Text Messaging to Enhance Mindfulness-Based Smoking Cessation Treatment: Program Development Through Qualitative
Claire A Spears1, Sharrill A Bell1, Charlayne A Scarlett1
1Division of Health Promotion and Behavior, Georgia State University School of Public Health, Atlanta, GA, United States.
JMIR Mhealth and Uhealth
|January 9, 2019
Summary
Developing a mindfulness-based smoking cessation program with input from low-SES African American smokers resulted in a personalized, interactive text message intervention. This approach enhances engagement and support for quitting.
Area of Science:
- Behavioral Science
- Public Health
- Digital Health
Background:
- Mindfulness-based programs show promise for smoking cessation.
- Mobile health strategies can enhance engagement and support.
- Most mobile health programs lack target population input.
Purpose of the Study:
- To develop an SMS text messaging program teaching mindfulness for smoking cessation.
- To ensure the program is effective and meets the needs of low-SES African American adult smokers.
Main Methods:
- Two qualitative studies were conducted with low-SES African American adult smokers (N=25).
- Study 1 involved focus groups for initial program suggestions (n=15).
- Study 2 involved an abbreviated trial and in-depth interviews (n=10).
Main Results:
- Participants desired personalized, interactive (two-way) messaging with coping strategies.
- They preferred short, to-the-point messages and inclusion of pictures.
- Participants reported high engagement and usefulness of the program.
Conclusions:
- Involving the target population in development increases feasibility and effectiveness.
- SMS text messaging is a feasible and appealing method for personalized support.
- Mindfulness via SMS shows potential for low-income African American smokers.
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