@Article{info:doi/10.2196/12482,
author="Cupertino, Ana Paula
and Cartujano-Barrera, Francisco
and Ram{\'i}rez, Mariana
and Rodr{\'i}guez-Bola{\~{n}}os, Rosibel
and Thrasher, James F
and P{\'e}rez-Rubio, Gloria
and Falf{\'a}n-Valencia, Ramc{\'e}s
and Ellerbeck, Edward F
and Reynales-Shigematsu, Luz Myriam",
title="A Mobile Smoking Cessation Intervention for Mexico (Vive sin Tabaco... {\textexclamdown}Dec{\'i}dete!): Single-Arm Pilot Study",
journal="JMIR Mhealth Uhealth",
year="2019",
month="Apr",
day="25",
volume="7",
number="4",
pages="e12482",
keywords="smoking; smoking cessation; mHealth; text messages; global health",
abstract="Background: Of the 14.3 million Mexicans who smoke, only a minority take advantage of evidence-based approaches to smoking cessation. Mobile health interventions have the potential to increase the reach of effective cessation interventions in Mexico. Objective: This study aimed to assess the feasibility and acceptability of an innovative, personalized, and interactive smoking cessation mobile intervention developed for Mexican smokers. Methods: We recruited 40 Mexican smokers to participate in Vive sin Tabaco... {\textexclamdown}Dec{\'i}dete!, a smoking cessation program that uses a tablet-based decision support software to drive a 12-week text messaging smoking cessation program and pharmacotherapy support. Outcome measures included participant text messaging interactivity with the program, participant satisfaction, and 12-week verified abstinence using urinary cotinine testing or exhaled carbon monoxide. Results: Average age of the participants was 36 years (SD 10.7), and they were primarily male (65{\%}, 26/40) with at least an undergraduate degree (62{\%}, 25/40). Most participants (95{\%}, 38/40) smoked daily and were interested in quitting in the next 7 days. As an indicator of participant interactivity, participants sent an average of 21 text messages during the 12-week intervention (SD 17.62). Of the 843 messages that participants sent to the program, only 96 messages (11.3{\%}, 96/843) used keywords. At 12 weeks, 40{\%} (16/40) of participants were biochemically verified (87{\%}, 35/40, follow-up rate). The majority of participants (85{\%}, 30/35) reported being very satisfied or extremely satisfied with the program. Conclusions: The Vive sin Tabaco... {\textexclamdown}Dec{\'i}dete! smoking cessation mobile intervention was accepted by participants, generated high satisfaction and high text messaging interactivity, and resulted in a noteworthy cessation rate at the end of treatment. This intervention is a promising strategy for smoking cessation in Mexico. Additional testing as a formal randomized clinical trial appears warranted. ",
issn="2291-5222",
doi="10.2196/12482",
url="http://mhealth.jmir.org/2019/4/e12482/",
url="https://doi.org/10.2196/12482",
url="http://www.ncbi.nlm.nih.gov/pubmed/31021326"
}