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Developing supporter-focused text messages to enhance cessation support for individuals with mental health conditions who smoke: A formative study.

Created on 07 Sep 2026

Authors

Catherine S Nagawa, Sydney Newell Chesebro, Katie Qualls Fay, Madeline Hardage, Junru Zhao, Frances Wen, Michelle R vanDellen

Published in

Health informatics journal. Volume 32. Issue 3. Pages 14604582261488344. Epub Sep 06, 2026.

Abstract

IntroductionThis formative study aimed to develop and evaluate supporter-focused text messages intended to enhance helpful support behaviors and reduce counterproductive support behaviors in the context of smoking cessation.MethodsWe developed 65 messages informed by responsiveness theory and established research on cessation. One hundred and ninety six adults (eligibility: ≥18 years, knowing someone who smokes) rated the messages on three dimensions of helpfulness (i.e., clarity, usefulness, relevance). Using mixed-effects regression models, we examined whether helpfulness ratings differed by sociodemographic factors, relationship factors, and tobacco use perceptions.ResultsMean ratings ranged from 4.04 to 4.31/5. Compared with participants who reported knowing a spouse/partner who smoked, those who knew a friend (β̂= 0.34, SE = 0.16, 95% CI: 0.04 - 0.64), family member (β̂= 0.38, SE = 0.15, 95% CI: 0.07 - 0.67), or coworker/roommate (β̂= 0.56, SE = 0.22, 95% CI:0.14 - 0.98) provided relatively higher ratings. Greater perceived relationship closeness to the individual who smokes was positively associated with higher ratings (β̂= 0.08, SE = 0.03, 95% CI:0.03- 0.14).ConclusionThe high ratings suggest that potential support providers found the messages helpful and tailoring them to relationship characteristics might provide a small additional benefit.

PMID:
42702016
Bibliographic data and abstract were imported from PubMed on 07 Sep 2026.

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