Path2Quit Tobacco Intervention For African Americans

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