Table 2:
Program Recommendations.
| Stakeholders | Action | |
|---|---|---|
| Logistics | ||
| Program location (at Centers for Independent Living) | I,C* | Incorporated |
| Increase number of sessions | c | Incorporated |
| Increase frequency of sessions per week | c | Incorporated |
| Increase duration of sessions | c | Incorporated |
| Limit group size to 8 people | c | Incorporated |
| Account for accessibility challenges (e.g., transportation, scheduling, and changes in health) | I,C | Incorporated |
| Adjust language requiring all attendees to see a physician prior to participation | E | Incorporated |
| Manual (Disability Information) | ||
| Content: Use disability-specific examples and scenarios | C, E | Incorporated |
| Content: Update photos depicting people with disabilities (PWD) | C | Incorporated |
| Content: Provide more detail on how tobacco use affects disability | I, E | Incorporated |
| Content: Provide resources for PWD | C, E | Incorporated |
| Content: Provide disability appropriate recommendations (e.g., incorporate exercises for PWD) | I, C, E | Incorporated |
| Content: Provide online activities (quizzes, diary) | C | In Progress |
| Content: Address personal care attendants (PCA) who use tobacco | I, C | Incorporated |
| Content: Consider how people with cognitive issues track NRT usage | E | Incorporated |
| Format: Offer alternative formats for hearing and visually impaired | C | Incorporated |
| Manual (General Accessibility) | ||
| Content: Update general tobacco information (e.g., over 7,000 chemicals are in cigarette smoke) | E | Incorporated |
| Content: Use appropriate withdrawal symptoms | E | Incorporated |
| Content: Add more information on stress management | C | Incorporated |
| Content: Include group rules | C | Incorporated |
| Content: Use a more flexible quit plan | C,E | Incorporated |
| Content: Include information and activities on motivation to quit | I, E | Incorporated |
| Content: Include information on increased appetite and healthy eating | C, E | Incorporated |
| Content: Add homework assignments | C | Incorporated |
| Content: Include multiple choice questions within the workbook | C | Evaluating |
| Content: Remove quit line information from the quit plan page | E | Incorporated |
| Content: Demonstrate nicotine replacement therapy (NRT) | E | Incorporated |
| Format: Make information more understandable | C, E | Incorporated |
| Format: Lower reading level | C, E | Incorporated |
| Format: Reduce the amount of text / Include more graphics and visuals | C, E | Incorporated |
| Format: Reduce or remove “scientific” language | C | Incorporated |
| Facilitator Guide | ||
| Discuss having low familial support in quitting tobacco | C | Incorporated |
| Discuss challenges of living with a disability and tobacco use (e.g., high number of PWD who smoke) | I, C | Incorporated |
| Discuss effects of tobacco on wound healing (especially for spinal cord injury) | E | Incorporated |
| Discuss how medications and NRT interact | I, C, E | Incorporated |
| Allow participants to select multiple NRT | E | Incorporated |
| Discuss relapse and slip in proper context | E | Incorporated |
| Discuss causes of cravings | E | Incorporated |
| Address questions regarding cessation methods that are not recommended (e.g., e-cigarette, acupuncture) | E | Incorporated |
| Recommend communication with physician regarding starting program and using medications | E | Incorporated |
| Provide information regarding handling participants questions about multiple medications | E | Incorporated |
| Discuss role of caffeine and association with cigarettes | E | Incorporated |
*
”I” denotes suggestion made by Individual during qualitative interview; “C” denotes suggestion made by Community Advisory Board Member; “E” denotes suggestion made by expert.