Pulmonary Center, Department of Medicine, Boston University Medical Center, 72 East Concord Street, R304, Boston, MA, USA.
Boston University, Henry M. Goldman School of Dental Medicine, Boston, MA, USA.
BMC Public Health. 2022 Apr 6;22(1):668. doi: 10.1186/s12889-022-13008-z.
Individuals with opioid use disorder (OUD) who smoke cigarettes have high tobacco-related comorbidities, lack of access to tobacco treatment, lack of inclusion in smoking cessation trials, and remain understudied in the mobile health field. The purpose of this study was to understand patients' with OUD perceptions of 1) text message programs to promote smoking cessation, 2) content and features to include in such a program, and 3) how message content should be framed.
From December 2018 to February 2019, we recruited 20 hospitalized individuals with a concurrent diagnosis of OUD and tobacco dependence at Boston Medical Center (BMC), the largest safety-net hospital in New England. We surveyed participants' cell phone use, their interest in a text message program to promote smoking cessation, and their reactions to and ratings of a series of 26 prototype texts. We then conducted open-ended interviews to elicit content and suggestions on how text message interventions can improve motivation to increase smoking cessation among individuals with OUD. The interviews also included open-ended inquiries exploring message ratings and message content, inquiries about preferences for message duration, frequency, and personalization.
Quantitative analysis of questionnaire data indicated that the majority of participants owned a cell phone (95%, 19/20). Most participants (60%, 12/20) reported that they would be interested or very interested in receiving text messages about smoking cessation. Text messages about the health benefits of quitting were rated the highest among various categories of text messages. Qualitative analysis showed that almost every participant felt that text messages would help motivate smoking cessation given the support it would provide.
This study demonstrates that individuals with OUD who smoke cigarettes perceive that a text message program designed to promote smoking cessation would motivate and support smoking cessation efforts. Our findings demonstrate that such a program is feasible as participants own cell phones, frequently send and receive text messages, and have unlimited text message plans. Findings from this study provide valuable insight into content and features to include when developing text message programs to address barriers to smoking cessation in individuals who have OUD and smoke cigarettes.
患有阿片类药物使用障碍（OUD）并吸烟的个体存在较高的烟草相关合并症，无法获得烟草治疗，无法参与戒烟试验，并且在移动健康领域研究不足。本研究的目的是了解 OUD 患者对以下方面的看法：1）促进戒烟的短信程序；2）此类程序应包含的内容和功能；3）信息内容应如何构建。
从 2018 年 12 月到 2019 年 2 月，我们在新英格兰最大的医疗保障医院波士顿医疗中心（BMC）招募了 20 名同时患有 OUD 和烟草依赖的住院患者。我们调查了参与者对手机的使用情况、对促进戒烟的短信程序的兴趣，以及对一系列 26 个原型短信的反应和评分。然后，我们进行了开放式访谈，以了解有关内容和建议，了解短信干预如何提高 OUD 个体戒烟的动机。访谈还包括关于消息评级和消息内容的开放式查询，关于消息持续时间、频率和个性化的偏好查询。
问卷数据分析表明，大多数参与者（95%，19/20）拥有手机。大多数参与者（60%，12/20）报告说他们有兴趣或非常有兴趣收到有关戒烟的短信。在各种类别的短信中，有关戒烟健康益处的短信获得了最高的评分。定性分析表明，几乎每个参与者都认为，鉴于短信提供的支持，短信将有助于激发戒烟动机。
这项研究表明，吸烟的 OUD 患者认为，旨在促进戒烟的短信程序将激励和支持戒烟努力。我们的研究结果表明，只要参与者拥有手机，经常发送和接收短信，并拥有无限短信计划，这样的程序就是可行的。这项研究的结果为开发针对吸烟的 OUD 患者的短信程序提供了有价值的见解，包括解决戒烟障碍的内容和功能。
