A Text-Message Based Smoking Intervention for Lesbian, Gay, Bisexual, and Transgender Smokers


SmokefreeSGM is a text-messaging based intervention designed to help lesbian, gay, bisexual and transgender people quit smoking cigarettes. This text-messaging program was developed by our research team with input from tobacco specialists, former and current sexual and gender minority (SGM) smokers, as well as other scientists focused on SGM research.


1. How long is the program?

After being enrolled in our study, you will start receiving text messages for 6 weeks. You will be also contacted up to 1-month after the quit date

2. Who can participate in this study?

You must be at least 18 years old, self-identify as lesbian, gay, bisexual or transgender individual residing in Texas who meets additional eligibility criteria. Please reach out to our team during recruitment to be screened for consideration in the study (HERG@uth.tmc.edu).

3. What will I be doing as a study participant?

As a study participant, you will join the SmokefreeSGM text messaging program, receive an 8 or 10-week supply of nicotine patches, meet virtually with a member of our research team to answer survey questions at select time points throughout the study, and participate in a virtual one-on-one interview with a research team member.

4. What exactly are the SmokefreeSGM text messages about?

How it works: The SmokefreeSGM program text messages are sent to the participants’ phone 2 weeks before and up to 6 weeks after the participant quit date.

What’s in the texts? Messages that have pre- and post-quit date educational information about smoking, peer ex-smoker advice and encouragement, as well as short message service (SMS) keyword prompts. Keywords include CRAVE, MOOD, STRESS. The keyword actions are as follows:

  • CRAVE: participants will get help with a craving by having a reminder of why they should not smoke
  • MOOD: participants will get a positive message if they’re having a difficult day
  • STRESS: participant will get messages to determine their level of stress, their number of stressful life events, and/or their minority specific stress and will be given coping strategies to manage this stress

5. What is the time commitment involved?

Not much! Each virtual visit shouldn’t take more than 20 minutes. The one-month follow-up includes a virtual individual interview which should last between 45-60 minutes.

6. Do I have to do any in-person visits?

Nope! Given the COVID pandemic, we are conducting the follow-up visits virtually through a video conferencing platform. Therefore, it is important for you to have a computer with a webcam and good audio for connecting with our research staff.

7. Will I be compensated for my participation?

Yes, you will receive electronic gift cards to compensate for your time and effort.

8. Do I need to provide samples, like blood or saliva?

You will be mailed a saliva test kit during the screening process of the study. This is an at-home test kit that does require a saliva swab, but we will not collect this sample once you have finished.

9. How will I receive the nicotine patches?

You will be mailed either a 4 or a 6-week supply after your 1-month follow up virtual visit.

10. Are my responses and any feedback I provide confidential?

Absolutely! None of the information you provide will be shared with anyone outside of the research team. Your information is very valued and critical to our research--the purpose of your input is to help us revise the content of the text messages and expand this intervention to other groups within the LGTBQ+ community in the future. Our ultimate goal is for SmokefreeSGM to improve the quality of life for the LGBTQ+ community.


Additional Resources

Project Flyer

State of Texas LGBTQ+ resources:

https://studentlife.tamu.edu/lgbtq/resources/ -> look under “State of Texas Resources”

List of LGBTQ+ resources in the Dallas/FT Worth area:


List of LGBTQ+ resources in the Galveston/Houston area:


List of LGBTQ+ resources in the Austin area:

https://diversity.utexas.edu/genderandsexuality/publications-and-resources/ -> look under “Austin Resources”

List of LGBTQ+ resources in the San Antonio area:

https://pridecentersa.org/resources/ -> look under “Health”

List of LGBTQ+ resources in the El Paso area:


LGBTQ+ friendly clinics in Texas:


If you know someone in crisis: