Smoking Cessation for Young Adult Pacific Islanders: Motivating Pacifika Against Cigarettes and Tobacco
Condition: Tobacco Use; Tobacco Smoking; Tobacco Use Cessation; Smoking; Smoking Cessation; Smoking, Cigarette
Study type: Interventional

Summary: 
      The current study aimed to test a culturally tailored program designed to help Pacific
      Islanders (PIs) between the ages of 18 and 30 quit smoking cigarettes by using a randomized
      controlled trial design with one intervention group and one control group.
    

Detailed description: 
      This randomized control trial (RCT) consisted of a baseline assessment (Wave 0) and three
      follow-up assessments (Waves 1-3). Follow-up assessments were conducted at 2 months, 5
      months, and 8 months after the baseline assessment. The objective of the study was to test a
      culturally-tailored online program designed to help PI young adults quit smoking cigarettes.
      The online program contained (1) personalized, automated text messages, (2) interactive,
      online educational modules, and (3) an online forum.

      Hypotheses for this study include:

        1. Participants in the intervention program tailored to PIs would have significantly higher
           rates of abstinence, lower rates of relapse, and lower smoking frequency and intensity
           at each follow-up time point than those in the standard intervention program.

        2. Participants with impaired affective decision capacity (low scores on Iowa Gambling Task
           (IGT)) would benefit more from the tailored intervention program than participants with
           normal affective decision capacity (high IGT scores).

        3. Effects from the tailored intervention program would be more pronounced among
           participants with particular dispositional phenotypes (depression, hostility,
           impulsivity) and baseline severity of tobacco addiction (nicotine dependence).

        4. High-intensity users of the tailored intervention program would be more successful than
           low intensity users in reducing the frequency and intensity of cigarettes smoked.

        5. The tailored intervention program would have greater success at engaging and retaining
           participants than the standard intervention program.
    

Intervention name(s): Motivating Pacifika Against Cigarettes and Tobacco
Intervention type(s): Behavioral
Intervention description(s): Participants received one encouraging text message per day prior to their quit date. During the intervention, they received daily text messages with decreasing frequency per week. Participants were also able to craft personal text messages. On-demand text messages were optional and could be requested by texting key words to the program hotline.
The online MPACT program allowed participants to access eight educational modules and a forum where they could communicate with other participants. The modules focused on different aspects of quitting smoking, such as how to deal with withdrawal symptoms, triggers of tobacco use, and stress. Participants were limited to one module per day in order to increase the duration of exposure to the program. Upon completion, participants no longer received text messages but they were still able to access the educational modules, forum, and on-demand text messages.
Other intervention name(s): MPACT
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Pacific Islander; Native Hawaiian; NHPI; Tobacco Health; Tobacco Use; Tobacco Smoking; Tobacco Use Cessation; Smoking Cessation; Smoking; Cigarette Use; Young Adult