Due to increasing smoking rates in the Chinese American community, the Charles B. Wang Community Health Center began a smoking cessation health coach program in 2015. The program, funded by the RCHN Community Health Foundation, provides culturally competent counseling and cessation aides (patch or gum) to Health Center patients.
An evaluation of the smoking health coach program examined program smoking outcomes, factors contributing to successful quit attempts, and perceived program helpfulness and satisfaction. Results from the evaluation found the following:
- 47% of participants reduced smoking
- 35% of participants quit for at least one day
- 15% of participants quit for at least 3 months
Successful Quit Attempts
- The more health coach counseling sessions participants attended, the more likely they were to quit
- Participants who used a cessation aid were significantly more likely to quit
- Quit rates were the same regardless of whether counseling occurred in person or over the phone (15%)
Helpfulness and Satisfaction
- Among those who quit for 3 months, 70% found the health coach to be moderately to extremely helpful
- 66% of all surveyed participants were somewhat to very satisfied with their support from the health coach
This study suggests a smoking cessation health coach program tailored to Chinese Americans may be a useful service for Chinese American smokers. The smoking health coach program quit rate was about the same as a prior CBWCHC physician-led in-person smoking health program (15% vs 14%). Future programs should consider recruiting non-physician health coaches to reduce burden on clinical staff and utilize phone-based counseling to increase reach in the community.
This research project was conducted by Jennifer Lau, Annie Xu, Regina Lee, Rachelle Ocampo, and Michelle Chen. Their poster, “An Evaluation of a Smoking Cessation Health Coach Program for Chinese Americans in New York City” was presented at the 2017 CAMS Annual Scientific Conference and the 28th Annual Symposium on Health Care Services in New York: Research and Practice.
Written by Matthew Chin