The study has implications for other digital tobacco cessation interventions and highlights important topics that warrant future research, such as the relationship between program engagement (eg, opt out and retention) and successful cessation.Īlthough cigarette smoking rates have declined over time, smoking remains the leading preventable cause of death in the United States. Our findings directly informed several program updates, such as adding an adaptive quit date feature and offering supplemental information on live support services for users who prefer human interaction during the cessation process. Finally, several participants reported using SmokefreeTXT together with other evidence-based cessation methods or non–evidence-based strategies.Ĭonclusions: Qualitative interviews with real-world SmokefreeTXT users showed high program acceptability, engagement with program features, and perceived utility for smoking cessation. We also found that program completion did not necessarily indicate successful smoking cessation and that program opt out, which might be interpreted as a less positive outcome, may occur because of successful cessation. Specifically, most participants found the SmokefreeTXT program to be convenient and supportive of cessation however, some found the messages to be repetitive and reported a desire for more flexibility based on their readiness to quit and cessation progress. Results: The findings highlighted features of the program that participants found beneficial, as well as some elements that showed opportunities for improvement to boost program retention and successful cessation. A thematic content analysis was conducted, with a focus on themes to increase program engagement and optimization. Interview questions focused on smoking behaviors, quitting history, opinions on the program’s content and structure, answering assessment questions, using keywords, reasons for opting out, and perceived usefulness of the program for quitting smoking. Of these 36 participants, 50% (18/36) of participants completed the SmokefreeTXT program (ie, did not opt out of the program before the 6- to 8-week completion period), and 50% (18/36) did not complete the program (ie, requested to opt out of the program before the completion period). Methods: Semistructured phone interviews were conducted with 36 SmokefreeTXT users between March and July 2014. Objective: This qualitative study aims to explore the experiences of real-world users of a publicly available smoking cessation program (SmokefreeTXT). However, further research is needed to better understand user experiences with these platforms.
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