The primary goal of this Redes En Accidn pilot proposal is to canry out a randomized controlled trial (RCT) comparing quit rates of a Spanish/English stop smoking Web site to those of a no-lnten/enfion control. The University of California, San Francisco (UCSF) Stop Smoking research Web site has enrolled a diverse, internafional sample of more than 47,000 smokers into several randomixed trials since 2000. However, we have not included a no-intervention condition in these trails to date. Our published absfinence rates at one year are 20%, but obtaining evidence that our intervenfions yield higher absfinence rates than a no-intervenfion control is the next logical step. Furthermore, although our Web site was designed in English and Spanish, our success in attracting the U.S. Hispanic/Latino (HL) population in either language has been limited, so this project only will recruit HL smokers and add new recruitment methods to do so. The study will randomize HL participants to one of two condifions, an inten/enfion condition (""""""""immediate"""""""") and a no-intervenfion control (""""""""delayed""""""""). For the control, a 6-month """"""""Delayed"""""""" treatment condition (DC) will inform participants that we are tesfing whether HL smokers who are motivated enough to seek Internet information on smoking cessafion can quit on their own at the same rate as smokers who are given access to an interacfive stop smoking Web site. We will provide them a basic online smoking cessafion packet(1) from the U.S. Public Health Service (USPHS). For our intervention, the """"""""Immediate"""""""" treatment condition (IC) is the UCSF Spanish/English Stop Smoking research Web site ( that provides smokers all elements tested in eariier trials: 1) a Web version of a National Cancer Institute-designated evidence-based intervenfion, the Guia para Dejarde Fumar2;2) e-mail reminders to return to the site fimed to individually set quit dates;3) a mood management smoking cessafion intervenfion;and 4) a virtual group (an asynchronous bullefin board designed to let participants provide mutual support). All IC participants also will receive the USPHS cessafion packet from the DC control to ensure that the interactive Web site is the only difference between the condifions. We will randomize 608 HL smokers in English or Spanish stratified by gender within language group. Participants will be followed at 1, 3, and 6 months after randomizafion to obtain self-reported prolonged absfinence and 7- and 30-day time point prevalence rates. E-mail reminders will be sent to remind participants to return to the site to complete follow-up surveys. The main comparison measure will be cessafion at 6 months from original randomization. DC participants will be able to access the interactive site after finishing the 6-month follow-up. We plan to attract Spanish-speaking HL participants to our Web site using Spanish-language TV and radio interviews and PSAs, Spanish-language Google ads and networking with U.S. cessation groups.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Specialized Center--Cooperative Agreements (U54)
Project #
Application #
Study Section
Special Emphasis Panel (ZCA1-PCRB-G)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Texas Health Science Center San Antonio
San Antonio
United States
Zip Code
Long Parma, Dorothy; Muñoz, Edgar; Ogden, Susan M et al. (2017) Helicobacter Pylori Infection in Texas Hispanic and Non-Hispanic White Men: Implications for Gastric Cancer Risk Disparities. Am J Mens Health 11:1039-1045
Nápoles, Anna María; Santoyo-Olsson, Jasmine; Stewart, Anita L et al. (2017) Evaluating the Implementation of a Translational Peer-Delivered Stress Management Program for Spanish-Speaking Latina Breast Cancer Survivors. J Cancer Educ :
Echeverri, Margarita; Anderson, David; Nápoles, Anna María (2017) Assessing Cancer Health Literacy among Spanish-Speaking Latinos. J Cancer Educ :
Mama, Scherezade K; Song, Jaejoon; Ortiz, Alexis et al. (2017) Longitudinal social cognitive influences on physical activity and sedentary time in Hispanic breast cancer survivors. Psychooncology 26:214-221
Castañeda, Sheila F; Bharti, Balambal; Espinoza-Giacinto, Rebeca Aurora et al. (2017) Evaluating Two Evidence-Based Intervention Strategies to Promote CRC Screening Among Latino Adults in a Primary Care Setting. J Racial Ethn Health Disparities :
Napoles, A; Cook, E; Ginossar, T et al. (2017) Applying a Conceptual Framework to Maximize the Participation of Diverse Populations in Cancer Clinical Trials. Adv Cancer Res 133:77-94
Nápoles, Anna María; Ortiz, Carmen; Santoyo-Olsson, Jasmine et al. (2017) Post-Treatment Survivorship Care Needs of Spanish-speaking Latinas with Breast Cancer. J Community Support Oncol 15:20-27
Echeverri, Margarita; Anderson, David; Nápoles, Anna María (2016) Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a New Spanish-Language Version of the Cancer Health Literacy Test (CHLT-30) for Spanish-Speaking Latinos. J Health Commun 21 Suppl 1:69-78
Gonzalez, Patricia; Nuñez, Alicia; Wang-Letzkus, Ming et al. (2016) Coping with breast cancer: Reflections from Chinese American, Korean American, and Mexican American women. Health Psychol 35:19-28
Schoj, Veronica; Mejia, Raul; Alderete, Mariela et al. (2016) Use of Smoking Cessation Interventions by Physicians in Argentina. J Smok Cessat 11:188-197

Showing the most recent 10 out of 46 publications