scholarly journals Smoking patterns and preferences for technology assisted smoking cessation interventions among adults with opioid and alcohol use disorders (Preprint)

2018 ◽  
Author(s):  
Babak Tofighi ◽  
Joshua Lee ◽  
Scott Sherman ◽  
Daniel Schatz ◽  
Omar El-Shahawy
Keyword(s):  
Smoking Cessation ◽  
Alcohol Use ◽  
Mobile Phones ◽  
Technology Use ◽  
Clinical Characteristics ◽  
Alcohol Use Disorder ◽  
Text Message ◽  
High Turnover ◽  
Public Health Burden ◽  
Smoking Patterns

BACKGROUND Smoking remains a major public health burden among persons with opioid and/or alcohol use disorder yet preferences for technology assisted smoking cessation strategies remain largely unknown among this population. OBJECTIVE Assess smoking patterns and preferences for adopting technology-based interventions targeting smoking among individuals with opioid and/or alcohol use disorder. METHODS A 48-item semi-structured survey was conducted among inpatient detoxification program patients eliciting demographic and clinical characteristics, smoking profile, technology use patterns, and preferences for adopting technology-based smoking cessation interventions. Multivariate logistic regression models further evaluated the association between participant demographic and clinical characteristics and technology preferences. RESULTS Participants were mostly male (91%), unemployed or dependent on public assistance (68%), and admitted for detoxification for alcohol (47%), heroin (31%), or both alcohol and heroin (22%). Past 30-day smoking was reported by 78% of the sample, and 60% reported at least one quit attempt in the past year. Mobile phone ownership was common (89%); with an average past-year turnover of 4 mobile phones and 3 phone numbers. Computer ownership was low (28%) and one third reported daily internet use (34%). Telephone (41%) and text message-based interventions (40%) were the most popular technology-based intervention to facilitate smoking cessation. CONCLUSIONS Despite concurrent AUD-OUD, most had attempted to quit smoking in the last year and preferred telephone- and text message-based interventions to facilitate smoking cessation. However, high turnover of mobile phones, phone numbers, and limited access to computers pose barriers to dissemination of technology-based smoking cessation interventions in this vulnerable population. CLINICALTRIAL K23DA042140-01A1

scholarly journals Smoking patterns and preferences for technology assisted smoking cessation interventions among adults with opioid and alcohol use disorders (Preprint)

2018 ◽  
Author(s):  
Babak Tofighi ◽  
Joshua D. Lee ◽  
Scott Sherman ◽  
Daniel Schatz ◽  
Omar El-Shahawy
Keyword(s):  
Smoking Cessation ◽  
Alcohol Use ◽  
Mobile Phones ◽  
Technology Use ◽  
Clinical Characteristics ◽  
Alcohol Use Disorder ◽  
Text Message ◽  
High Turnover ◽  
Public Health Burden ◽  
Smoking Patterns

BACKGROUND Smoking remains a major public health burden among persons with opioid and/or alcohol use disorder yet preferences for technology assisted smoking cessation strategies remain largely unknown among this population. OBJECTIVE Assess smoking patterns and preferences for adopting technology-based interventions targeting smoking among individuals with opioid and/or alcohol use disorder. METHODS A 49-item semi-structured survey was conducted in 2015 among urban, inpatient detoxification program patients eliciting demographic and clinical characteristics, smoking profile, technology use patterns, and preferences for adopting technology-based smoking cessation interventions. Multivariate logistic regression models further evaluated the association between participant demographic and clinical characteristics and technology preferences. RESULTS Participants were mostly male (91%), unemployed or dependent on public assistance (68%), and admitted for detoxification for alcohol (47%), heroin (31%), or both alcohol and heroin (22%). Past 30-day smoking was reported by 78% of the sample, and 60% reported at least one quit attempt in the past year. Mobile phone ownership was common (89%); with an average past-year turnover of 4 mobile phones and 3 phone numbers. Computer ownership was low (28%) and one third reported daily internet use (34%). Telephone (41%) and text message-based interventions (40%) were the most popular technology-based intervention to facilitate smoking cessation. CONCLUSIONS Despite concurrent AUD-OUD, most respondents had attempted to quit smoking in the last year and preferred telephone- and text message-based interventions to facilitate smoking cessation. However, high turnover of mobile phones, phone numbers, and limited access to computers pose barriers to dissemination of technology-based smoking cessation interventions in this vulnerable population.

scholarly journals Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (Preprint)

2017 ◽  
Author(s):  
Judith McCool ◽  
Helen Tanielu ◽  
Elaine Umali ◽  
Robyn Whittaker
Keyword(s):  
Smoking Cessation ◽  
Focus Groups ◽  
Tobacco Use ◽  
Mobile Phones ◽  
Cultural Adaptation ◽  
Cultural Context ◽  
Mode Of Delivery ◽  
Text Message ◽  
Text Messages ◽  
Smoking Cessation Program

BACKGROUND Samoa faces a persistently high prevalence of adult tobacco use and few existing cessation support services. Mobile phones are ubiquitous and generally affordable. OBJECTIVE This study aimed to adopt a text message (short message service, SMS) smoking cessation program designed in New Zealand (stop smoking with mobile phones, STOMP) for use in Samoa to assist national objectives in reducing the tobacco use. METHODS Using focus groups with smokers and ex-smokers, we explored the context for tobacco use and preferences for SMS text messages. Postintervention focus groups were held after participants received SMS text messages for 1 week. Frequent face-to-face meetings with the primary partner (Ministry of Health Samoa) and key stakeholders contributed to the adaptation process. Participatory feedback and collaboration from stakeholders became an integral part of the cultural adaptation and translation of the program. Furthermore, detailed document analyses were included as part of the formal evaluation of the initiative to explore the core determinants of success in adapting the program to the Samoan cultural context. RESULTS The SMS text messages evolved remarkably following an iterative process of consultation, in situ testing, revision, and retesting to arrive at an acceptable country-specific version of the mobile smoking cessation program. The SMS text messages retained in the final set were consistent with the theory of behavioral change but reflected both linguistic and cultural nuances appropriate for Samoa. Adapting messages required simultaneous multilevel processes, including complex high-level engagement, between the team and the stakeholders, along with crafting the precise content for (character limited) messages. CONCLUSIONS Receiving cessation support messages through a mobile phone is promising and appears to be an acceptable and accessible mode of delivery for tobacco cessation, particularly in the absence of alternative support. Adapting a text-based program in Samoa requires fastidious attention to the nuances of culture, language, and sociopolitical structures in the country.

scholarly journals Smoking patterns and preferences for technology assisted smoking cessation interventions among adults with opioid and alcohol use disorders

2019 ◽  
Vol 24 (6) ◽  
pp. 660-665
Author(s):  
Babak Tofighi ◽  
Joshua D. Lee ◽  
Scott Sherman ◽  
Daniel Schatz ◽  
Omar El-Shahawy
Keyword(s):  
Smoking Cessation ◽  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Smoking Patterns
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