Actívatexto: Feasibility and Acceptability of a Mobile Intervention That Promotes Smoking Cessation and Physical Activity among Latinos

The purpose of this study was to assess the feasibility and acceptability of a mobile intervention that promotes smoking cessation and physical activity among Latinos living in the United States. Twenty Latino adults who smoked and did not meet recommended levels of physical activity were recruited...

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Published in:	Cancer research communications Vol. 4; no. 4; pp. 1016 - 1023
Main Authors:	Lara, Daimarelys, Alaniz-Cantú, Edgar I, Siddalingaiaha, Simran, Oliveira, Igor, Chávez-Iñiguez, Arlette, DeJesus, Elisa, Fuller, Daniel, Marquez, David X, Vásquez, Elizabeth, Li, Dongmei, McIntosh, Scott, Ossip, Deborah J, Cupertino, Ana Paula, Cartujano-Barrera, Francisco
Format:	Journal Article
Language:	English
Published:	United States American Association for Cancer Research 08-04-2024
Subjects:	Cancer Prevention Descriptive Studies Exercise Feasibility Studies Female Hispanic or Latino Humans Implementation Science Lifestyle Risk Factors Male Middle Aged Smoking Cessation Tobacco Use Cessation Devices
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Summary:	The purpose of this study was to assess the feasibility and acceptability of a mobile intervention that promotes smoking cessation and physical activity among Latinos living in the United States. Twenty Latino adults who smoked and did not meet recommended levels of physical activity were recruited using community-based recruitment strategies. Participants received Actívatexto, a theory-based, culturally accommodated, 12-week text messaging intervention (available in English and Spanish) that promotes smoking cessation and physical activity. Actívatexto integrates four components: (i) a text messaging program, (ii) a wearable device, (iii) an online dashboard where the research team manages participants' incoming and outgoing data from both the text messaging program and wearable device, and (iv) nicotine replacement therapies (NRT). We assessed self-reported 7-day point prevalence smoking abstinence at month 3, weekly minutes of moderate to vigorous physical activity (MVPA), pharmacotherapy adherence, and satisfaction. At baseline, participants' mean age was 47.3 years old (SD 16.0), 55% of participants were female, and 60% indicated that Spanish was their language of preference. Seventy-five percent of participants smoked 1-10 cigarettes daily and 35% smoked their first cigarette within 5 minutes after waking up. At month 3, 14 participants (70%) self-reported 7-day point prevalence smoking abstinence (90% follow-up rate). Fitbit-assessed mean minutes of MVPA per week increased from 113 (SD 127; range: 0-399) at week 1 to 177 (SD 163; range: 0-513) at month 3 (P = 0.15). Sixteen participants (88.9%, 16/18) reported NRT use in the past 90 days. Most participants reported being extremely satisfied or satisfied with the intervention (88.9%, 16/18). Actívatexto resulted in a noteworthy cessation rate at month 3 (70%), increased mean weekly minutes of MVPA, produced high use of NRT, and was well received by participants. Additional testing in a randomized clinical trial is warranted to assess the efficacy of the intervention.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2767-9764 2767-9764
DOI:	10.1158/2767-9764.CRC-23-0519