Evaluation of Feasibility and Acceptability of a Text-Messaging Intervention for Tobacco Cessation in India.

Evaluation of Feasibility and Acceptability of a Text-Messaging Intervention for Tobacco Cessation in India.
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DOI:
10.1093/ntr/ntad163
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发表时间:
2024-01-01
影响因子:
4.7
通讯作者:
Naughton, Felix
Naughton, Felix
中科院分区:
医学2区
文献类型:
--
作者:
Nadkarni, Abhijit;Gaikwad, Leena;Sequeira, Miriam;Velleman, Richard;D'souza, Joseline;Hoble, Ankita;Haldankar, Rajanish;Murthy, Pratima;Naughton, Felix

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我们研究的目的是评估在印度通过手机短信提供的简短戒烟行为干预的可行性和可接受性。我们对当前吸烟的成人进行了一项不受控制的干预队列研究。参与者在手机上收到干预消息八周。我们收集了有关参与者对干预措施的实施和接受的看法、干预措施的可接受性和可行性的定性数据。招募后 3 个月测量的结果是自我报告的 7 天和 28 天点流行率戒烟情况,以及烟草的酒精、吸烟和物质参与筛查测试 (ASSIST) 风险类别——低 (0-3)、中 (4-26) 和高 (≥27)。我们招募了 26 名符合条件的参与者,其中 22 名完成了结果评估。参与者普遍认为干预内容易于获取并且有助于促进烟草使用的改变。没有参与者表示他们想停止接收干预消息。一些提高可接受性的建议包括通过更深入的咨询和多媒体内容的使用来补充短信。 18% 的参与者报告在过去 7 和 28 天内禁欲。与吸烟者相比,使用无烟烟草的人在随访中戒烟的比例更高(42.9% vs. 6.7%;p = .04)。如果有效、简单且低成本的手机短信可用于提供烟草使用干预措施,并且有可能扩大规模,以便向有兴趣接受戒烟支持的吸烟者群体提供干预措施。我们的研究是朝着制定适合低收入和中等收入国家的具体情况相关干预措施迈出的重要一步,该干预措施能够满足吸烟和无烟烟草使用者的需求。如果发现有效,我们的干预措施将成为一个可扩展的解决方案,以克服在资源匮乏的环境中获得戒烟服务的人力资源相关障碍。
The aim of our study was to assess the feasibility and acceptability of a brief behavioral intervention for tobacco cessation delivered via mobile phone text messaging in India. We conducted an uncontrolled intervention cohort study in adult current users of tobacco. The participants received intervention messages on their mobile phones for eight weeks. We collected qualitative data about participants’ perceptions of intervention delivery and receipt, acceptability, and feasibility of the intervention. The outcomes measured at 3 months post-recruitment were self-reported 7- and 28-day point-prevalence abstinence, and Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) risk categories for tobacco—low (0–3), moderate (4–26), and high (≥27). We recruited 26 eligible participants, and 22 completed the outcome assessments. The participants generally perceived the intervention content to be simple to access and useful in facilitating a change in tobacco use. None of the participants indicated that they wanted to discontinue receiving the intervention messages. Some suggestions for enhancing acceptability included supplementing text messaging with more intensive counseling and the use of multimedia content. Eighteen percent of participants reported abstinence in the past 7 and 28 days. A greater proportion of those who used smokeless tobacco were abstinent at follow-up compared to those who smoked (42.9% vs. 6.7%; p = .04). If effective, simple and low-cost mobile phone text messaging can be used to deliver interventions for tobacco use, and has the potential to be scaled up so it can be delivered to populations of smokers interested in receiving cessation support. Our study is an important step towards the development of a contextually relevant intervention suited for low- and middle-income countries and which is responsive to the needs of both those who use smoked and smokeless tobacco. If found to be effective, our intervention would be a scalable solution to overcome the human resource related barrier to accessing tobacco cessation services in low resource settings.
DOI: 10.1186/s13033-022-00548-5
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DOI: 10.1016/s2215-0366(17)30096-2
发表时间: 2017-06
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制定和评估复杂的干预措施:新的医学研究委员会指南。
DOI: 10.1136/bmj.a1655
发表时间: 2008-09-29
期刊: BMJ (Clinical research ed.)
影响因子: --
作者:
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者: Medical Research Council Guidance
DOI: 10.1016/j.jsat.2021.108331
发表时间: 2021-02-19
影响因子: 3.9
作者:
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通讯作者: Heath, Anna
DOI: 10.1016/s0140-6736(17)30819-x
发表时间: 2017-05-13
期刊: Lancet (London, England)
影响因子: --
作者:
GBD 2015 Tobacco Collaborators
通讯作者: GBD 2015 Tobacco Collaborators