An Evidence-Based Cessation Strategy Using Rural Smokers' Experiences with Tobacco

Karen M. Butler, Susan Hedgecock, Rachael A. Record, Stephanie Derifield, Carolyn McGinn, Deborah Murray, Ellen J. Hahn

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


Little is known about the most effective strategies to motivate rural smokers to quit. This article describes the personal narratives of current and former smokers living in an economically distressed, rural area ofAppalachian Kentucky. Three categories emerged: personal motivators to quit smoking, external influences, pride of place. Capturing personal narratives represents an evidence-based, data-rich strategy for development of culturally sensitive, population-based interventions for rural smokers. Such strategies may be effective in reaching rural smokers and motivating them to quit, thereby reducing tobacco-related disease and premature death in rural, economically distressed communities.

Original languageEnglish
Pages (from-to)31-43
Number of pages13
JournalNursing Clinics of North America
Issue number1
StatePublished - Mar 2012

Bibliographical note

Funding Information:
Funding statement: the development of the HEEL program was made possible by Senator Mitch McConnell with funds earmarked for the University of Kentucky, College of Agriculture, Lexington, KY, and budgeted through the CSREES/USDA Federal Administration.

Funding Information:
This publication was supported by grant number UL1RR033173 from the National Center for Research Resources (NCRR), funded by the Office of the Director, National Institutes of Health (NIH) and supported by the NIH Roadmap for Medical Research (E. Hahn and M.K. Rayens, Co-Investigators). The content is solely the responsibility of the authors and does not necessarily represent the official views of NCRR and NIH.


  • Personal narratives
  • Rural adults
  • Rural health
  • Smoking cessation
  • Tobacco cessation

ASJC Scopus subject areas

  • Nursing (all)


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