Feasibility of a Smartphone-based Tobacco Treatment for HIV-infected Smokers.
Thursday, October 18, 2018
Posted by: Natalia Gromov
Jonathan Shuter, Ryung S Kim, Lawrence C An, Lorien C Abroms.
Feasibility of a Smartphone-based Tobacco Treatment for HIV-infected Smokers.
Nicotine & Tobacco Research, nty208, https://doi.org/10.1093/ntr/nty208
Cigarette smoking is common among persons living with HIV (PLWH) in the US, it is the leading cause of mortality in this group, and efforts to promote cessation have been largely unsuccessful. From 2015-2017, we performed a randomized controlled trial of Positively Smoke Free- Mobile (PSF-M) vs. standard care. PSF-M is a mobile website that offers a 42-day text message-based quit-smoking program with smartphone features including quit-day selection/calendar, educational/motivational videos, and HELP button for cravings. One hundred individuals enrolled, 48 were randomized to PSF-M (mean age=45, 54% male, 81% Black, 31% Latino) and 52 to the standard care condition. All participants were offered a three month supply of nicotine patches. Participants randomized to the mobile intervention visited the PSF-M homepage a mean of 83 times, viewed 5.6/8 videos, logged in on 13 of 42 possible days, and received 131 texts. 77% tapped HELP for cravings, and craving response options were utilized by the following proportions: phone-a-friend–58%, play-a-game–29%, play-a-song–4%. Older age and non-Black race were both associated with higher levels of engagement with the site. 61% rated PSF-M very/extremely helpful, and 98% would recommend PSF-M to PLWH family/friends. Abstinence at 3 months, quit attempts, and daily cigarette intake all favored PSF-M over standard care, but did not achieve statistical significance in our pilot sample. Smartphone-based tobacco treatment for PLWH was feasible and achieved moderate-high rates of engagement and satisfaction in a middle-aged, ethnic/racial minority group in the poorest urban community in the US. Cigarette smoking has emerged as the leading killer of persons living with HIV (PLWH). Behavioral interventions have achieved only limited success in promoting cessation in this population. In the current study we explore the feasibility and preliminary efficacy of a multimodal, web-based, quit-smoking intervention delivered to PLWH smokers via their smartphones.
|
|
Email to a Friend