Feasibility and Acceptability of a Culturally- and Linguistically-Adapted Smoking Cessation Text Messaging Intervention for Latino Smokers

Frontiers in Public Health

article

Francisco Cartujano-Barrera¹  Ana Paula Cupertino²  Lisa Sanderson Cox³  Evelyn Arana-Chicas¹  Mariana Ramírez³  Jaime Perales-Puchalt³  Pamela Valera⁴  Francisco J. Díaz⁵  Delwyn Catley⁶  Edward F. Ellerbeck³ 

[1] Department of Cancer Prevention and Control, Hackensack University Medical Center, United States;James P. Wilmot Cancer Institute, University of Rochester Medical Center, United States;Department of Population Health, University of Kansas Medical Center, United States;Department of Urban-Global Public Health, Rutgers University, United States;Department of Biostatistics, University of Kansas Medical Center, United States;Center for Children's Healthy Lifestyles & Nutrition, United States

关键词: Latinos;    m-health;    smoking;    smoking cessation;    text messages;   

DOI  :  10.3389/fpubh.2020.00269

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective: Assess the feasibility and acceptability of a culturally- and linguistically-adapted smoking cessation text messaging intervention for Latino smokers. Methods: Using a community-based strategy, 50 Latino smokers were recruited to participate in a smoking cessation pilot study. Participants received a 12-week text messaging intervention and were offered Nicotine Replacement Therapy (NRT) at no cost. We assessed biochemically verified abstinence at 12 weeks, text messaging interactivity with the program, NRT utilization, self-efficacy, therapeutic alliance, and satisfaction. Results: Participants were 44.8 years old on average (SD 9.80), and they were primarily male (66%) and had no health insurance (78%). Most of the participants were born in Mexico (82%) and were light smokers (1–10 CPD) (68%). All participants requested the first order of NRT, and 66% requested a refill. Participants sent an average of 39.7 text messages during the 12-week intervention (SD 82.70). At 12 weeks, 30% of participants were biochemically verified abstinent (88% follow-up rate) and working alliance mean value was 79.2 (SD 9.04). Self-efficacy mean score increased from 33.98 (SD 10.36) at baseline to 40.05 (SD 17.65) at follow-up ( p = 0.04). The majority of participants (90.9%, 40/44) reported being very or extremely satisfied with the program. Conclusion: A culturally- and linguistically-adapted smoking cessation text messaging intervention for Latinos offers a promising strategy to increase the use of NRT, generated high satisfaction and frequent interactivity, significantly increased self-efficacy, produced high therapeutic alliance, and resulted in noteworthy cessation rates at the end of treatment. Additional testing as a formal randomized clinical trial is warranted.

【 授权许可】

CC BY