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Noonan D, Silva S, Njuru J, Bishop T, Fish LJ, Simmons LA, Choi SH, Pollak KI. Feasibility of a text-based smoking cessation intervention in rural older adults. Health Educ Res 2018; 33:81-88. [PMID: 29309599 PMCID: PMC6279146 DOI: 10.1093/her/cyx080] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 11/30/2017] [Indexed: 05/10/2023]
Abstract
Text-based interventions are effective for smoking cessation, but have not been tested in rural older adults. The purpose of this study was to compare the feasibility, acceptability and preliminary efficacy of a text-based Scheduled Gradual Reduction (SGR) program to a non-SGR text messaging support condition among rural older adults. Adults over 60 years were randomized to either: (i) the SGR program (n = 20), a text-based program to reduce smoking over 4-weeks plus text-based support messages; or (ii) control (n = 20), receipt of text-based support messages only. Participants completed surveys at baseline and end of program to assess feasibility and acceptability of the intervention, and biochemically validated 7-day point prevalence cessation was assessed at end of treatment. Most participants (81%) reported reading all the messages they received. Participants found both interventions useful in quitting smoking (SGR = 57%, Control = 63%) and would recommend it to a friend (SGR = 72%, Control = 79%). Although not statically significant, the SGR group had a higher rate of biochemically validated cessation (SGR = 15%, Control = 5%, Cohen d = 0.67). Among those still smoking, the median percent reduction in cigarettes was 33.3% for both groups. Text-based cessation interventions are feasible, acceptable and can be easily disseminated to rural older adult tobacco users.
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Affiliation(s)
- D Noonan
- Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA
- Cancer Control and Population Sciences, Duke Cancer Institute, 20 Duke Medicine Cir, Durham, NC 27710, USA
- Correspondence to: D. Noonan. E-mail:
| | - S Silva
- Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA
| | - J Njuru
- Duke Office of Clinical Research, Duke University School of Medicine, 2200 West Main Street 10th Floor, Suite 1000. Durham, NC 27705, USA
| | - T Bishop
- Duke Office of Clinical Research, Duke University School of Medicine, 2200 West Main Street 10th Floor, Suite 1000. Durham, NC 27705, USA
| | - L J Fish
- Cancer Control and Population Sciences, Duke Cancer Institute, 20 Duke Medicine Cir, Durham, NC 27710, USA
- Department of Community and Family Medicine, Duke University School of Medicine, 2100 Erwin Rd, Durham, NC 27705, USA
| | - L A Simmons
- Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA
| | - S H Choi
- Michigan State University College of Nursing, 1355 Bogue St, East Lansing, MI 48824, USA
| | - K I Pollak
- Duke Office of Clinical Research, Duke University School of Medicine, 2200 West Main Street 10th Floor, Suite 1000. Durham, NC 27705, USA
- Department of Population Health Sciences, Duke University School of Medicine, 2200 West Main Street, Suite 720A, Durham, NC 27707, USA
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