Elevated smoking rates among African American public housing residents are well documented. Despite the publication of these findings and those from meta-analyses of smoking cessation trials, the feasibility of conducting smoking cessation interventions with this population remains unknown. Most of the smoking cessation studies conducted with African American public housing residents have been cross sectional and have met with only modest success. They failed to show a significant impact on reducing smoking rates because they often ignored unique cultural norms and lacked cultural specificity, which play a vital role in determining the level of health of the individual and the community. For these reasons, the NIH has called for the development of new community-based smoking cessation studies that: 1) are implemented in settings other than health care facilities, 2) incorporate the social context (e.g., culture, neighborhoods, and social networks) to prevent or stop tobacco use, and 3) evaluate the approaches needed to reduce tobacco use in populations that are particularly vulnerable or where tobacco use has a disproportionately adverse effect, including racial and ethnic minorities (NIH, 2006). In line with these suggestions, I will conduct a qualitative assessment of the factors that influence smoking among African American smokers of public housing (Study 1), develop a smoking cessation intervention that is responsive to the public housing context and is socially and culturally appropriate (Study 2) and evaluate the feasibility of conducting this intervention in a pilot community trial (Study 3). Thus, I require interdisciplinary training in three areas: 1) conducting formative evaluations using qualitative methods, 2) developing socially and culturally appropriate behavioral interventions, and 3) implementing and evaluating community-based behavioral intervention trials. The study series should result in publication of peer-reviewed manuscripts and lead to the development of an R- mechanism application (e.g., R01).

National Institute of Health (NIH)
National Cancer Institute (NCI)
Research Scientist Development Award - Research & Training (K01)
Project #
Application #
Study Section
Subcommittee G - Education (NCI)
Program Officer
Ojeifo, John O
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Maryland College Park
Schools of Public Health
College Park
United States
Zip Code
Butler 3rd, James; Fryer, Craig S; Garza, Mary A et al. (2018) Commentary: Critical Race Theory Training to Eliminate Racial and Ethnic Health Disparities: The Public Health Critical Race Praxis Institute. Ethn Dis 28:279-284
Jackson, Devlon N; Passmore, Susan; Fryer, Craig S et al. (2018) Mission of Mercy emergency dental clinics: an opportunity to promote general and oral health. BMC Public Health 18:878
Butler 3rd, James; Fryer, Craig S; Ward, Earlise et al. (2017) The Health Equity Leadership Institute (HELI): Developing workforce capacity for health disparities research. J Clin Transl Sci 1:153-159
Brady, Patrick J; Song, Hee-Jung; Butler 3rd, James (2017) Using an Expert Panel to Develop Social Support Program Sequencing for Young Adults With Type 1 Diabetes. Health Promot Pract 18:789-797
Fryer, Craig S; Passmore, Susan R; Maietta, Raymond C et al. (2016) The Symbolic Value and Limitations of Racial Concordance in Minority Research Engagement. Qual Health Res 26:830-41
Passmore, Susan R; Fryer, Craig S; Butler 3rd, James et al. (2016) Building a ""Deep Fund of Good Will"": Reframing Research Engagement. J Health Care Poor Underserved 27:722-40
Fakunle, D O; Milam, A J; Furr-Holden, C D et al. (2016) The inequitable distribution of tobacco outlet density: the role of income in two Black Mid-Atlantic geopolitical areas. Public Health 136:35-40
Mayfield-Johnson, Susan; Rachal, John R; Butler 3rd, James (2014) ""When We Learn Better, We Do Better"": Describing Changes in Empowerment Through Photovoice Among Community Health Advisors in a Breast and Cervical Cancer Health Promotion Program in Mississippi and Alabama. Adult Educ Q (Am Assoc Adult Contin Educ) 64:91-109
George, Anne E; Abatemarco, Diane J; Terry, Martha Ann et al. (2013) A qualitative exploration of the role of social networks in educating urban African American adolescents about sex. Ethn Health 18:168-89
Butler 3rd, James; Quinn, Sandra C; Fryer, Craig S et al. (2013) Characterizing researchers by strategies used for retaining minority participants: results of a national survey. Contemp Clin Trials 36:61-7

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