Abstract:Background
Of the 14.3 million Mexicans who smoke, only a minority take advantage of evidence-based approaches to smoking cessation. Mobile health interventions have the potential to increase the reach of effective cessation interventions in Mexico.
Objective
This study aimed to assess the feasibility and acceptability of an innovative, personalized, and interactive smoking cessation mobile intervention developed for Mexican smokers.
Methods
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“…Consistent with the studies that have analysed the effects of web-based smoking cessation decision-making tools in the USA and Mexico, Pare de fumar conosco increased interest in using pharmacotherapy and group counselling 24 26–28. However, cessation rate at 12 weeks was lower in this study (9.4% vs 19.1% in Mexico and 11.8% in the USA).…”
Section: Discussionsupporting
confidence: 81%
“…Pare de fumar conosco (Stop smoking with us; www.imepen.com/decidete) was adapted from an existing web-based decision-making tool for smoking cessation developed in English and Spanish for use among Latinos in the USA24 and Mexico 26–28. A panel of Brazilian healthcare professionals adapted the content of the tool to the resources, perceptions and sociocultural characteristics of Brazilian smokers.…”
ObjectiveTo assess the feasibility of Pare de fumar conosco, a web-based smoking cessation decision-making tool, among patients with chronic conditions in Brazil.MethodsWe recruited 85 Brazilian smokers in two clinical centres for chronic conditions to complete Pare de fumar conosco. Outcome measures included interest in using smoking cessation resources and self-reported 7-day point prevalence abstinence 12 weeks following the intervention.ResultsThe average age of participants was 54.2 years old (SD=10.5) and 77.9% had not completed high school. All participants were daily smokers and the majority smoked ≥11 cigarettes per day (63.5%). Pre–post intervention interest in using pharmacotherapy and group counselling significantly increased (82.4% vs 22.4%, p≤0.0001; and 85.9% vs 21.2%, p≤0.0001, respectively). At 12 weeks, eight participants (9.4%) reported 7-day point prevalence abstinence using intention-to-treat analysis (35.2% follow-up rate).ConclusionThe Pare de fumar conosco smoking cessation web-based tool significantly increased interest in pharmacotherapy and behavioural counselling. Additional testing as a formal randomised clinical trial appears warranted.
“…Consistent with the studies that have analysed the effects of web-based smoking cessation decision-making tools in the USA and Mexico, Pare de fumar conosco increased interest in using pharmacotherapy and group counselling 24 26–28. However, cessation rate at 12 weeks was lower in this study (9.4% vs 19.1% in Mexico and 11.8% in the USA).…”
Section: Discussionsupporting
confidence: 81%
“…Pare de fumar conosco (Stop smoking with us; www.imepen.com/decidete) was adapted from an existing web-based decision-making tool for smoking cessation developed in English and Spanish for use among Latinos in the USA24 and Mexico 26–28. A panel of Brazilian healthcare professionals adapted the content of the tool to the resources, perceptions and sociocultural characteristics of Brazilian smokers.…”
ObjectiveTo assess the feasibility of Pare de fumar conosco, a web-based smoking cessation decision-making tool, among patients with chronic conditions in Brazil.MethodsWe recruited 85 Brazilian smokers in two clinical centres for chronic conditions to complete Pare de fumar conosco. Outcome measures included interest in using smoking cessation resources and self-reported 7-day point prevalence abstinence 12 weeks following the intervention.ResultsThe average age of participants was 54.2 years old (SD=10.5) and 77.9% had not completed high school. All participants were daily smokers and the majority smoked ≥11 cigarettes per day (63.5%). Pre–post intervention interest in using pharmacotherapy and group counselling significantly increased (82.4% vs 22.4%, p≤0.0001; and 85.9% vs 21.2%, p≤0.0001, respectively). At 12 weeks, eight participants (9.4%) reported 7-day point prevalence abstinence using intention-to-treat analysis (35.2% follow-up rate).ConclusionThe Pare de fumar conosco smoking cessation web-based tool significantly increased interest in pharmacotherapy and behavioural counselling. Additional testing as a formal randomised clinical trial appears warranted.
“…The present study includes a secondary data analysis of a single-arm feasibility study in Mexico. The parent pilot study, described in detail elsewhere, assessed the feasibility and acceptability of an innovative, personalized and interactive smoking cessation mobile intervention developed for Mexican smokers 16 .…”
Section: Methodsmentioning
confidence: 99%
“…In 2017, 40 smokers were recruited using a multimedia campaign (Facebook and radio) to participate in a smoking cessation single-arm pilot study. The parent pilot study describes the recruitment methods in more detail 16 . Inclusion criteria for participants were: 1) Mexican origin, 2) aged ≥18 years, 3) smoked for at least 6 months, 4) smoked at least 3 days per week, 5) interested in quitting within the next 30 days, 6) had a cell phone with text messaging capability, and 7) willing to complete surveys at baseline and at follow-up at 12 weeks.…”
Section: Participantsmentioning
confidence: 99%
“…is a smoking cessation mHealth intervention that encompasses three integrated components: 1) a tablet-based software that collects personal smokingrelated information to support the development of an individualized quit plan; 2) a 12-week individuallytailored text messaging program with interactive capabilities that includes educational information, behavioral strategies, and motivational messaging driven by information obtained from the tablet-based software; and 3) pharmacotherapy support, when applicable. Details of the intervention are described in detail elsewhere 16 .…”
INTRODUCTION Nicotine Replacement Therapy (NRT) is an effective treatment for smoking cessation. However, medication usage and adherence remain a challenge that contributes to low smoking cessation rates. In Mexico, 8 in 10 smokers are interested in quitting. However, only 6% of Mexican smokers use medication for smoking cessation. The objective of this study is to assess the feasibility and acceptability of a mobile health (mHealth) intervention to increase usage and adherence of NRT in Mexico. METHODS The study involves a secondary data analysis. Forty smokers were recruited to participate in a single-arm pilot study. Participants received an mHealth intervention that uses tablet-based decision support software to drive a 12-week text messaging smoking cessation program and pharmacotherapy support. The intervention allows two-way interactivity text messaging between participants and a tobacco treatment specialist. NRT was offered to participants in accordance with practice guidelines in Mexico. Outcome measures included utilization of NRT, text messaging interactivity with the program, and biochemically verified abstinence at 12 weeks. RESULTS Thirty smokers met the criteria for use of NRT. Average age of participants was 38.1 years (SD=10.7), and they were primarily male (56.7%) with at least an undergraduate degree (60%). All participants requested NRT at baseline, and 60% requested a refill at week 4. During the 12-week intervention period, participants sent 620 messages to the program (mean=20.6, SD=18.34) of which 79 messages (12.7%) were related to NRT. Three themes were identified in the messages related to NRT: enthusiasm, instructions, and side effects. At 12 weeks, 40% of participants reported using NRT <75% of the days. Finally, 30% of participants (9/30) were biochemically verified abstinent using intentionto-treat analysis at 12 weeks. CONCLUSIONS An mHealth intervention appears to offer a promising strategy to increase usage and adherence of NRT in Mexico. Additional testing as a formal randomized clinical trial appears warranted.
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