Adaptation of a proactive smoking cessation intervention to increase tobacco quitline use by LGBT smokers

Alicia K. Matthews*, Elizabeth Breen, Anna Veluz-Wilkins, Christina Ciecierski, Melissa Simon, Diane Burrell, Brian Hitsman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Purpose: The study purpose was to evaluate the content of a proactive population health management intervention aimed at promoting uptake of smoking cessation treatments offered by the Illinois Tobacco Quitline (ITQL) among lesbian, gay, bisexual, and transgender (LGBT)-identified smokers. Methods: This study represents a partnership between a community-based health center and university researchers. As part of the study, focus groups and in-depth interviews were conducted with LGBT smokers (N = 30). First, we conducted focus groups to obtain feedback on the readability, acceptability, and motivational salience of a targeted and nontargeteed proactive outreach letter. After revisions, a series of in-depth interviews were conducted to evaluate finalized materials. Focus groups and interviews were systematically analyzed. Results: Based on feedback, the revised intervention letter was rated more positively than the initial version, with 80% of participants indicating that they found the information in the letter to be useful. Further, more participants reported that the letter would motivate them to accept a call from a quitline counselor compared with the initial version (47.6% vs. 60.0%, respectively). In the final iteration, 60% of participants preferred the targeted letter, 30% preferred the nontargeted letter, and 10% had no preference. In the first iteration, outreach text messages were rated as unacceptable or completely unacceptable by 54% of participants. The revised text messages and protocols were seen as unacceptable by only 10% of participants. Conclusions: The development and testing of population-based and cost-effective interventions is critical to the reduction of LGBT smoking disparities. The study protocol and intervention materials were well-received by participants. In a future study, we will evaluate the efficacy of the intervention in increasing use of the quitline among LGBT smokers.

Original languageEnglish (US)
Pages (from-to)71-84
Number of pages14
JournalProgress in Community Health Partnerships: Research, Education, and Action
Issue numberSpecial Issue 2019
StatePublished - 2019


  • Culturally targeted
  • LGBT
  • Proactive
  • Quitlines
  • Smoking cessation interventions

ASJC Scopus subject areas

  • Health(social science)
  • Education
  • Sociology and Political Science

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