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Un programa de mensajes de texto para dejar de fumar cigarrillos electrónicos para adolescentes: un ensayo clínico

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Un programa de mensajes de texto ayudó efectivamente a los adolescentes a dejar de fumar. Esta intervención aumentó significativamente las tasas de abandono en comparación con los controles, ofreciendo una nueva herramienta para el abandono de la nicotina en los adolescentes.

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Área de la Ciencia:

  • Salud pública
  • Salud de los adolescentes
  • Intervenciones en salud digital

Sus antecedentes:

  • Los cigarrillos electrónicos son el producto de tabaco más frecuente entre los adolescentes.
  • La exposición a la nicotina durante la adolescencia plantea importantes riesgos para la salud.
  • No existen intervenciones para dejar de vapear para los adolescentes validadas empíricamente.

Objetivo del estudio:

  • Evaluar la eficacia de un programa basado en mensajes de texto para el cese del vapeo de nicotina en adolescentes.
  • Comparar las tasas de cesación del vapeo entre un grupo de intervención y un grupo de control de evaluación única.

Principales métodos:

  • Se realizó un ensayo clínico aleatorizado en grupos paralelos, doble ciego.
  • Los participantes (de 13 a 17 años) fueron reclutados a través de las redes sociales y asignados al azar para recibir un programa de cesación de mensajes de texto o solo evaluación.
  • Las evaluaciones de la cesación del vapeo se realizaron a través de mensajes de texto, en línea o por teléfono a los 1 y 7 meses.

Principales resultados:

  • El estudio incluyó a 1503 adolescentes, con una edad media de 16,4 años.
  • A los 7 meses de seguimiento, las tasas de abstinencia de prevalencia puntual fueron del 37,8% en el grupo de intervención frente al 28,0% en el grupo de control.
  • La intervención demostró un aumento estadísticamente significativo en el abandono del vapeo (RR, 1,35; P < .001).

Conclusiones:

  • Una intervención interactiva de mensajes de texto personalizada aumentó significativamente el abandono del vapeo entre los adolescentes.
  • Este enfoque de salud digital, entregado a través del reclutamiento de las redes sociales, es prometedor para abordar el vapeo adolescente.
  • No hay evidencia que sugiera una transición a productos de tabaco combustibles entre los adolescentes que dejan de vapear.