{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T09:41:44Z","timestamp":1786786904670,"version":"build-2736575974"},"reference-count":20,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA077598"],"award-info":[{"award-number":["P30CA077598"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Center for Advancing Translational Sciences of the National Institutes of Health","award":["UL1TR002494"],"award-info":[{"award-number":["UL1TR002494"]}]},{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["R21CA261078"],"award-info":[{"award-number":["R21CA261078"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute on Minority Health and Health Disparities of the National Institutes of Health","award":["K01MD014795"],"award-info":[{"award-number":["K01MD014795"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2024,6,23]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To pilot test QuitGuide for Natives, a culturally aligned version of the National Cancer Institute\u2019s QuitGuide smartphone app for smoking cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This randomised controlled trial was conducted remotely during 2022\u20132023. American Indian adults who smoked and resided in the Midwest (n=115) were randomised to QuitGuide for Natives or the general audience QuitGuide smartphone-based intervention. Group differences in feasibility (times the app was initiated), usability, acceptability (\u2018How likely would you be to recommend the app to a friend?\u2019), fit of app with culture and preliminary efficacy (24-hour quit attempts, cotinine-confirmed self-reported 7-day abstinence) outcomes were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>QuitGuide for Natives versus the general audience QuitGuide did not differ in the number of times the app was opened (adjusted incidence rate ratio 0.94 (95% CI 0.63 to 1.40); p=0.743) nor in usability score (adjusted mean difference (aMD) 0.73 (95% CI: \u22125.00 to 6.46); p=0.801) or likeliness of recommending the app to a friend (aMD 0.62 (95% CI \u22120.02 to 1.27); p=0.058). Differences were observed for all cultural fit outcomes such as \u2018The app fits my American Indian culture (aMD 0.75 (95% CI 0.35 to 1.16); p&lt;0.001). QuitGuide for Natives versus the general audience QuitGuide resulted in an average of 6.6 vs 5.1 24-hour quit attempts (p=0.349) and cotinine-confirmed 7-day abstinence was achieved by 6.9% vs 3.5% (p=0.679).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acceptability, cultural fit and preliminary efficacy findings are encouraging and will inform future, larger-scale evaluation of culturally aligned digital smoking cessation resources for American Indian adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/tc-2024-058665","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T13:21:11Z","timestamp":1720099271000},"page":"829-833","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Pilot randomised controlled trial of a culturally aligned smoking cessation app for American Indian persons"],"prefix":"10.1136","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4334-9515","authenticated-orcid":false,"given":"Dana Mowls","family":"Carroll","sequence":"first","affiliation":[{"name":"Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Jennings","sequence":"additional","affiliation":[{"name":"Sigurd Olson Environmental Institute, Northland College, Ashland, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antony","family":"Stately","sequence":"additional","affiliation":[{"name":"Native American Community Clinic, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3940-9044","authenticated-orcid":false,"given":"Amika","family":"Kamath","sequence":"additional","affiliation":[{"name":"American Indian Cancer Foundation, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn M","family":"Tessier","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crina","family":"Cotoc","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Egbert","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbie","family":"Begnaud","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Businelle","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1108-2609","authenticated-orcid":false,"given":"Dorothy","family":"Hatsukami","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Sciences, University of Minnesota Medical School, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyatt","family":"Pickner","sequence":"additional","affiliation":[{"name":"American Indian Cancer Foundation, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"2025121203351682000_34.6.829.1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303125"},{"key":"2025121203351682000_34.6.829.2","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19137708","article-title":"Tribal tobacco use project II: planning, implementation, and dissemination using culturally relevant data collection among American Indian communities","volume":"19","author":"Roland","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025121203351682000_34.6.829.3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/00952990.2021.1977310","article-title":"Racial\/ethnic group comparisons of quit ratios and prevalences of cessation-related factors among adults who smoke with a quit attempt","volume":"48","author":"Carroll","year":"2022","journal-title":"Am J Drug Alcohol 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Use of cell phones and computers for health promotion and tobacco cessation by American Indian college students in Montana. Rural Remote Health 2017;17. doi:10.22605\/rrh4014","DOI":"10.22605\/RRH4014"},{"key":"2025121203351682000_34.6.829.14","unstructured":"Fiore MC , Baker TB , et al . Treating Tobacco Use and Dependence: 2008 Update. Rockville, MD:US: Department of Health and Human Services. 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