scholarly journals Appeal of novel cessation intervention approaches among young-adult users of traditional and alternative tobacco products

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110411
Author(s):  
Carla J Berg ◽  
Katelyn F Romm ◽  
Brooke Patterson ◽  
Christina Wysota ◽  
Lorien C Abroms
Keyword(s):  
Young Adult ◽  
Text Messaging ◽  
Cigarette Use ◽  
Smartphone Apps ◽  
Oral Medications ◽  
Cessation Intervention ◽  
Program Function ◽  
Cigarette Cessation ◽  
Alternative Tobacco Products ◽  
Behavioral Monitoring

Significance Given limited research on young-adult tobacco cessation interventions, we examined preferred tobacco/e-cigarette cessation approaches among young-adult tobacco/e-cigarette users. Methods We analyzed Spring 2020 data from a longitudinal study of young adults (ages 18–34) across 6 metropolitan areas (Atlanta, Boston, Minneapolis, Oklahoma City, San Diego, and Seattle). We examined tobacco/e-cigarette use and self-reported appeal of various intervention approaches, and regarding technology-based approaches, the appeal of types of technology and intervention functions. Results In this sample of past 6-month tobacco/e-cigarette users (Mage = 24.69; 48.4% male; 73.3% White), 59.6% used e-cigarettes, and 48.2% used cigarettes. The most frequently endorsed intervention approach was nicotine replacement therapy (NRT; 72.7%), followed by technology-based programs (70.0%) and oral medications (53.0%). The most frequently endorsed technology-based approach was smartphone apps (85.9%), followed by programs involving text-messaging (62.1%), websites (57.1%), social media (48.4%), and video counseling (41.6%). The most frequently endorsed technology-based program function was behavioral monitoring (68.3%), followed by earning rewards (60.3%). We identified no differences in approach appeal among subcategories of tobacco/e-cigarette users. Conclusions Findings underscore the promise of technology-based approaches, particularly apps, and text-messaging for tobacco/e-cigarette cessation, and functions like behavioral monitoring and gamification. Additionally, appropriate and effective NRT use for young-adult tobacco/e-cigarette users warrants further research.

scholarly journals Using Smartphone Apps to Promote Psychiatric Rehabilitation in a Peer-led Community Support Program (Preprint)

2018 ◽  
Author(s):  
Nora E Mueller ◽  
Trishan Panch ◽  
Cathaleene Macias ◽  
Bruce M Cohen ◽  
Dost Ongur ◽  
...  
Keyword(s):  
Mental Illness ◽  
Text Messaging ◽  
Psychiatric Rehabilitation ◽  
Community Support ◽  
Support Program ◽  
Smartphone Apps ◽  
Persistent Mental Illness ◽  
Community Support Program ◽  
Peer Specialists ◽  
Peer Specialist

BACKGROUND Management of severe and persistent mental illness is a complex, resource-intensive challenge for individuals, their families, their treaters, and the healthcare system at large. Community based rehabilitation, in which peer specialists provide support for individuals managing their own condition, has demonstrated effectiveness, but has only been implemented in specialty centers. It remains unclear how the peer based community rehabilitation model could be expanded, given that it requires significant resources to both establish and maintain. OBJECTIVE Here, we describe the results from a study of one such program implemented within Waverley Place, a community support program at McLean Hospital emphasizing psychiatric rehabilitation for individuals with severe and persistent mental illness. Key questions were whether the patients could and would successfully use the app. METHODS The smartphone app offered multiple features relevant to psychiatric rehabilitation, including daily task lists and text messaging with peer specialists. Thirteen patients downloaded the app and used it for up to 90 days. RESULTS Only two patients were not able to complete app installation. Five patients were able to use the app regularly as part of their daily lives. No demographic or clinical features predicted ability to use the app in this way, but receiving a message from the certified peer specialist on the first day after installing the app did. Reasons for success or failure were highly individualistic. CONCLUSIONS Smartphone apps may become a useful tool for psychiatric rehabilitation, addressing both psychiatric and co-occurring medical problems. Individualizing functions to each patient and facilitating connection with a certified peer specialist may be an important feature of useful apps.

scholarly journals e-Cigarette Use Among Young Adult Cancer Survivors Relative to the US Population

