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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2023
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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. |
format | Online Article Text |
id | pubmed-10363999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
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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