sensitivity

14. Training • Existing CDC training materials were tailored to be appropriate for this program • Train-the-trainer session for counselors at a community-based health center

15. Accessibility Location Location Location

16. Meeting Location Considerations Safety Familiarity Public Transportation Friendly

17. Affordable Free Counseling Services Free NRT

18. Public Education Campaign • Radio, Television & Print Media • Flyers • Direct Mail • Educational Materials

19. Print Ads

20. Flyers • Program • Towns Served • Phone Number

21. Direct Mail

22. Educational Materials

23. Collaborations • Latino & Puerto Rican Affairs Commission • CT Quitline & CT Department Of Public Health • Community-based Organizations • Local Media Outlets

24. Connecticut Quitline An excellent source for intake process Available 24-hours a day Bi-lingual service available

25. Participation • 252 people registered for 14 groups • More than 50% of the participants had >11th grade education • 66% were women • Ages ranged from 21-75 with a mean age of 42 years

26. Evaluation • Urban Policy Strategies conducted a process evaluation to assess cultural competence of the program through qualitative data collection • Initial findings were incorporated into subsequent classes

27. Community Outreach • Health & Cultural Fairs • Forums • Parades • Community-based Organizations • Coalition Partners

28. Results • 66% of those registered attended 1 or more classes • End of treatment abstinence rates were 56% • 3 month quit rates were 22% • 6 month quit rates were 17%

29. Conclusions • The project provides evidence that there is a need for smoking cessation groups offered in Spanish • Spanish smoking cessation programs will be utilized when they are delivered in a culturally appropriate manner

30. Next Steps • Publish findings • Identify methods for continuation /expansion of this program

31. Tips to Take with You • Culturally appropriate materials • Identify organizations with substantial relationships with the community • Incorporate cultural considerations into group cessation activities • Build partnerships with community organizations

32. MATCH Coalition, Inc. 78 Beaver Rd. Wethersfield, CT 06109 (860)721-6888 www.matchcoalition.com Mobilize Against Tobacco for Children’s Health