Tailored Text Message and Web Intervention for Smoking Cessation in U.S. Socioeconomically-Disadvant
Thursday, September 15, 2022
Posted by: Natalia Gromov
Villanti
AC, Peasley-Miklus C, Cha S, et al.
Tailored Text Message and
Web Intervention for Smoking Cessation in U.S. Socioeconomically-Disadvantaged
Young Adults: A Randomized Controlled Trial.
[published online ahead of print, 2022 Aug 19]. Prev Med. 2022;107209.
doi:10.1016/j.ypmed.2022.107209
The prevalence of cigarette smoking in young adults is higher among those with
socioeconomic disadvantage than those without. Low treatment-seeking among
young adult smokers is compounded by few efficacious smoking cessation
interventions for this group, particularly socioeconomically-disadvantaged
young adults (SDYA) who smoke cigarettes. The goal of this study was to test a
tailored smoking-cessation intervention for SDYA. 343 SDYA aged 18-30 living in
the U.S. (85% female) who smoke cigarettes with access to a smartphone and
interest in quitting smoking in the next six months were recruited online in
Spring 2020 and randomized to referral to online quit resources (usual care
control; n = 171) or a 12-week tailored text message smoking-cessation program
with a companion web-based intervention (n = 172). Intent to treat analyses
examined associations between study condition, self-reported 30-day point
prevalence abstinence (PPA), and confidence to quit smoking at 12 weeks,
controlling for potential confounders. Intervention group participants had
greater self-reported 30-day PPA at 12-weeks than controls (adjusted relative
risk 3.93, 95% CI 2.14-7.24). Among those who continued smoking, the
intervention increased confidence to quit (0.81 points, 95% confidence interval
0.08-1.53). Weekly engagement in the intervention predicted greater cessation.
A tailored text message intervention for SDYA increased smoking abstinence and
confidence to quit at the end-of-treatment. Findings may have been influenced
by recruitment at the start of the COVID pandemic but suggest that text
messaging is an acceptable and efficacious cessation strategy for SDYA smokers.
Future studies should examine the impact on longer-term smoking-cessation and
importance of intervention tailoring for SDYA.
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