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Developing a text messaging-based smoking cessation intervention for young smokers experiencing homelessness

Published online by Cambridge University Press:  28 November 2019

Joan S. Tucker Open the ORCID record for Joan S. Tucker [Opens in a new window] ,
Sebastian Linnemayr ,
Eric R. Pedersen ,
William G. Shadel ,
Rushil Zutshi  and
Alexandra Mendoza-Graf
Joan S. Tucker*
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA90401, USA
Sebastian Linnemayr
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA90401, USA
Eric R. Pedersen
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA90401, USA
William G. Shadel
Affiliation:
RAND Corporation, 4750 Fifth Avenue, Suite 600, Pittsburgh, PA15213, USA
Rushil Zutshi
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA90401, USA
Alexandra Mendoza-Graf
Affiliation:
RAND Corporation, 1776 Main Street, Santa Monica, CA90401, USA
*
Author for correspondence: Joan S. Tucker, E-mail: [email protected]
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Abstract

Introduction

Cigarette smoking is highly prevalent among young people experiencing homelessness, and many of these smokers are motivated to quit. However, there is a lack of readily available cessation services for this population, which is highly mobile and can be challenging to engage in services.

Aims

We describe the development of a smoking cessation text messaging intervention (TMI) for homeless youth who are interested in quitting smoking.

Methods

Participants were 18–25 years old and recruited from drop-in centers serving homeless youth. Three focus groups (N = 18) were conducted with smokers to refine the TMI content, and a separate sample of smokers (N = 8) provided feedback on the TMI after using it for 1 week. Survey data assessed the TMI's acceptability and feasibility.

Results

Participants generally rated the TMI as helpful and relevant, and nearly all had cell phone plans that included unlimited texting and were able to view TMI content with few difficulties. Qualitative feedback on strengths/limitations of the TMI in terms of content, tone, and delivery parameters was used to finalize the TMI for a future evaluation.

Conclusions

Results suggest that a TMI is a feasible and acceptable option for young people experiencing homelessness who are interested in quitting smoking.

Keywords

Cessationhomelessinterventionsmokingtext messagingyouth
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 15 , Issue 1 , March 2020 , pp. 35 - 43
Copyright
Copyright © RAND Corporation 2019. Published by Cambridge University Press

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References

Baer, J. S., Ginzler, J. A., & Peterson, P. L. (2003). DSM-IV alcohol and substance abuse and dependence in homeless youth. Journal of Studies on Alcohol, 64, 5–14.CrossRefGoogle ScholarPubMed
Baker, T. B., Piper, M. E., McCarthy, D. E., Bolt, D. M., Smith, S. S., Kim, S. Y. et al. (2007). Time to first cigarette in the morning as an index of ability to quit smoking: Implications for nicotine dependence. Nicotine & Tobacco Research, 9, S555–S570.Google ScholarPubMed
Bousman, C. A., Blumberg, E. J., Shillington, A. M., Hovell, M. F., Ji, M., Lehman, S. et al. (2005). Predictors of substance use among homeless youth in San Diego. Addictive Behaviors, 30, 1100–1110.CrossRefGoogle ScholarPubMed
Corinth, K. (2016). A tech revolution for the homeless. Washington, DC: American Enterprise Institute.Google Scholar
Eyrich-Garg, K. M. (2010). Mobile phone technology: A new paradigm for the prevention, treatment, and research of the non-sheltered ‘street’ homeless? Journal of Urban Health, 87, 365–380.CrossRefGoogle ScholarPubMed
Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288.CrossRefGoogle ScholarPubMed
Martino, S. C., Tucker, J.S., Ryan, G., Wenzel, S. L., Golinelli, D., & Munjas, B. (2011). Increased substance use and risky sexual behavior among migratory homeless youth: Exploring the role of social network composition. Journal of Youth and Adolescence, 40, 1634–1648.CrossRefGoogle ScholarPubMed
McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22, 276–282.CrossRefGoogle ScholarPubMed
Narendorf, S. C., Cross, M. B., Santa Maria, D., Swank, P. R., & Bordnick, P. S. (2017). Relations between mental health diagnoses, mental health treatment, and substance use in homeless youth. Drug and Alcohol Dependence, 175, 1–8.CrossRefGoogle ScholarPubMed
Pedersen, E. R., Tucker, J. S., Klein, D. J., & Parast, L. (2018). Perceived need and receipt of behavioral health services at drop-in centers among homeless youth. Health Services Research, 53, 4609–4628.CrossRefGoogle ScholarPubMed
Petering, R. (2017). Homeless youth risk and resilience survey: Research Brief 2017. Los Angeles, CA: USC Suzanne Dworak-Peck School of Social Work.Google Scholar
Post, L. A., Vaca, F. E., Doran, K. M., Luco, C., Naftilan, M., Dziura, J. et al. (2013). New media use by patients who are homeless: The potential of mHealth to build connectivity. JMIR Journal of Medical Internet Research, 15, e195. doi:10.2196/jmir.2724.CrossRefGoogle ScholarPubMed
Reingle Gonzalez, J. M., Businelle, M. S., Kendzor, D., Staton, M., North, C. S., & & Swartz, M. (2018). Using mHealth to increase treatment utilization among recently incarcerated homeless adults (Link2Care): Protocol for a randomized controlled trial. JMIR Research Protocols, 5, e151. doi:10.2196/resprot.9868.CrossRefGoogle Scholar
Rice, E., Lee, A., & Taitt, S. (2011). Cell phone use among homeless youth: Potential for new health interventions and research. Journal of Urban Health, 88, 1175–1182.CrossRefGoogle ScholarPubMed
Scott-Sheldon, L. A. J., Lantini, R., Jennings, E. G., Thind, H., Rosen, R. K., Salmoirago-Blotcher, E. et al. (2016). Text messaging-based interventions for smoking cessation: A systematic review and meta-analysis. JMIR Mhealth and Uhealth, 4, 337–360.CrossRefGoogle ScholarPubMed
Shadel, W. G., Tucker, J. S., Mullins, L., & Staplefoote, L. (2014). Providing smoking cessation programs to homeless youth: The perspective of service providers. Journal of Substance Abuse Treatment, 47, 251–257.CrossRefGoogle ScholarPubMed
Tucker, J. S., Shadel, W. G., Golinelli, D., Ewing, B., & Mullins, L. (2015a). Motivation to quit and interest in cessation treatment among homeless youth smokers. Nicotine & Tobacco Research, 17, 990–995.CrossRefGoogle Scholar
Tucker, J. S., Shadel, W. G., Golinelli, D., Mullins, L., & Ewing, B. (2015b). Sniping and other high-risk smoking practices among homeless youth. Drug and Alcohol Dependence, 154, 105–110.CrossRefGoogle Scholar
Tucker, J. S., Shadel, W. G., Golinelli, D., Seelam, R., & Siconolfi, D. (2019 a). Correlates of cigarette and alternative tobacco use among youth experiencing homelessness. Addictive Behaviors, 95, 145-151.CrossRefGoogle Scholar
Tucker, J. S., Shadel, W. G., Golinelli, D., Seelam, R., & Siconolfi, D. (2019 b). Motivation to quit cigarettes and alternative tobacco products: Prevalence and correlates among youth experiencing homelessness. Journal of Behavioral Medicine, accepted for publication.CrossRefGoogle Scholar
Wenzel, S. L., Tucker, J. S., Golinelli, D., Green, H. D., & Zhou, A. (2010). Personal network correlates of alcohol, cigarette, and marijuana use among homeless youth. Drug and Alcohol Dependence, 112, 140–149.CrossRefGoogle ScholarPubMed