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Area of Science:

  • Digital Health
  • Behavioral Science
  • Public Health

Background:

  • Mobile phone text messaging (SMS) is a proven method for delivering smoking cessation interventions.
  • Optimal usage patterns for automated text message programs remain largely unexplored.

Purpose of the Study:

  • To investigate user engagement with QuitTxt, an interactive, automated text messaging smoking cessation program.
  • To examine preferences for messaging frequency and duration of use.
  • To assess the association between program use and short-term cessation outcomes or perceived helpfulness.

Main Methods:

  • QuitTxt was utilized by 924 smokers/recent quitters within a randomized controlled trial.
  • Outcome data, including quit attempts, 7-day point prevalence abstinence, and perceived helpfulness, were collected one month post-initiation.
  • User interaction data, such as status change reporting and emergency help usage, were analyzed.

Main Results:

  • The majority (68.9%) opted for the default 4-8 messages daily, with a median usage duration of 27 days.
  • Nearly half (49.1%) missed reporting at least one status change; relapses were reported less frequently than quit progression.
  • Emergency help was accessed by 27.0% of eligible users, more so by those with recent quit experience and lower nicotine dependence, but was unrelated to cessation outcomes.

Conclusions:

  • User engagement with QuitTxt demonstrated significant variability, highlighting that perfect adherence to status reporting is not critical for perceived helpfulness.
  • The emergency help feature, though used infrequently, was valued by users.
  • Findings suggest flexibility in automated text messaging program design for smoking cessation support.