Activating lay health influencers to promote tobacco cessation

Myra L. Muramoto, John R. Hall, Mark Nichter, Mimi Nichter, Mikel Aickin, Tim Connolly, Eva Matthews, Jean Z. Campbell, Harry A. Lando

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Objective: To evaluate the effect of tobacco cessation brief-intervention (BI) training for lay "health influencers," on knowledge, self-efficacy and the proportion of participants reporting BI delivery post-training. Methods: Randomized, community-based study comparing Inperson or Web-based training, with mailed materials. Results: In-person and Webtraining groups had significant post-training cessation knowledge and self-efficacy gains. All groups increased the proportion of individuals reporting BIs at follow-up, with no significant between-group differences. Irrespective of participants' prior intervention experience, 80%-86% reported BIs within the past 90 days; 71%- 79% reported >1 in the past 30. Conclusions: Web and In-person training significantly increase health influencer cessation knowledge and self-efficacy. With minimal prompting and materials, even persons without BI experience can be activated to encourage tobacco cessation.

Original languageEnglish (US)
Pages (from-to)392-403
Number of pages12
JournalAmerican journal of health behavior
Issue number3
StatePublished - May 2014


  • Brief intervention
  • Community
  • Tobacco cessation


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