Case Comprehensive Cancer Center, Case Western Reserve University.
Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University.
Psychol Addict Behav. 2021 Nov;35(7):769-777. doi: 10.1037/adb0000691. Epub 2021 Oct 14.
This pilot study tested the acceptability and short-term outcomes of a culturally specific mobile health (mHealth) intervention () in a sample of economically disadvantaged African American adults. We hypothesized that would demonstrate greater acceptability, biochemically verified abstinence, and promote nicotine replacement therapy (NRT) use compared with a standard text-messaging program.
In a 2-arm pilot randomized trial, adults who sought to quit smoking ( = 119) received either or the National Cancer Institute's (NCI) SmokefreeTXT, both combined with a brief behavioral counseling session plus 2 weeks of NRT. Outcomes included acceptability (intervention evaluation and use), NRT utilization, 24-hr quit attempts, self-reported 7-day point prevalence abstinence (ppa), and biochemically verified smoking abstinence at the 6-week follow-up.
Participants were 52% female/48% male, mostly single (60%), completed ≥ 12 years of education (83%), middle-aged, and 63% reported a household income < $10K/year. Participants smoked 11 ( = 8.2) cigarettes/day for 25 ( = 16) years, and reported low nicotine dependence. There were no differences in intervention evaluations or use (s > .05), yet led to significantly greater NRT utilization at follow-up ( < .05). There was no difference in quit attempts between conditions or 7-day ppa ( > .05). However, resulted in significantly greater carbon monoxide confirmed ppa (adjusted odds ratio [AOR] = 3.55; 95% CI [1.32, 9.54]) at the 6-week follow-up.
A culturally specific mHealth intervention demonstrated positive effects on NRT use and short-term abstinence. Additional research in a larger sample and with long-term follow-up is warranted. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
本试点研究旨在检验一种具有文化针对性的移动健康（mHealth）干预措施（）在经济贫困的非裔美国成年人样本中的可接受性和短期结果。我们假设，与标准的短信程序相比， 将表现出更高的可接受性、经生物化学验证的戒断率，并促进尼古丁替代疗法（NRT）的使用。
在一项 2 臂试点随机试验中，试图戒烟的成年人（=119）接受了 或美国国家癌症研究所的 SmokefreeTXT（NCI），两者均结合了简短的行为咨询会议和 2 周的 NRT。结果包括可接受性（干预评估和使用）、NRT 的使用、24 小时戒烟尝试、自我报告的 7 天点流行率戒断率（ppa）以及 6 周随访时的生物化学验证的吸烟戒断率。
参与者中 52%为女性/48%为男性，大多为单身（60%），完成了≥12 年的教育（83%），年龄中位数为中年，63%报告家庭收入<10K/年。参与者每天吸烟 11（=8.2）支，持续 25（=16）年，尼古丁依赖程度较低。干预评估或使用方面没有差异（s >.05），但 在随访时导致了显著更高的 NRT 使用率（ <.05）。两种条件下的戒烟尝试或 7 天 ppa 没有差异（ >.05）。然而， 导致 6 周随访时碳 monoxide 确认的 ppa 显著更高（调整后的优势比 [AOR] = 3.55；95%置信区间 [1.32, 9.54]）。
具有文化针对性的 mHealth 干预措施对 NRT 的使用和短期戒断率产生了积极影响。需要在更大的样本中进行进一步研究，并进行长期随访。
