%0 Journal Article
%T Decídetexto: Mobile cessation support for Latino adults who smoke. A randomized clinical trial.
%A Cartujano-Barrera F
%A Sanderson Cox L
%A Catley D
%A Cai X
%A Diaz FJ
%A Arana-Chicas E
%A Chávez-Iñiguez A
%A Ogedegbe C
%A Graves KD
%A Rivera MP
%A Ponce A
%A Ellerbeck EF
%A Cupertino AP
%J Chest
%V 0
%N 0
%D 2024 Aug 10
%M 39134144
%F 10.262
%R 10.1016/j.chest.2024.07.160
%X <B>BACKGROUND: </B>Latino adults experience multiple barriers to healthcare access and treatment that result in tobacco-related disparities. Mobile interventions have the potential to deliver smoking cessation treatment among Latino adults, the highest users of mobile technologies.<BR><B>OBJECTIVE: </B>Is Decídetexto, a culturally accommodated mobile health intervention, more effective for smoking cessation compared to standard care among Latino adults who smoke?<BR><B>METHODS: </B>A two-arm parallel group randomized clinical trial (RCT) was conducted in Kansas, New Jersey, and New York between October 2018 and September 2021. Eligible Latino adults who smoke (n=457) were randomly assigned to Decídetexto or a standard care group. The primary outcome was biochemically verified 7-day smoking abstinence at week 24. Secondary outcomes included self-reported 7-day smoking abstinence at weeks 12 and 24, and uptake and adherence of nicotine replacement therapy (NRT).<BR><B>RESULTS: </B>Participants mean age was 48.7 (SD 11.1) years, 45.2% were female, and 50.3% smoked ≥10 cigarettes per day. Two hundred twenty-nine participants were assigned to Decídetexto and 228 to standard care. Treating those lost to follow-up as participants who continued smoking, 14.4% of participants in the Decídetexto group were biochemically verified abstinent at week 24 compared to 9.2% in the standard care group (OR 1.66 [95% CI, 0.93-2.97], p=0.09). Treating those lost to follow-up as participants who continued smoking, 34.1% of the participants in the Decídetexto group self-reported smoking abstinence at week 24 compared to 20.6% of participants in the standard care group (OR 1.99 [95%, 1.31-3.03]; p<0.001). Analyzing only participants who completed the assessment at week 24, 90.6% (174/192) of participants in the Decídetexto group self-reported using NRT for at least one day compared to 70.2% (139/198) of participants in standard care (OR 4.10 [95% CI, 2.31-7.28]; p<0.01).<BR><B>CONCLUSIONS: </B>Among Latino adults who smoke, the Decídetexto intervention was not associated with a statistically significant increase in biochemically verified abstinence at week 24. However, the Decídetexto intervention was associated with a statistically significant increase in self-reported 7-day smoking abstinence at weeks 12 and 24, and uptake of NRT. This RCT provides encouragement for the use of Decídetexto for smoking cessation among Latino adults.<BR><B>BACKGROUND: </B>ClinicalTrials.gov identifier: NCT03586596.