scholarly journals Adaptation and assessment of a text messaging smoking cessation intervention in Viet Nam: A pilot randomized controlled trial (Preprint)

10.2196/27478 ◽  
2021 ◽  
Author(s):  
Nan Jiang ◽  
Nam Nguyen ◽  
Nina Siman ◽  
Charles M. Cleland ◽  
Trang Nguyen ◽  
...  
2021 ◽  
Author(s):  
Nan Jiang ◽  
Nam Nguyen ◽  
Nina Siman ◽  
Charles M. Cleland ◽  
Trang Nguyen ◽  
...  

BACKGROUND Text message (i.e., short message service, SMS) smoking cessation interventions have demonstrated efficacy in high-income countries, but are less well studied in low- and middle-income countries. OBJECTIVE To assess the feasibility, acceptability, and preliminary efficacy of a fully-automated bidirectional SMS cessation intervention adapted for smokers in Viet Nam. METHODS We adapted the SMS library from two US-based SMS cessation programs. The adaptation process consisted of 7 focus groups to provide data on culturally relevant patterns of tobacco use and to assess message preferences, and a single-arm pilot test of a 6-week SMS intervention. We then conducted a two-arm pilot randomized controlled trial and randomized 100 smokers to receive either the 6-week SMS program (intervention arm; n=50) or weekly text assessment on smoking status (control arm; n=50). Surveys assessed engagement and acceptability at 6 weeks (end of intervention), and biochemically confirmed smoking abstinence at 6 and 12 weeks. Post-intervention in-depth interviews further explored user experiences and perceptions among participants in the intervention arm. RESULTS Participants in both arms reported high levels of program acceptability and engagement. Compared to the control arm, a higher proportion of participants in the intervention arm reported being satisfied with the program (98% vs. 82%). Biochemically verified abstinence was higher in the intervention arm at 6 weeks (20.0% vs. 2.0%; P=.01), but the effect was not significant at 12 weeks (12.0% vs. 6.0%; P=.49). Qualitative interviews suggested additional modifications to enhance the program including tailoring the timing of messages, adding more opportunities to interact with the program, and placing a greater emphasis on messages that described the harms of tobacco use. CONCLUSIONS The study supported the feasibility and acceptability of a SMS program adapted for Vietnamese smokers. Future studies are needed to assess whether, with additional modifications, the program is associated with prolonged abstinence. CLINICALTRIAL ClinicalTrials.gov NCT03219541


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Elexis C. Kierstead ◽  
Emily Harvey ◽  
Denisse Sanchez ◽  
Kimberly Horn ◽  
Lorien C. Abroms ◽  
...  

Abstract Objective Morbidity and mortality from smoking-related diseases among people living with HIV (PLWH) in the U.S. surpasses that due to HIV itself. Conventional smoking cessation treatments have not demonstrated strong efficacy among PLWH. We conducted a pilot randomized controlled trial (RCT) to evaluate a tailored smoking cessation intervention based on the minority stress model. We compared standard of care counseling (SOC) to a tailored intervention (TI) including one face-to-face counseling session incorporating cognitive behavioral therapy to build resilience, and 30 days of 2-way text messaging. Results The primary outcome was smoking cessation. Secondary outcomes included cigarettes per day (CPD), exhaled carbon monoxide (CO), and cessation self-efficacy. A total of 25 participants were enrolled (TI:11, SOC:14), and 2 were lost to follow-up. There were no significant differences in quit rates between study groups. However, there was a significantly greater decrease in CPD in the TI versus SOC (13.5 vs. 0.0, p-value:0.036). Additionally, self-efficacy increased in both groups (TI p-value:0.012, SOC p-value:0.049) and CO decreased in both groups (TI p-value: < 0.001, SOC p-value:0.049). This intervention shows promise to support smoking cessation among PLWH. A larger study is needed to fully evaluate the efficacy of this approach. Clinical trial: Trial Registration: Retrospectively registered (10/20/2020) NCT04594109.


2012 ◽  
Vol 61 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Alyson B. Moadel ◽  
Steven L. Bernstein ◽  
Robin J. Mermelstein ◽  
Julia H. Arnsten ◽  
Eileen H. Dolce ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document