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Steps in tailoring a text messaging-based smoking cessation program for young adults.

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Developing effective text messaging smoking cessation programs for young adults requires iterative refinement. User feedback is crucial for tailoring messages and ensuring technology functions properly for optimal quit rates.

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Area of Science:

  • Public Health
  • Health Behavior
  • Digital Health Interventions

Background:

  • Text messaging interventions for smoking cessation lack established development guidelines.
  • Young adults (18-25 years old) are a key demographic for smoking cessation efforts.
  • Refining digital health tools requires understanding user preferences and technological challenges.

Purpose of the Study:

  • To outline the steps involved in refining a text messaging-based smoking cessation program for young adults.
  • To identify effective strategies for recruiting young adult smokers into cessation programs.
  • To assess and address technological feasibility issues in digital health interventions.

Main Methods:

  • Focus groups (n=35) for needs assessment.
  • Content advisory team (n=10) for message acceptability.
  • Two beta tests (n=12, n=28) for technological feasibility.
  • Evaluation of various recruitment strategies.

Main Results:

  • Young adults prefer concrete behavioral strategies and positive messaging for smoking cessation.
  • Craigslist proved an efficient recruitment method, yielding diverse participants.
  • Initial technological feasibility was confirmed, but extensive issues arose during full program testing.
  • Iterative refinement based on user input improved message salience.

Conclusions:

  • User input and iterative adaptation are essential for developing salient text messaging interventions.
  • Extensive field testing is critical to ensure the technological functionality of digital health programs.
  • The refinement process highlighted the need for robust technological development alongside content optimization.