Work

#EnufSnuff.TXT-FirstResponder: a pilot randomized controlled trial of a text message intervention for smokeless tobacco cessation among First Responders

Year: 2026

Type: article

Abstract: Introduction First Responders are three times more likely to use smokeless tobacco than those in the general population and very few targeted cessation interventions are available. Methods The #EnufSnuff.TXT First Responder text-based intervention ( n = 30), which includes an optional reduction component and tailored text-messages for cessation, was administered alongside the Enough Snuff Intervention ( n = 30), which includes a cessation booklet and general support texts. Both groups received a 4-week supply of 4 mg Nicotine Replacement Therapy (NRT) lozenges to assist with cessation. We surveyed participants 30 days post-intervention initiation to assess feasibility, acceptability, and Smokeless Tobacco cessation outcomes. A subset of participants participated in qualitative interviews to assess feedback on the intervention. Discussion/conclusion Feasibility benchmarks for recruitment, retention, and engagement were met. Both programs helped First Responders quit. The respective quit rate for #EnufSnuff.TXT-FR arm was higher compared to Enough Snuff was 40% vs 33% (OR = 1.33, p = 0.5925; RR = 1.20, p = 0.5935) for the intent-to-treat cases and 52% vs 44% (OR = 1.41, p = 0.5555; RR = 1.20, p = 0.5570) for the completers. A text-based cessation intervention was found to be feasible and represents a scalable intervention approach and both interventions produced high quit rates. Larger scale efficacy testing is warranted. Clinical trial registration https://clinicaltrials.gov/study/NCT05111041?term=NCT05111041&rank=1 , identifier NCT05111041.

Source: Frontiers in Public Health

DOI: 10.3389/fpubh.2025.1699800