Trial reportBMC public health2025
Pilot study examining the effect of rurality on engagement and abstinence for adult users of a text-message cessation intervention.
Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05055778 (Establishing the Effectiveness of Publicly Available Smoking Cessation Resources), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Establishing the Effectiveness of Publicly Available Smoking Cessation Resources: Does Rurality Matter?
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMobile health (mHealth) interventions have the potential to expand the reach of smoking cessation interventions. However, it is unknown if people using the same cessation mHealth intervention but living in different places have similar program engagement, satisfaction, and outcomes. The objective of this study was to explore the potential need to enhance existing interventions for rural populations by examining program engagement, satisfaction, and outcomes by rurality for the publicly available cessation text messaging intervention, SmokefreeTXT.
methodsParticipants were adults interested in quitting smoking from Virginia (N = 49), with recruitment stratified by county-level rurality (n = 23 rural, n = 26 non-rural). Participants completed a 7-week version of SmokefreeTXT and completed assessments at baseline, immediately post-intervention, and three- and six-months from enrollment. Descriptive statistics compared program engagement, satisfaction, and seven-day point prevalence abstinence at all time points by rurality. Multivariable logistic regression models assessed the association between rurality and cessation at all time points.
resultsOverall, seven-day abstinence rates were 32.6%, 28.6%, and 36.7%, and among participants from rural counties rates were 39.1%, 30.4%, and 43.5% at post-intervention, three-, and six-months, respectively. Participants from rural counties had higher use of real-time support for mood and cravings and reported this support to be more useful than participants from non-rural counties (Ps < 0.05).
conclusionsmHealth cessation interventions may work well for people living in rural counties, potentially providing good support for adults attempting to quit smoking but lacking easy access to traditional cessation support services. Modifications to enhance support for craving and mood may be particularly relevant for people living in rural areas.
trial registrationClinicialTrials.gov: NCT05055778, Registration date: 9/14/2021.
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