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 Hispanic/Latino population in the Northeast is growing rapidly Virtually no smoking cessation programs are offered in Spanish 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 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 Creating a culturally appropriate tobacco cessation program Raising awareness of availability of the bilingual cessation services Raising awareness of availability of the bilingual cessation services Attaining and retaining solid program enrollment Attaining and retaining solid program enrollment

10. The Program Culturally Appropriate Culturally Appropriate Accessible Accessible Affordable Affordable

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

12. Translation Services

13. Cultural Sensitivity

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

15. Accessibility LocationLocationLocation

16. Meeting Location Considerations SafetyFamiliarity Public Transportation Friendly

17. Affordable Free Counseling Services Free NRT

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

19. Print Ads

20. Flyers Program Program Towns Served Towns Served Phone Number Phone Number

21. Direct Mail

22. Educational Materials

23. Collaborations Latino & Puerto Rican Affairs Commission Latino & Puerto Rican Affairs Commission CT Quitline & CT Department Of Public Health CT Quitline & CT Department Of Public Health Community-based Organizations Community-based Organizations Local Media Outlets 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 >11 th 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 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 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 66% of those registered attended 1 or more classes End of treatment abstinence rates were 56% End of treatment abstinence rates were 56% 3 month quit rates were 22% 3 month quit rates were 22% 6 month quit rates were 17% 6 month quit rates were 17%

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

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

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