Objective: While the U.S. adult smoking rate has declined, Black smokers disproportionately face more barriers to accessing brief effective tobacco cessation treatments compared with other racial groups. This study developed and tested the effects of a novel, evidence-based, brief smoking intervention culturally targeted for disadvantaged Black smokers (ClinicalTrials.gov ID: NCT04460417). Method: In this randomized controlled trial, primarily low-income Black non-treatment-seeking smokers (N = 204, 51% female) were randomized to enhanced care (EC) or treatment as usual (TAU). The EC group received a 30-min session with personal feedback on smoking, education on health outcomes and tobacco advertising targeting Black smokers, and nicotine replacement therapy (NRT) starter kits. TAU included provision of self-help materials. Primary outcome was motivation to change smoking behavior, and secondary outcomes included NRT knowledge and use, quit attempts, and number of cigarettes smoked per day. Data were collected at baseline, 1- and 6-month follow-ups. Results: Compared with TAU, EC increased motivation to change (p = .02), accuracy in NRT knowledge, (p < .001), NRT use (p = .01), and likelihood of making a serious quit attempt as well as reduced cigarettes smoked per day (p < .01) through 6-month follow-up. Conclusions: A brief motivational intervention for Black non-treatment-seeking smokers increased motivation to change smoking and resulted in improvements in NRT knowledge, use, and quit-relevant behaviors. Findings support cultural-targeting and provision of NRT to enhance motivation in Black smokers to reduce cultural and institutional barriers to tobacco cessation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

---

短暂的动机性吸烟干预对非治疗性弱势黑人吸烟者的影响。

目的：尽管美国成年人吸烟率下降，但与其他种族群体相比，黑人吸烟者在获得短暂有效戒烟治疗方面面临更多障碍。这项研究开发并测试了文化上针对弱势黑烟民的新型，循证，简短吸烟干预措施的效果（ClinicalTrials.gov ID：NCT04460417）。方法：在这项随机对照试验中，将主要是低收入的黑人非就诊吸烟者（N = 204，女性为51％）随机分配至加强护理（EC）或照常治疗（TAU）。EC组接受了为时30分钟的会议，内容涉及吸烟，针对黑人吸烟者的健康结果教育和烟草广告的个人反馈，以及尼古丁替代疗法（NRT）入门套件。TAU包括提供自助材料。主要结局是改变吸烟行为的动机，次要结局包括NRT知识和使用，戒烟尝试以及每天吸烟的数量。在基线，1个月和6个月的随访中收集数据。结果：与TAU相比，EC增加了改变的动力（p = .02），NRT知识的准确性（p <.001），NRT的使用（p = .01）以及进行严重戒烟尝试的可能性以及通过6个月的随访，减少了每天吸烟的卷烟（p <.01）。结论：对不寻求治疗的黑人吸烟者的简短动机干预增加了改变吸烟的动机，并导致NRT知识，使用和与戒烟相关的行为得到改善。研究结果支持以文化为目标并提供NRT，以增强黑人吸烟者的动机，以减少戒烟的文化和体制障碍。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。