Engagement and abstinence among users of a smoking cessation text message program for veterans.

<bold>Background: </bold>SmokefreeVET is a text messaging smoking cessation program available to veterans enrolled in the Veterans Health Administration. SmokefreeVET was developed in collaboration with the National Cancer Institute as part of the SmokefreeTXT initiative.<bold>Purpose: </bold>To eva...

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Publicado en:Addictive Behaviors Vol. 62; pp. 47 - 54
Autores principales: Christofferson, Dana E., Hertzberg, Jeffrey S., Beckham, Jean C., Dennis, Paul A., Hamlett-Berry, Kim
Formato: journal article
Publicado: Elsevier B.V. Nov2016
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2016
      vid: 62
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      pub: Elsevier B.V.
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        116862577
        10.1016/j.addbeh.2016.06.016
      ppf: 47
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        atl: Engagement and abstinence among users of a smoking cessation text message program for veterans.
      aug:
        au:
          Christofferson, Dana E.
          Hertzberg, Jeffrey S.
          Beckham, Jean C.
          Dennis, Paul A.
          Hamlett-Berry, Kim
        affil:
          Office of Patient Care Services, Veterans Health Administration, U.S. Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, United States
          Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, United States
          VA Mid-Atlantic Mental Illness Research Education and Clinical Center, 508 Fulton Street, Durham, NC 27705, United States
          Duke University Medical Center, Department of Psychiatry and Behavioral Sciences, 2301 Erwin Road, Durham, NC 27705, United States
      su:
        Veterans' health
        Demography
        Smoking cessation
        Nonsmoking areas
        Latent class analysis (Statistics)
      sug:
        subj:
          Veterans' health
          Demography
          All other ambulatory health care services
          All Other Miscellaneous Ambulatory Health Care Services
          Administration of Veterans' Affairs
          Smoking cessation
          Nonsmoking areas
          Latent class analysis (Statistics)
      keyword:
        Cessation
        Engagement
        mHealth
        Smoking
        Tobacco
        Veteran
        Cessation
        Engagement
        mHealth
        Smoking
        Tobacco
        Veteran
      ab: <bold>Background: </bold>SmokefreeVET is a text messaging smoking cessation program available to veterans enrolled in the Veterans Health Administration. SmokefreeVET was developed in collaboration with the National Cancer Institute as part of the SmokefreeTXT initiative.<bold>Purpose: </bold>To evaluate the real world use of and effectiveness of the SmokefreeVET program for SmokefreeVET users who enrolled between 2013 and 2014.<bold>Methods: </bold>Demographics and smoking behavior of 1470 SmokefreeVET users who enrolled between 2013 and 2014 were analyzed. Latent growth mixture modeling was used to identify discrete classes of SmokefreeVET users based on engagement patterns. Multi-level modeling determined class differences in abstinence.<bold>Results: </bold>The average age of the SmokefreeVET user was 48, 75% of users were male, and 84% were daily smokers. After five weeks, 13% of all users reported abstinence from smoking. Five statistically distinct engagement classes of SmokefreeVET users were identified. Highly engaged classes were significantly less likely to opt-out and more likely to report abstinence. Over 60% of users who were classified as high engagers throughout the program reported abstinence 5weeks after their quit date. Users were more likely to report abstinence after two weeks if they used smoking cessation medication than those that did not use medication (OR=9.01, p<0.001).<bold>Conclusions: </bold>SmokefreeVET may be effective at supporting abstinence among a real world group of highly engaged users. Smoking cessation medication use was also associated with abstinence in SmokefreeVET users. Engagement appears to be a critical component when assessing the efficacy of a text messaging smoking cessation intervention.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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