Journal article
Results of a Single Arm Pilot Study of a Mobile Messaging Intervention for Hookah Tobacco Cessation in Young Adults
Tobacco use insights, v 13(91), 1179173
01 Apr 2020
PMID: 32440243
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: Hookah tobacco use is common among young adults. Unlike cigarette smoking, there is limited evidence on mobile (ie, mHealth) interventions to promote cessation.
OBJECTIVES: This pilot study tested the preliminary effects of mobile messaging for cessation in young adult hookah smokers.
METHODS: Young adults (N = 20) aged 18 to 30 years who smoke hookah at least monthly and have done so at least once in the past 30 days received a 6-week mHealth multimedia messaging (text and images) intervention. Message scheduling (2 days/week x 6 weeks) was based on the literature. Content was developed iteratively by the study team and focused on health harms and addictiveness of hookah. Content was individually tailored by baseline hookah use frequency, risk beliefs, and responses to interactive text messages assessing participants' hookah tobacco use behavior and beliefs to maximize impact. Engagement was assessed during the intervention, and we examined effects on risk perceptions, risk beliefs, and risk appraisals, motivation to quit, and behavior change immediately post-intervention.
RESULTS: Participants responded to 11.5 (SD = 0.69) of 12 text message prompts on average, endorsed high message receptivity (M = 6.1, SD = 0.93, range = 1-7), and reported the messages were helpful (M = 8.5, SD = 1.5, range = 1-10). There were significant (P < .05) increases in risk perceptions (d's = 0.22-0.88), risk appraisals (d = 0.49), risk beliefs (d = 1.11), and motivation to quit (d = 0.97) post-intervention. Half of participants reported reducing frequency of hookah use (20%) or quitting completely (30%) by end of treatment.
CONCLUSIONS: These pilot results provide preliminary support for an mHealth messaging intervention about risks of hookah tobacco for promoting cessation. Rigorously examining the efficacy of this promising intervention is warranted.
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Details
- Title
- Results of a Single Arm Pilot Study of a Mobile Messaging Intervention for Hookah Tobacco Cessation in Young Adults
- Creators
- Darren Mays - Georgetown University Medical CenterLilianna Phan - Georgetown University Medical CenterAndrea C. Johnson - Georgetown University Medical CenterKenneth P. Tercyak - Georgetown University Medical CenterKylie Snow - Georgetown UniversityGeorge Luta - Georgetown University Medical CenterKathryn Rehberg - Georgetown University Medical CenterIsaac Lipkus - Duke University
- Publication Details
- Tobacco use insights, v 13(91), 1179173
- Publisher
- Sage
- Number of pages
- 7
- Grant note
- CA217861 / National Cancer Institute of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000619925200001
- Other Identifier
- 991021894520704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health