{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:46:35Z","timestamp":1760060795859,"version":"build-2065373602"},"reference-count":27,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of North Carolina Wilmington"},{"name":"the Irwin Belk Edowment trust fund"},{"name":"J. Richard Corbett Charitable Trust Fund"},{"name":"Intellectual Property Support Progra"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Introduction: Arab American (ArA) men have higher smoking rates than the general population, driven by cultural norms. Culturally tailored interventions that incorporate ArA cultural, linguistic, and social contexts are essential for addressing tobacco use and promoting health equity. This study aimed to evaluate a culturally tailored smoking cessation intervention for ArA men living in North Carolina. (2) Methods: This pilot study employed a one-group pre- and post-test design to evaluate program effectiveness within financial and time constraints. The participants completed questionnaires and Carbon monoxide measurements and were provided with Nicotine Replacement therapy. (3) Results: The study found that participants experienced anxiety and stress when delaying their first morning cigarette, which hindered cessation. Although smoking was reduced, relapse was common, highlighting the need for personalized support, especially for those with higher nicotine dependence. While telephone Motivational Interviewing helped reduce anxiety, it was insufficient for complete cessation, underscoring the need for tailored approaches addressing both psychological and physical factors. (4) Conclusions: The study suggests that culturally tailored telephone counseling did not show promise as a smoking cessation strategy for Arab Americans in North Carolina due to low participation. The sample size is really too small to test the efficacy of the intervention itself. It seems to have been more successful in another state. Future efforts should address cultural factors, emerging nicotine products, and expanded research. The project is significant for addressing health disparities among Arab Americans by integrating culturally relevant smoking cessation strategies with evidence-based methods like Nicotine Replacement Therapy.<\/jats:p>","DOI":"10.3390\/ijerph22091453","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T10:08:58Z","timestamp":1758276538000},"page":"1453","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Replication of a Culturally Tailored Tobacco Cessation Intervention for Arab American Men in North Carolina: An Exploratory Pilot Study"],"prefix":"10.3390","volume":"22","author":[{"given":"Dana","family":"El Hajj","sequence":"first","affiliation":[{"name":"Loewenberg College of Nursing, University of Memphis, Memphis, TN 38152, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Haddad","sequence":"additional","affiliation":[{"name":"Loewenberg College of Nursing, University of Memphis, Memphis, TN 38152, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3689-7449","authenticated-orcid":false,"given":"Anastasiya","family":"Ferrell","sequence":"additional","affiliation":[{"name":"School of Nursing, University of North Carolina Wilmington, Wilmington, NC 28403, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"785","DOI":"10.4236\/health.2012.410122","article-title":"Cigarette use attitudes and effects of acculturation among Arab immigrants in USA: A preliminary study","volume":"4","author":"Haddad","year":"2012","journal-title":"Health"},{"key":"ref_2","unstructured":"Arab American Institute (2021). National Arab American Demographics, Arab American Institute. Available online: https:\/\/www.aaiusa.org\/demographics#:~:text=We%20estimate%20there%20are%203.7%20million%20Arab%20Americans.&text=Their%20Arab%20heritage%20reflects%20a,in%20the%20U.S.%20are%20citizens."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1007\/s40615-018-0476-z","article-title":"Cigarette Smoking Among US- and Foreign-Born European and Arab American Non-Hispanic White Men and Women","volume":"5","author":"Kindratt","year":"2018","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_4","first-page":"182","article-title":"Insights into Cigarette and Waterpipe Use Among Houston-Based Arab Immigrants and Refugees","volume":"12","author":"Atrooz","year":"2024","journal-title":"Open J. Soc. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1093\/heapol\/czt055","article-title":"Tobacco in the Arab world: Old and new epidemics amidst policy paralysis","volume":"29","author":"Maziak","year":"2014","journal-title":"Health Policy Plan."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.2147\/PPA.S180494","article-title":"Ethno-specific preferences of cigarette smoking and smoking initiation among Canadian immigrants\u2014A multi-level analysis","volume":"12","author":"Bird","year":"2018","journal-title":"Patient Prefer. Adherence"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1080\/13623699.2010.513655","article-title":"Pre- and post-displacement stressors and time of migration as related to self-rated health among Iraqi immigrants and refugees in southeast Michigan","volume":"26","author":"Jamil","year":"2010","journal-title":"Med. Confl. Surviv."