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：

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简短的动机吸烟干预对寻求弱势黑人吸烟者的非治疗的影响。

目标：虽然美国成人吸烟率有所下降，但与其他种族群体相比，黑人吸烟者在获得短期有效戒烟治疗方面面临更多障碍。这项研究开发并测试了一种新颖的、基于证据的、简短的吸烟干预措施，其在文化上针对弱势黑人吸烟者（ClinicalTrials.gov ID：NCT04460417）。方法：在这项随机对照试验中，主要是低收入黑人非寻求治疗的吸烟者（N = 204，51% 女性）被随机分配到加强护理 (EC) 或照常治疗 (TAU)。EC 小组接受了 30 分钟的会议，其中包含有关吸烟、健康结果教育和针对黑烟民的烟草广告以及尼古丁替代疗法 (NRT) 入门套件的个人反馈。TAU 包括提供自助材料。主要结果是改变吸烟行为的动机，次要结果包括 NRT 知识和使用、戒烟尝试和每天吸烟的数量。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 使用 (p = .01) 以及进行认真戒烟尝试的可能性以及通过 6 个月的随访，每天吸烟量减少 (p < .01)。结论：对非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、使用和戒烟相关行为的改善。调查结果支持以文化为目标并提供 NRT 以增强黑烟者的动机，以减少戒烟的文化和制度障碍。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。