JAMA Oncology ◽  
2020 ◽  
Vol 6 (6) ◽  
pp. 923 ◽  
Author(s):  
Helen M. Parsons ◽  
Patricia I. Jewett ◽  
Karim Sadak ◽  
Lucie M. Turcotte ◽  
Rachel I. Vogel ◽  
...  
Keyword(s):  
Young Adult ◽  
Cancer Survivors ◽  
Cigarette Use ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
The Us ◽  
Young Adult Cancer

scholarly journals Compliance in Controlled E-cigarette Studies

2020 ◽  
Author(s):  
Meghan E Rebuli ◽  
Feifei Liu ◽  
Robert Urman ◽  
Jessica L Barrington-Trimis ◽  
Sandrah P Eckel ◽  
...  
Keyword(s):  
Young Adult ◽  
Study Protocol ◽  
User Satisfaction ◽  
Cigarette Use ◽  
Serum Cotinine ◽  
Future Studies ◽  
Closed Systems ◽  
Convenience Sampling ◽  
Protocol Compliance ◽  
And Biological Markers

Abstract Introduction E-cigarette studies have found that the use of a variety of flavors and customizable devices results in greater use frequency and user satisfaction. However, standardized research e-cigarettes are being developed as closed systems with limited flavor options, potentially limiting user satisfaction. In this study, we explore protocol compliance in an e-cigarette study using a standardized, assigned device with puff time and duration tracking (controlled e-cigarette) and potential limitations that controlled devices and e-liquids can introduce. Methods In a crossover study, 49 young adult e-cigarette users were recruited using convenience sampling and assigned a controlled e-cigarette device and flavored or unflavored e-liquids on standardized protocols. E-cigarette use frequency (number of puffs per day, collected from the device) and serum cotinine levels were obtained at each of three study visits over 3 weeks. The correlation of cotinine and e-cigarette use over the preceding week was calculated at each study visit. Results Correlation of nicotine intake, as measured by serum cotinine, and puff time, as measured by puffs count and duration from the e-cigarette device, as an indicator of study protocol compliance, substantially declined after the first week of the study and were no longer correlated in the remaining study weeks (R2 = 0.53 and p ≤ .01 in week 1, R2 < 0.5 and p > .05 for remaining weeks). Conclusions There is an emerging need for controlled e-cigarette exposures studies, but low compliance in the use of assigned devices and e-liquids may be a limitation that needs to be mitigated in future studies. Implications This study is the first to analyze compliance with instructions to use a standardized e-cigarette device with puff time and duration tracking (controlled e-cigarette) across all subjects and an assigned e-liquid flavor over a 3-week period. We find that protocol compliance, as measured by correlations between e-cigarette use measures and cotinine levels, was only achieved in the first week of the study and declined thereafter. These findings indicate that the assignment of a study device and instruction to only use the study device with assigned e-liquid flavor may not be sufficient to ensure participant compliance with the study protocol. We suggest that additional measures, including behavioral and biological markers, are needed to ensure sole use of the study e-cigarette and e-liquid and to be able to interpret results from controlled e-cigarette studies.

scholarly journals Developing a text messaging-based smoking cessation intervention for young smokers experiencing homelessness

2019 ◽  
Vol 15 (1) ◽  
pp. 35-43
Author(s):  
Joan S. Tucker ◽  
Sebastian Linnemayr ◽  
Eric R. Pedersen ◽  
William G. Shadel ◽  
Rushil Zutshi ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Young People ◽  
Text Messaging ◽  
Homeless Youth ◽  
Cessation Intervention ◽  
Qualitative Feedback ◽  
Quitting Smoking ◽  
Young Smokers ◽  
Future Evaluation ◽  
Text Messaging Intervention

AbstractIntroductionCigarette smoking is highly prevalent among young people experiencing homelessness, and many of these smokers are motivated to quit. However, there is a lack of readily available cessation services for this population, which is highly mobile and can be challenging to engage in services.AimsWe describe the development of a smoking cessation text messaging intervention (TMI) for homeless youth who are interested in quitting smoking.MethodsParticipants were 18–25 years old and recruited from drop-in centers serving homeless youth. Three focus groups (N = 18) were conducted with smokers to refine the TMI content, and a separate sample of smokers (N = 8) provided feedback on the TMI after using it for 1 week. Survey data assessed the TMI's acceptability and feasibility.ResultsParticipants generally rated the TMI as helpful and relevant, and nearly all had cell phone plans that included unlimited texting and were able to view TMI content with few difficulties. Qualitative feedback on strengths/limitations of the TMI in terms of content, tone, and delivery parameters was used to finalize the TMI for a future evaluation.ConclusionsResults suggest that a TMI is a feasible and acceptable option for young people experiencing homelessness who are interested in quitting smoking.

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