Enhancing smoking cessation in Mexico using an e-Health tool in primary healthcare

Ponciano-Rodríguez, Guadalupe; Reynales-Shigematsu, Luz Myriam; Rodríguez-Bolaños, Rosibel; Pruñonosa-Santana, Javier; Cartujano-Barrera, Francisco; Cupertino, Ana Paula

doi:10.21149/9348

Cited by 9 publications

(6 citation statements)

References 22 publications

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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.…”

Section: Methodsmentioning

confidence: 99%

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Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

Cupertino

Cartujano-Barrera

Colugnati

et al. 2020

BMJ Health Care Inform

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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.

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Section: Discussionsupporting

confidence: 81%

Section: Methodsmentioning

confidence: 99%

Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

Cupertino

Cartujano-Barrera

Colugnati

et al. 2020

BMJ Health Care Inform

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“…The tablet-based, decision support tool was designed to help smokers create a personalized smoking cessation plan and to collect data that tailored the text messages delivered over the ensuing 12 weeks [34]. This tool was adapted from 2 smoking cessation Web-based, informed decision-making tools for Latinos in the United States [35] and Mexico [36,37]. This tablet-based tool consisted of interactive features that lead smokers through various steps in the quitting process.…”

Section: Methodsmentioning

confidence: 99%

A Mobile Smoking Cessation Intervention for Mexico (Vive sin Tabaco... ¡Decídete!): Single-Arm Pilot Study

Cupertino¹,

Cartujano-Barrera²,

Ramírez³

et al. 2019

JMIR Mhealth Uhealth

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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 We recruited 40 Mexican smokers to participate in Vive sin Tabaco... ¡Decídete! , a smoking cessation program that uses a tablet-based decision support software to drive a 12-week text messaging smoking cessation program and pharmacotherapy support. Outcome measures included participant text messaging interactivity with the program, participant satisfaction, and 12-week verified abstinence using urinary cotinine testing or exhaled carbon monoxide. Results Average age of the participants was 36 years (SD 10.7), and they were primarily male (65%, 26/40) with at least an undergraduate degree (62%, 25/40). Most participants (95%, 38/40) smoked daily and were interested in quitting in the next 7 days. As an indicator of participant interactivity, participants sent an average of 21 text messages during the 12-week intervention (SD 17.62). Of the 843 messages that participants sent to the program, only 96 messages (11.3%, 96/843) used keywords. At 12 weeks, 40% (16/40) of participants were biochemically verified (87%, 35/40, follow-up rate). The majority of participants (85%, 30/35) reported being very satisfied or extremely satisfied with the program. Conclusions The Vive sin Tabaco... ¡Decídete! smoking cessation mobile intervention was accepted by participants, generated high satisfaction and high text messaging interactivity, and resulted in a noteworthy cessation rate at the end of treatment. This intervention is a promising strategy for smoking cessation in Mexico. Additional testing as a formal randomized clinical trial appears warranted.

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“…This demonstrates the great complexity of the problem of smoking and the importance of undertaking novel strategies for cessation in Mexico. Mobile health interventions are a promising mode to enhance smoking cessation treatment in Mexico (Cartujano-Barrera et al, 2020 ; Cupertino, Cartujano-Barrera, Perales, et al, 2019 ; Cupertino, Cartujano-Barrera, Ramírez-Mantilla, et al, 2019 ; Ponciano-Rodríguez et al, 2018 ). Developments in the sophistication of mobile technologies allow for flexible delivery of text messages, with algorithms used to tailor content of motivational and behavioral needs for smoking cessation (Kong, Ells, Camenga, & Krishnan-Sarin, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

“…This study was part of the ‘ Vive sin tabaco … ¡Decídete! smoking cessation study’ – a collaboration between The National Institute of Public Health (INSP) in Mexico and The University of Kansas Medical Center (KUMC) (Cupertino, Cartujano-Barrera, Perales, et al, 2019 ; Ponciano-Rodríguez et al, 2018 ). The study was conducted at two primary healthcare clinics of the Institute of Security and Social Services of State Workers ( ISSSTE acronym in Spanish), located in Mexico City.…”

Section: Methodsmentioning

confidence: 99%

Gender-related beliefs and attitudes about tobacco use and smoking cessation in Mexico

Rodríguez-Bolaños¹,

Caballero

Ponciano-Rodríguez

et al. 2021

Health Psychology and Behavioral Medicine

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Background. While overall trends in tobacco use among men are declining, tobacco use continues to rise significantly among women in developing countries. This study aimed to explore the gender-related beliefs and attitudes about tobacco use and smoking cessation in Mexico, one of the top five Latin America countries with the highest prevalence of tobacco consumption.Materials and Methods. This study was conducted using an explanatory qualitative methods design. Semi-structured interviews were conducted with 14 adults smokers (8 women & 6 men) who visited primary healthcare clinics in Mexico City. Two researchers independently coded the interviews and applied the final codes upon consensus. Inter-rater reliability was assessed for four groups of codewords (92% agreement), based on an ecological model on socio-cultural factors.Findings. Initiation to smoking in women begins out of curiosity, and in men by imitation. Also, women start using tobacco at an older age compared to men. During maintenance of smoking, women report experiencing loneliness and anxiety about multiple responsibilities, e.g. women reveal that they feel guilty when they smoke due to their maternal role as caregivers. Additionally, some women report that smoking is a symbol of freedom, recalling the media messages associated with promoting tobacco products. Among men, the results show that they smoke for pleasure and to socialize, and consider that women smoke to imitate men and feel powerful. Regarding cessation, women are ambivalent about quitting smoking or not, and men mention not needing professional support. For organizational barriers, women mention the cost of treatment and men, the distance to clinics.Conclusion. Smoking cessation interventions should be proposed from an approach that involves changes in social norms, seeking a more equitable relationship between men and ARTICLE HISTORY

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Enhancing smoking cessation in Mexico using an e-Health tool in primary healthcare

Abstract: Enhancing smoking cessation in Mexico using an e-Health tool in primary healthcare.

Cited by 9 publications

References 22 publications

Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

A Mobile Smoking Cessation Intervention for Mexico (Vive sin Tabaco... ¡Decídete!): Single-Arm Pilot Study

Gender-related beliefs and attitudes about tobacco use and smoking cessation in Mexico

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