"Vive Sin Tabaco… ¡Decídete!" Feasibility and Acceptability of an e-Health Smoking Cessation Informed Decision-Making Tool Integrated in Primary Healthcare in Mexico

Telemed J E Health. 2019 May;25(5):425-431. doi: 10.1089/tmj.2017.0299. Epub 2018 Jul 26.

Abstract

Introduction:While smoking remains one of the leading causes of death in Mexico, uptake of evidence-based cessation therapy remains low. Widespread use of mobile devices and internet in Mexico has created new avenues for providing access to cessation treatment.Methods:We assessed the feasibility and acceptability of "Vive Sin Tabaco… ¡Decídete!" (English: Live without Tobacco…. Decide!), a web-based, informed decision-making tool designed to help Mexican smokers develop a quit plan and take advantage of cessation resources. We invited 164 smokers in two primary care clinics. Measures included physical, situational, and psychological nicotine dependence, interest in using pharmacotherapy and counseling, smoking status at 3 months, and satisfaction with the program.Results:Most participants were light smokers and reported low-to-moderate nicotine dependence. Immediately after using ¡Vive Sin Tabaco… ¡Decídete!, the majority were interested in quitting, set a quit date, and reported interest in using pharmacotherapy and cessation counseling. Follow-up rate at 3 months was 81.5%; seven-day point prevalence abstinence was 19.1% using intention-to-treat analysis.Conclusion:Integration of e-Health tools in primary healthcare settings has the potential to improve knowledge about cessation treatments among smokers and integrate smoking cessation into routine of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Computers, Handheld*
  • Counseling / methods
  • Decision Making
  • Decision Support Techniques*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Mexico
  • Middle Aged
  • Primary Health Care
  • Smoking Cessation / methods*
  • Smoking Cessation Agents / therapeutic use
  • Telemedicine / methods*
  • Tobacco Use Disorder / drug therapy
  • Tobacco Use Disorder / epidemiology
  • Young Adult

Substances

  • Smoking Cessation Agents