A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting
Department of Psychiatry; Department of Quantitative Health Sciences
Behavior and Behavior Mechanisms | Clinical Epidemiology | Epidemiology | Multicultural Psychology | Substance Abuse and Addiction
Korean men and women have the highest current smoking rates across all Asian ethnic subgroups in the United States. This is a 2-arm randomized controlled study of a culturally adapted smoking cessation intervention. The experimental condition received eight weekly 40-min individualized counseling sessions that incorporated Korean-specific cultural elements, whereas the control condition received eight weekly 10-min individualized counseling sessions that were not culturally adapted. All participants also received nicotine patches for 8 weeks. One-hundred nine Korean immigrants (91 men and 18 women) participated in the study. The rate of biochemically verified 12-month prolonged abstinence was significantly higher for the experimental condition than the control condition (38.2 vs. 11.1 %, χ (2) = 10.7, p < 0.01). Perceived family norm significantly mediated the effect of cessation intervention on abstinence. Smoking cessation intervention for Korean Americans should be culturally adapted and involve family members to produce a long-term treatment effect.
Smoking cessation, Cultural adaptation, Perceived social norm, Mediation analysis, Korean Americans
DOI of Published Version
Kim SS, Kim SH, Fang H, Kwon S, Shelley D, Ziedonis D. A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting. J Immigr Minor Health. 2014 May 31. [Epub ahead of print] doi:10.1007/s10903-014-0045-4
Journal of Immigrant and Minority Health
Kim, Sun S.; Kim, Seong-Ho; Fang, Hua (Julia); Kwon, Simona; Shelley, Donna; and Ziedonis, Douglas M., "A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting" (2014). Quantitative Health Sciences Publications and Presentations. 1131.