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e343","DOI":"10.1093\/pubmed\/fdz128","article-title":"Trauma exposure, mental health and tobacco use among vulnerable Syrian refugee youth in Jordan","volume":"42","author":"Kheirallah","year":"2020","journal-title":"J. Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Haddad, L.G., Al-Bashaireh, A.M., Ferrell, A.V., and Ghadban, R. (2017). Effectiveness of a culturally-tailored smoking cessation intervention for Arab-American men. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14040411"},{"key":"ref_10","unstructured":"Tobacco Use and Dependence Guideline Panel (2025, January 17). Treating Tobacco Use and Dependence: 2008 Update, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK63952\/."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1037\/0022-006X.51.3.390","article-title":"Stages and processes of self-change of smoking: Toward an integrative model of change","volume":"51","author":"Prochaska","year":"1983","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1037\/0003-066X.47.9.1102","article-title":"In search of how people change: Applications to addictive behaviors","volume":"47","author":"DiClemente","year":"1992","journal-title":"Am. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"El-Sayed, A.M., and Galea, S. (2009). The health of Arab-Americans living in the United States: A systematic review of the literature. BMC Public Health, 9.","DOI":"10.1186\/1471-2458-9-272"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1037\/0022-006X.64.1.202","article-title":"Telephone counseling for smoking cessation: Effects of single session and multiple-session interventions","volume":"64","author":"Zhu","year":"1996","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Berndt, N., Bolman, C., Lechner, L., Mudde, A., Verheugt, F.W.A., and de Vries, H. (2012). Effectiveness of two intensive treatment methods for smoking cessation and relapse prevention in patients with coronary heart disease: Study protocol and baseline description. BMC Cardiovasc. Disord., 12.","DOI":"10.1186\/1471-2261-12-33"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4137\/TUI.S11837","article-title":"Culturally tailored smoking cessation for Arab American male smokers in community settings: A pilot study","volume":"6","author":"Haddad","year":"2013","journal-title":"Tob. Use Insights"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/BF03405204","article-title":"Predictors of intention to quit smoking among Jordanian university students","volume":"97","author":"Haddad","year":"2006","journal-title":"Can. J. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1111\/j.1360-0443.1991.tb01879.x","article-title":"The Fagerstrom Test for Nicotine Dependence: A Revision of the Fagerstrom Tolerance Questionnaire","volume":"86","author":"Heatherton","year":"1991","journal-title":"Br. J. Addict."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/BF00846549","article-title":"Measuring nicotine dependence: A review of the Fagerstrom Tolerance Questionnaire","volume":"12","author":"Fagerstrom","year":"1989","journal-title":"J. Behav. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"141","DOI":"10.15288\/jsa.1994.55.141","article-title":"The Alcohol Abstinence Self-Efficacy Scale","volume":"55","author":"DiClemente","year":"1994","journal-title":"J. Stud. Alcohol"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"529","DOI":"10.2466\/pr0.2000.86.2.529","article-title":"Measuring self-efficacy among drug-involved probationers","volume":"86","author":"Hiller","year":"2000","journal-title":"Psychol. Rep."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/0306-4603(90)90070-E","article-title":"Relapse situations and self-efficacy: An integrative model","volume":"15","author":"Velicer","year":"1990","journal-title":"Addict. Behav."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1080\/14622200410001734067","article-title":"Recommendation for the assessment of tobacco craving and withdrawal in smoking cessation trials","volume":"6","author":"Shiffman","year":"2004","journal-title":"Nicotine Tob. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"125","DOI":"10.2466\/pr0.99.1.125-130","article-title":"Concordance of self-reported abstinence and measurement of expired air carbon monoxide in a self-help smoking cessation treatment","volume":"99","author":"Becona","year":"2006","journal-title":"Psychol. Rep."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1164\/ajrccm\/137.4.810","article-title":"Discrepancies between self-reported and validated cigarette smoking in a community survey of New Mexico Hispanics","volume":"137","author":"Coultas","year":"1988","journal-title":"Am. Rev. Respir. Dis."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.addbeh.2009.07.005","article-title":"Intervention effects on tobacco use in Arab and non-Arab American adolescents","volume":"35","author":"Rice","year":"2010","journal-title":"Addict. Behav."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1353\/cpr.2023.a907969","article-title":"Tobacco use, quitting, and service access for Northern California Arab Americans: A participatory study","volume":"17","author":"Lee","year":"2023","journal-title":"Prog. 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