The primary aim of this study is to examine the efficacy of Decídetexto, an innovative mobile smoking cessation intervention that incorporates two elements: 1) a tablet-based e-Health platform that collects personal smoking-related information to support the development of an individualized quit plan and guides the ensuing text messaging program; and 2) a 12-week text messaging "skills-based counseling" (I.e, behavioral support) program that includes educational information, behavioral strategies, motivational messaging, and pharmacotherapy support driven by information obtained from both the tablet program and the user's text messages. The investigators will evaluate its efficacy relative to a standard care condition that provides high quality printed smoking cessation materials along with referral to telephone quit line counseling. Participants in both groups are given access to free pharmacotherapy via a toll-free study number. Experienced Promotores de Salud (Community Health Workers) will use community and clinic-based outreach to recruit Latino smokers into the study. Participants in both conditions will complete follow-up assessment at the end of treatment (Week 12) and Month 6 (primary outcome). Our hypothesis is that at month 6, smokers in Decídetexto will have significantly higher cotinine-verified 7-day point prevalence abstinence (no cigarettes in the past 7 days) than smokers in the control arm.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
Condition (as posted)
Mapped entity
Match
Confidence
Smoking Cessation
—
UNRESOLVED
—
Interventions
Interventions (2)
Intervention
Type
Mapped drug
Match
Standard Care Control
Behavioral
—
UNRESOLVED
The Decídetext program
Behavioral
—
UNRESOLVED
Design
Arms and outcomes
Arms (2)
type
EXPERIMENTAL
label
The Decídetext program
description
Participants will receive a tablet-based interactive educational session, 6 months of text-messaging based counseling, which includes prompts to access free pharmacotherapy.
interventionNames
Behavioral: The Decídetext program
type
ACTIVE_COMPARATOR
label
Standard Care Control
description
Participants will receive an adapted version of standard printed smoking cessation educational materials from the American Cancer Society and, the National Cancer Institute, which include information about the health risks of smoking, benefits \& strategies for quitting and access to free pharmacotherapy by calling a free number.
interventionNames
Behavioral: Standard Care Control
Primary outcomes (1)
Eligibility
Eligibility (as posted)
Sex
All
Minimum age
21 Years
Show eligibility criteria text
Inclusion Criteria:
* Are you Hispanic or Latino?
* Do you know how to read and speak English and/or Spanish?
* Are you at least 21 years old?
* Have you smoked cigarettes for at least 6 months?
* Within a typical week, how many days do you smoke (even a puff)?
* Within a typical week, how many days do use other tobacco products?
* Are you interested in quitting smoking in the next 30 days?
* Are you currently participating in any other smoking cessation program or taking any type of medication to quit smoking?
* Is any household member participating in this study?
* Are you pregnant, breast-feeding or planning to become pregnant in the next year?
* Are you planning to move out of your current address in the following six months?
* Do you have an active cellphone with unlimited text messaging capability?
* Are you willing to come to 2 study visit, at the beginning and 6 month, and get at least 1 phone calls between visits?
* Do you know how to send/read text messages?
* Is the participant ELIGIBLE? If NOT ELIGIBLE, complete demographics If ELIGIBLE, complete contact information.
Exclusion Criteria:
* Include plans to move from New Jersey in the next 6 months
* If another household member enrolled in the study.
* If answers no to any question of the Eligibility form.
References
Publications (30)
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measure
Cotinine-verified 7-day point prevalence at 6 months.
timeFrame
6 months
description
Participants who quit will do a cotinine-verified 7-day point prevalence check at Month 6.
Secondary outcomes (1)
measure
12- week self-report
timeFrame
12 weeks
description
Participants in both conditions will complete follow-up assessment at the end of the treatment at 12 weeks.
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DERIVEDCartujano-Barrera F, Cox LS, Catley D, Cai X, Diaz FJ, Arana-Chicas E, Chavez-Iniguez A, Ogedegbe C, Graves KD, Rivera MP, Ponce A, Ellerbeck EF, Cupertino AP. Decidetexto: Mobile Cessation Support for Latino Adults Who Smoke: A Randomized Clinical Trial. Chest. 2025 Feb;167(2):619-629. doi: 10.1016/j.chest.2024.07.160. Epub 2024 Aug 10. PMID 39134144
DERIVEDArana-Chicas E, Cartujano-Barrera F, Rieth KK, Richter KK, Ellerbeck EF, Cox LS, Graves KD, Diaz FJ, Catley D, Cupertino AP. Effectiveness of Recruitment Strategies of Latino Smokers: Secondary Analysis of a Mobile Health Smoking Cessation Randomized Clinical Trial. J Med Internet Res. 2022 Jun 27;24(6):e34863. doi: 10.2196/34863. PMID 35759320