Health Communication Research Laboratory, Brown School at Washington University in St Louis, St Louis, Missouri.
Health Communication Research Laboratory, Washington University in St Louis, 1 Brookings Dr, St Louis, MO 63130 (
Prev Chronic Dis. 2023 Mar 2;20:E11. doi: 10.5888/pcd20.220214.
State tobacco quitlines are delivering cessation assistance through an increasingly diverse range of channels. However, offerings vary from state to state, many smokers are unaware of what is available, and it is not yet clear how much demand exists for different types of assistance. In particular, the demand for online and digital cessation interventions among low-income smokers, who bear a disproportionate burden of tobacco-related disease, is not well understood.
We examined interest in using 13 tobacco quitline services in a racially diverse sample of 1,605 low-income smokers in 9 states who had called a 2-1-1 helpline and participated in an ongoing intervention trial from June 2020 through September 2022. We classified services as standard (used by ≥90% of state quitlines [eg, calls from a quit coach, nicotine replacement therapy, printed cessation booklets]) or nonstandard (mobile app, personalized web, personalized text, online chat with quit coach).
Interest in nonstandard services was high. Half or more of the sample reported being very or somewhat interested in a mobile app (65%), a personalized web program (59%), or chatting online with quit coaches (49%) to help them quit. In multivariable regression analyses, younger smokers were more interested than older smokers in digital and online cessation services, as were women and smokers with greater nicotine dependence.
On average, participants were very interested in at least 3 different cessation services, suggesting that bundled or combination interventions might be designed to appeal to different groups of low-income smokers. Findings provide some initial hints about potential subgroups and the services they might use in a rapidly changing landscape of behavioral interventions for smoking cessation.
州立戒烟热线通过越来越多样化的渠道提供戒烟帮助。然而，各州的服务内容各不相同，许多吸烟者并不了解有哪些服务，也不清楚不同类型的帮助需求有多大。特别是，在负担着不成比例的烟草相关疾病的低收入吸烟者中，对于在线和数字戒烟干预的需求尚未得到充分了解。
我们在一个由来自 9 个州的 1605 名低收入吸烟者组成的种族多样化样本中调查了对使用 13 种戒烟热线服务的兴趣，这些吸烟者拨打了 2-1-1 求助热线，并参与了一项正在进行的干预试验，该试验从 2020 年 6 月持续到 2022 年 9 月。我们将服务分为标准服务（被≥90%的州戒烟热线使用，例如，由戒烟教练进行的电话咨询、尼古丁替代疗法、印刷戒烟手册）和非标准服务（移动应用程序、个性化网页、个性化短信、与戒烟教练在线聊天）。
对非标准服务的兴趣很高。样本中有一半或更多的人表示对移动应用程序（65%）、个性化网页程序（59%）或与戒烟教练在线聊天（49%）非常或有些感兴趣，以帮助他们戒烟。在多变量回归分析中，年轻吸烟者比老年吸烟者更感兴趣于数字和在线戒烟服务，女性和尼古丁依赖程度较高的吸烟者也是如此。
平均而言，参与者对至少 3 种不同的戒烟服务非常感兴趣，这表明捆绑或组合干预措施可能会被设计来吸引不同群体的低收入吸烟者。这些发现为在快速变化的戒烟行为干预领域中，针对潜在的亚组和他们可能使用的服务提供了一些初步线索。
