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Spears CA, Bell SA, Scarlett CA, Anderson NK, Cottrell-Daniels C, Lotfalian S, Bandlamudi M, Grant A, Sigurdardottir A, Carter BP, Abroms LC, Wetter DW
Text Messaging to Enhance Mindfulness-Based Smoking Cessation Treatment: Program Development Through Qualitative Research
Text Messaging to Enhance Mindfulness-Based Smoking Cessation Treatment: Program Development Through Qualitative Research
Claire A Spears;
Sharrill A Bell;
Charlayne A Scarlett;
Natalie K Anderson;
Cherell Cottrell-Daniels;
Sadaf Lotfalian;
Maitreyi Bandlamudi;
Amanda Grant;
Anna Sigurdardottir;
Brittani P Carter;
Lorien C Abroms;
David W Wetter
ABSTRACT
Background:
Mindfulness-based programs show promise for promoting smoking cessation in diverse populations. Mobile health strategies could increase treatment engagement and in-the-moment support, thus enhancing the effects of mindfulness-based smoking cessation interventions. However, most mobile health programs have been developed without sufficient input from the target population.
Objective:
By eliciting input from the target population, predominantly low socioeconomic status (SES) African American adult smokers, throughout the development of a text messaging (short message service, SMS) program that teaches mindfulness for smoking cessation, we aimed for the resulting program to be optimally effective and consistent with participants’ needs and preferences.
Methods:
Two qualitative studies (N=25) were conducted with predominantly low SES, African American adult smokers. In Study 1 (initial qualitative input; n=15), participants engaged in focus groups to provide suggestions for program development. In Study 2 (abbreviated trial; n=10), participants received a 1-week version of the text messaging (SMS) program and provided feedback through in-depth interviews.
Results:
In Study 1, participants suggested that the text messaging (SMS) program should be personalized and interactive (ie, involve two-way messaging); provide strategies for coping with cravings and recovering from smoking lapses; involve relatively short, to-the-point messages; and include pictures. In Study 2, participants were highly engaged with the texts, indicated that the program was useful, and provided additional suggestions for improvement.
Conclusions:
Eliciting feedback from the target population throughout the intervention development process allowed for iterative revisions to increase feasibility, acceptability, and effectiveness. Overall, text messaging (SMS) appears to be a feasible, appealing way to provide in-the-moment personalized support and encourage mindfulness among low-income African American smokers.
Citation
Please cite as:
Spears CA, Bell SA, Scarlett CA, Anderson NK, Cottrell-Daniels C, Lotfalian S, Bandlamudi M, Grant A, Sigurdardottir A, Carter BP, Abroms LC, Wetter DW
Text Messaging to Enhance Mindfulness-Based Smoking Cessation Treatment: Program Development Through Qualitative Research
