Feasibility and Acceptability of a Culturally- and Linguistically-Adapted Smoking Cessation Text Messaging Intervention for Latino Smokers
Feasibility and Acceptability of a Culturally- and Linguistically-Adapted Smoking Cessation Text Messaging Intervention for Latino Smokers
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DOI：
10.3389/fpubh.2020.00269
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发表时间：
2020-06-30
影响因子：
5.2
通讯作者：
Cupertino, Ana Paula
中科院分区：
文献类型：
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作者：
Cartujano-Barrera, Francisco;Cox, Lisa Sanderson;Cupertino, Ana Paula
目的：评估拉丁裔吸烟者在文化和语言上适应的戒烟短信干预的可行性和可接受性。方法：采用以社区为基础的策略，招募50名拉丁裔吸烟者参与戒烟先导研究。参与者接受了为期12周的短信干预，并免费提供尼古丁替代疗法(NRT)。我们评估了12周时生物化学证实的戒酒情况、与程序的短信互动性、NRT利用率、自我效能、治疗联盟和满意度。结果：参与者的平均年龄为44.8岁(SD 9.80)，他们主要是男性(66%)，没有医疗保险(78%)。大多数参与者出生在墨西哥(82%)，并且是轻度吸烟者(1-10 CPD)(68%)。所有参与者都要求了第一份NRT，66%的人要求续订。在为期12周的干预期间，参与者平均发送39.7条短信(SD 82.70)。12周时，30%的参与者生化证实戒酒(随访率为88%)，工作联盟平均值为79.2(SD 9.04)。自我效能感平均得分从基线的33.98(SD 10.36)增加到40.05(SD 17.65)(p=0.04)。大多数参与者(90.9%，40/44)对该计划表示非常或非常满意。结论：为拉美裔人提供了一种文化和语言相适应的戒烟短信干预，为增加NRT的使用提供了一种有前景的战略，产生了高度的满意度和频繁的互动，显著提高了自我效能，产生了高度的治疗联盟，并在治疗结束时产生了显著的戒烟率。作为一项正式的随机临床试验，额外的测试是必要的。
Objective:Assess the feasibility and acceptability of a culturally- and linguistically-adapted smoking cessation text messaging intervention for Latino smokers. Methods:Using a community-based strategy, 50 Latino smokers were recruited to participate in a smoking cessation pilot study. Participants received a 12-week text messaging intervention and were offered Nicotine Replacement Therapy (NRT) at no cost. We assessed biochemically verified abstinence at 12 weeks, text messaging interactivity with the program, NRT utilization, self-efficacy, therapeutic alliance, and satisfaction. Results:Participants were 44.8 years old on average (SD 9.80), and they were primarily male (66%) and had no health insurance (78%). Most of the participants were born in Mexico (82%) and were light smokers (1-10 CPD) (68%). All participants requested the first order of NRT, and 66% requested a refill. Participants sent an average of 39.7 text messages during the 12-week intervention (SD 82.70). At 12 weeks, 30% of participants were biochemically verified abstinent (88% follow-up rate) and working alliance mean value was 79.2 (SD 9.04). Self-efficacy mean score increased from 33.98 (SD 10.36) at baseline to 40.05 (SD 17.65) at follow-up (p= 0.04). The majority of participants (90.9%, 40/44) reported being very or extremely satisfied with the program. Conclusion:A culturally- and linguistically-adapted smoking cessation text messaging intervention for Latinos offers a promising strategy to increase the use of NRT, generated high satisfaction and frequent interactivity, significantly increased self-efficacy, produced high therapeutic alliance, and resulted in noteworthy cessation rates at the end of treatment. Additional testing as a formal randomized clinical trial is warranted.