A Mobile Smoking Cessation Intervention for Mexico (Vive sin Tabaco ... !Decidete!): Single-Arm Pilot Study
A Mobile Smoking Cessation Intervention for Mexico (Vive sin Tabaco ... !Decidete!): Single-Arm Pilot Study
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DOI：
10.2196/12482
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发表时间：
2019-04-25
影响因子：
5
通讯作者：
Myriam Reynales-Shigematsu, Luz
中科院分区：
文献类型：
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作者：
Cupertino, Ana Paula;Cartujano-Barrera, Francisco;Myriam Reynales-Shigematsu, Luz
背景：在1430万吸烟的墨西哥人中，只有一小部分人利用循证戒烟方法。移动健康干预有可能扩大墨西哥有效戒烟干预的覆盖面。目的：本研究旨在评估为墨西哥吸烟者开发的创新、个性化和交互式戒烟移动干预的可行性和可接受性。方法：我们招募了40名墨西哥吸烟者参加Vive Sin Tabaco...！Decidete！，这是一个戒烟计划，使用基于平板电脑的决策支持软件来驱动为期12周的短信戒烟计划和药物治疗支持。结果：参与者的平均年龄为36岁(SD 10.7)，主要为男性(65%，26/40)，本科以上学历(62%，25/40)。大多数参与者(95%，38/40)每天吸烟，并有兴趣在接下来的7天内戒烟。作为参与者互动的一个指标，参与者在12周的干预期间平均发送了21条短信(SD 17.62)。在参与者发送给该项目的843条信息中，只有96条(11.3%，96/843)使用了关键字。在12周时，40%(16/40)的参与者得到了生化验证(87%，35/40，随访率)。大多数参与者(85%，30/35)对该计划表示非常满意或非常满意。参与者接受了戒烟移动干预，产生了高满意度和高短信互动性，并在治疗结束时产生了值得注意的戒烟率。这种干预是墨西哥戒烟的一种很有前途的策略。作为一项正式的随机临床试验，额外的测试似乎是必要的。
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 ... !Decidete!, 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 ... !Decidete! 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.