Path2Quit Tobacco Intervention For African Americans

Development and Pilot Evaluation of the Path2Quit Tobacco Intervention Targeting African Americans

The purpose of this research is to study a smoking cessation program for adult smokers in Northeast Ohio. The study will also look at how different people respond to the program.

The study includes completing surveys and receiving text messages to help participants become tobacco free.

OBJECTIVES Specific Aim 1: Translate a culturally specific video-based tobacco use intervention into a scalable mobile health (mhealth) format.

Specific Aim 2: Conduct a pilot study of the video-text intervention.

Study Design:

2-arm semi-pragmatic randomized design among current tobacco users

Cuyahoga Metropolitan Housing Authority residents will be randomly assigned to receive (1) the newly translated Path2Quit or (2) SmokeFreeText (NCI's publicly available, standard text messaging program) combined with brief behavioral counseling session plus 2 weeks of nicotine replacement therapy (NRT). Primary outcomes will include intervention evaluations (content and format), acceptability, coping strategies, engagement, and NRT adherence. Secondary variables will include 24-hour quit attempts and biochemically verified tobacco use abstinence at the 1-month follow-up. Exploratory mediational analyses will examine the roles of urban hassles, acculturation, neighborhood environment, ethnic discrimination, and psychological distress in intervention effects.

Inclusion Criteria:

• Self-identify as African American
• Either smoke at least 1 cigarettes/day or have a carbon monoxide (CO) reading of at least 4 ppm
• Consistent with SmokefreeTXT, be willing to set a quit date within the next 14 days.
• Recruited from Cleveland metropolitan housing authority or who report low income based on federal guidelines

Exclusion Criteria:

• Does not meet all of the above inclusion criteria