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Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups

BACKGROUND: Although the prevalence of smoking is significantly higher among sexual and gender minorities (SGM) than the general population, no text-based smoking cessation intervention has been specifically tailored to this group. The objective of this phase of our study was to develop SmokefreeSGM...

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Autores principales: Klaff, Rebecca, Tundealao, Samuel, Krenek, Brittany, Tamí-Maury, Irene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10363999/
https://www.ncbi.nlm.nih.gov/pubmed/37492121
http://dx.doi.org/10.21037/mhealth-23-4
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author Klaff, Rebecca
Tundealao, Samuel
Krenek, Brittany
Tamí-Maury, Irene
author_facet Klaff, Rebecca
Tundealao, Samuel
Krenek, Brittany
Tamí-Maury, Irene
author_sort Klaff, Rebecca
collection PubMed
description BACKGROUND: Although the prevalence of smoking is significantly higher among sexual and gender minorities (SGM) than the general population, no text-based smoking cessation intervention has been specifically tailored to this group. The objective of this phase of our study was to develop SmokefreeSGM, an SGM-tailored text-based smoking cessation program, and pilot test its design to inform the refinement of the program. METHODS: SmokefreeSGM was adapted from SmokefreeTXT, the National Cancer Institute’s text-based smoking cessation program, to respond to the needs of SGM smokers. In addition to tailored text messages, SmokefreeSGM includes a new keyword, STRESS, to address the unique psychosocial stressors of SGM smokers. Text messages were distributed to users over a 6-week period, and participants were provided with nicotine patches to aid their efforts to quit smoking. Demographic and tobacco use information was collected at baseline. Quantitative (related to engagement and usability) and qualitative (related to usability and acceptability) data was also collected at the 1-month assessment. RESULTS: A total of 18 SGM smokers were recruited for the pilot test. 38.9% of participants were male, 38.9% were female, and 22.2% were nonbinary. 27.8% of participants identified as gay, 11.1% as lesbians, 27.8% as bisexual females, 16.7% as bisexual males, and the remaining 16.7% as other. At baseline, two-thirds (66.7%) were moderate to highly dependent on nicotine and 44.4% had made more than five attempts to quit smoking. The average engagement rate for bidirectional text messages was 63.8%. However, the response rate to the tailored text messages (54%) was higher than the non-tailored text messages (41.9%). Nine participants completed the 1-month assessment and interview (50% retention rate). The System Usability Scale (SUS) score was 81.67 (±15.46). Furthermore, four major themes emerged from our qualitative analysis of the interviews (i.e., appreciation for the intervention, program, content, and drawbacks). CONCLUSIONS: Findings from the pilot test of SmokefreeSGM are not only encouraging in terms of engagement, usability and acceptability, but have also informed the refinement of the program prior to launching a feasibility trial.
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spelling pubmed-103639992023-07-25 Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups Klaff, Rebecca Tundealao, Samuel Krenek, Brittany Tamí-Maury, Irene Mhealth Original Article BACKGROUND: Although the prevalence of smoking is significantly higher among sexual and gender minorities (SGM) than the general population, no text-based smoking cessation intervention has been specifically tailored to this group. The objective of this phase of our study was to develop SmokefreeSGM, an SGM-tailored text-based smoking cessation program, and pilot test its design to inform the refinement of the program. METHODS: SmokefreeSGM was adapted from SmokefreeTXT, the National Cancer Institute’s text-based smoking cessation program, to respond to the needs of SGM smokers. In addition to tailored text messages, SmokefreeSGM includes a new keyword, STRESS, to address the unique psychosocial stressors of SGM smokers. Text messages were distributed to users over a 6-week period, and participants were provided with nicotine patches to aid their efforts to quit smoking. Demographic and tobacco use information was collected at baseline. Quantitative (related to engagement and usability) and qualitative (related to usability and acceptability) data was also collected at the 1-month assessment. RESULTS: A total of 18 SGM smokers were recruited for the pilot test. 38.9% of participants were male, 38.9% were female, and 22.2% were nonbinary. 27.8% of participants identified as gay, 11.1% as lesbians, 27.8% as bisexual females, 16.7% as bisexual males, and the remaining 16.7% as other. At baseline, two-thirds (66.7%) were moderate to highly dependent on nicotine and 44.4% had made more than five attempts to quit smoking. The average engagement rate for bidirectional text messages was 63.8%. However, the response rate to the tailored text messages (54%) was higher than the non-tailored text messages (41.9%). Nine participants completed the 1-month assessment and interview (50% retention rate). The System Usability Scale (SUS) score was 81.67 (±15.46). Furthermore, four major themes emerged from our qualitative analysis of the interviews (i.e., appreciation for the intervention, program, content, and drawbacks). CONCLUSIONS: Findings from the pilot test of SmokefreeSGM are not only encouraging in terms of engagement, usability and acceptability, but have also informed the refinement of the program prior to launching a feasibility trial. AME Publishing Company 2023-06-12 /pmc/articles/PMC10363999/ /pubmed/37492121 http://dx.doi.org/10.21037/mhealth-23-4 Text en 2023 mHealth. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Klaff, Rebecca
Tundealao, Samuel
Krenek, Brittany
Tamí-Maury, Irene
Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title_full Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title_fullStr Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title_full_unstemmed Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title_short Designing and pilot-testing SmokefreeSGM: a text-based smoking cessation intervention for sexual and gender minority groups
title_sort designing and pilot-testing smokefreesgm: a text-based smoking cessation intervention for sexual and gender minority groups
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10363999/
https://www.ncbi.nlm.nih.gov/pubmed/37492121
http://dx.doi.org/10.21037/mhealth-23-4
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