Randomized Controlled Trial Testing a Video-Text Tobacco Cessation Intervention Among Economically Disadvantaged African American Adults
Journal
Psychology of Addictive Behaviors
Journal Volume
35
Journal Issue
7
Pages
769-777
Date Issued
2021
Author(s)
Abstract
Objective: This pilot study tested the acceptability and short-term outcomes of a culturally speci?c mobile health (mHealth) intervention (Path2Quit) in a sample of economically disadvantaged African American adults. We hypothesized that Path2Quit would demonstrate greater acceptability, biochemically veri?ed abstinence, and promote nicotine replacement therapy (NRT) use compared with a standard text-messaging program. Method: In a 2-arm pilot randomized trial, adults who sought to quit smoking (N = 119) received either Path2Quit 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 veri?ed smoking abstinence at the 6-week follow-up. Results: 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 (SD = 8.2) cigarettes/day for 25 (SD = 16) years, and reported low nicotine dependence. There were no differences in intervention evaluations or use ( ps >.05), yet Path2Quit led to signi?cantly greater NRT utilization at follow-up ( p <.05). There was no difference in quit attempts between conditions or 7-day ppa ( p >.05). However, Path2Quit resulted in signi?cantly greater carbon monoxide con?rmed ppa (adjusted odds ratio [AOR] = 3.55; 95% CI [1.32, 9.54]) at the 6-week follow-up. Conclusions: A culturally speci?c 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 ? 2021 American Psychological Association
Subjects
African Americans
interventions
mobile health
smoking cessation
text messaging
carbon monoxide
adult
African American
Article
cigarette smoking
controlled study
counseling
demography
economic status
educational status
female
follow up
household income
human
male
middle aged
nicotine replacement therapy
pilot study
prevalence
program acceptability
randomized controlled trial
sample size
self report
smoking
social participation
tobacco dependence
vulnerable population
Adult
Female
Humans
Male
Middle Aged
Pilot Projects
Smoking Cessation
Tobacco Use Cessation
Tobacco Use Cessation Devices
Vulnerable Populations
SDGs
Type
journal article