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A Vaping Cessation Text Message Program for Adolescent E-Cigarette Users: A Randomized Clinical Trial.

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A text message program effectively helped adolescents quit vaping. This intervention significantly increased cessation rates compared to controls, offering a new tool for teen nicotine cessation.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Digital Health Interventions

Background:

  • E-cigarettes are the most prevalent tobacco product among adolescents.
  • Nicotine exposure during adolescence poses significant health risks.
  • Empirically validated vaping cessation interventions for teens are lacking.

Purpose of the Study:

  • To evaluate the effectiveness of a text message-based program for adolescent nicotine vaping cessation.
  • To compare the vaping cessation rates between an intervention group and an assessment-only control group.

Main Methods:

  • A parallel-group, double-blind, individually randomized clinical trial was conducted.
  • Participants (aged 13-17) were recruited via social media and randomized to receive either a text message cessation program or assessment-only.
  • Assessments of vaping cessation were conducted via text message, online, or telephone at 1 and 7 months.

Main Results:

  • The study included 1503 adolescents, with an average age of 16.4 years.
  • At 7-month follow-up, point-prevalence abstinence rates were 37.8% in the intervention group versus 28.0% in the control group.
  • The intervention demonstrated a statistically significant increase in vaping cessation (RR, 1.35; P < .001).

Conclusions:

  • A tailored, interactive text message intervention significantly increased self-reported vaping cessation among adolescents.
  • This digital health approach, delivered via social media recruitment, shows promise for addressing adolescent vaping.
  • No evidence suggested a transition to combustible tobacco products among adolescents who quit vaping.