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Decídetexto: Feasibility and Acceptability of a Mobile Smoking Cessation Intervention in Puerto Rico

Author

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  • Francisco Cartujano-Barrera

    (James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • Cristina I. Peña-Vargas

    (Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce, PR 00716, USA)

  • Evelyn Arana-Chicas

    (James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • José G. Pérez-Ramos

    (James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • Josiemer Mattei

    (Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Alejandra Hurtado-de-Mendoza

    (Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA)

  • Rosario Costas-Muñiz

    (Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA)

  • Julio Jiménez

    (Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce, PR 00716, USA)

  • Ana Paula Cupertino

    (James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642, USA)

  • Eida M. Castro

    (Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce, PR 00716, USA)

Abstract

The purpose of this pilot study was to assess the feasibility and acceptability of a mobile smoking cessation intervention in Puerto Rico. This was a single-arm pilot study with 26 smokers in Puerto Rico who were enrolled in Decídetexto, a mobile smoking cessation intervention. Decídetexto incorporates three integrated components: (1) a tablet-based software that collects smoking-related information to develop an individualized quit plan, (2) a 24-week text messaging counseling program with interactive capabilities, and (3) pharmacotherapy support. Outcome measures included self-reported 7-day point prevalence abstinence at Months 3 and 6, pharmacotherapy adherence, satisfaction with the intervention, and changes in self-efficacy. The average age of the participants was 46.8 years (SD 12.7), half of them (53.8%) were female. Most participants (92.3%) smoked daily and half of them (53.8%) used menthol cigarettes. All participants requested nicotine patches at baseline. However, only 13.0% of participants used the patch >75% of days. At Month 3, 10 participants (38.4%) self-reported 7-day point prevalence abstinence (88.5% follow-up rate). At Month 6, 16 participants (61.5%) self-reported 7-day point prevalence abstinence (76.9% follow-up rate). Most participants (90%, 18/20) reported being satisfied/extremely satisfied with the intervention at Month 6. Self-efficacy mean scores significantly increased from 40.4 (SD 12.1) at baseline to 57.9 (SD 11.3) at Month 3 ( p < 0.01). The study suggests that Decídetexto holds promise for further testing among Puerto Rican smokers.

Suggested Citation

  • Francisco Cartujano-Barrera & Cristina I. Peña-Vargas & Evelyn Arana-Chicas & José G. Pérez-Ramos & Josiemer Mattei & Alejandra Hurtado-de-Mendoza & Rosario Costas-Muñiz & Julio Jiménez & Ana Paula Cu, 2021. "Decídetexto: Feasibility and Acceptability of a Mobile Smoking Cessation Intervention in Puerto Rico," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1379-:d:492169
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    References listed on IDEAS

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    1. Pérez-Stable, E.J. & Ramirez, A. & Villareal, R. & Talavera, G.A. & Trapido, E. & Suarez, L. & McAlister, J. & Marti, A., 2001. "Cigarette smoking behavior among US Latino men and women from different countries of origin," American Journal of Public Health, American Public Health Association, vol. 91(9), pages 1424-1430.
    2. Becerra, J.E. & Atrash, H.K. & Perez, N. & Saliceti, J.A., 1993. "Low birthweight and infant mortality in Puerto Rico," American Journal of Public Health, American Public Health Association, vol. 83(11), pages 1572-1576.
    3. Nancy Landale, 1994. "Migration and the latino family: The union formation behavior of Puerto Rican women," Demography, Springer;Population Association of America (PAA), vol. 31(1), pages 133-157, February.
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