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Table 2 TMI text message flow and sample texts

From: A text message intervention for quitting cigarette smoking among young adults experiencing homelessness: study protocol for a pilot randomized controlled trial

Timepoint of TMI

Number of texts per day

Sample texts

Pre-quit texts (Days 1 to 2)

 2 days before quit day

5 texts

“Think about when and why you were most tempted to smoke today. Write down a plan for how you’ll deal with these triggers on your quit day”

 1 day before quit day

5 texts

“Why do you want to quit smoking, [name]? Text us the most important reason in 1 or 2 words. We’ll send it back to you when you need motivation!”

Quit day texts (Day 3)

 Quit day

7 texts

“Today is the day you’ve decided to quit—you can do it! Drinking lots of cold water today will help. We’ll text you throughout the day to support you.

Early post-quit texts (Days 4 to 16)

 1 day post-quit

6 texts

“Getting through the 1st day is tough, but you did it [name]! Celebrate by doing something nice for yourself today!”

 2 days post-quit

6 texts

“Cravings are normal and they pass, whether you smoke or not. Ride them out by distracting yourself with a walk, listening to music, or visiting a friend”

 3 days post-quit

6 texts

“Sniping discarded butts might be free tobacco—but it can also make you sick from germs on the ground or from the person who smoked it first. Not worth it”

 4 days post-quit

5 texts

“If you’re feeling anxious, smoking isn’t the answer. Nicotine can make anxiety worse. Text MOOD anytime for tips on dealing with a bad mood without smoking.”

 5 to 14 days post-quit

4 to 5 texts

“Letting friends know you’re quitting can make it easier for you and motivate them to quit too. Be proud of what you’ve achieved and let others know about it!”

“The $$ you save by quitting can really add up! To see how much you’ve already saved, text back the typical # of cigs you smoked per day prior to quitting”

Later post-quit texts (Days 17 to 42)

 15 to 39 days post-quit

3 to 4 texts

“Using alcohol or marijuana can make it harder to resist cigarettes. If alcohol or weed are triggers for you, think about staying away from them for a bit”

 2 days until end of program

4 texts

“Notice what’s gotten better since you changed your smoking. More energy? Easier breathing? Better tasting food? Enjoy these changes by staying smoke-free!”

 1 day until end of program

4 texts

“If you’re wondering how much money you can save over the next year or even 5 years by staying smoke-free, check out this link…”

 Last day of program

5 texts

“Write down the qualities and skills you used to stay smoke-free. Remind yourself of these things if you feel like giving into cravings in the future”