scholarly journals Nondaily Smoking Cessation Motivation for Young Adults: Scale Development and Validation

2013 ◽  
Vol 8 (2) ◽  
pp. 97-105
Author(s):  
Carla J. Berg
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Scale Development ◽  
Health Concern ◽  
Reliability Factor ◽  
Factors Associated ◽  
Southeastern Us ◽  
Development And Validation ◽  
Nondaily Smoking

Introduction: Nondaily smoking is a growing public health concern, particularly among young adults. Given the lack of existing measures for assessing factors associated with this smoking pattern, the present study aims to develop a measure of motivation to quit among young adult nondaily smokers. Specifically, we developed a scale assessing motivation for nondaily smoking cessation, and examined its reliability, factor structure, and concurrent validity.Methods: We administered an online survey to 2,000 students at six colleges in the Southeastern US, and 718 (35.9%) returned a completed survey. The current analyses focused on the 95 participants who reported nondaily smoking (i.e., smoking between 1 and 29 days of the past 30 days). In addition to the items created for scale development, measures included sociodemographics, other measures of motivation and confidence/self-efficacy, past smoking/quitting history, readiness to quit, and perceived harm.Results: The 13-item Nondaily Smoking Cessation Motivation Questionnaire (NSCM) had an average score of 56.95 (SD = 24.33) and high internal consistency (Cronbach's alpha of 0.94). Factor analysis using principal components extraction with varimax rotation extracted three factors accounting for 76.8% of the variance: Controlled motivation, Autonomous motivation, and Amotivation. Concurrent and discriminant validity were documented.Conclusions: This study provided information about the development and validation of the Nondaily Smoking Cessation Motivation Questionnaire for young adult nondaily smokers. Given the lack of validated measures to assess factors associated with nondaily smoking, this assessment may be critical in informing our intervention strategies and potentially for predicting cessation among nondaily smokers in the young adult population.

scholarly journals Reasons for Nondaily Smoking among Young Adults: Scale Development and Validation

2013 ◽  
Vol 9 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Carla J. Berg
Keyword(s):  
Young Adults ◽  
Scale Development ◽  
Online Survey ◽  
Discriminant Validity ◽  
Health Concern ◽  
Average Score ◽  
Reliability Factor ◽  
Southeastern Us ◽  
Development And Validation ◽  
Nondaily Smoking

Introduction: Given the increased rates of nondaily smoking and the lack of validated measures to assess factors related to nondaily smoking, we aimed to develop a measure of reasons for nondaily smoking among young adults. Specifically, we developed a scale assessing reasons or triggers for nondaily smoking and examined its reliability, factor structure, and concurrent validity. Methods: We administered an online survey to 2,000 students at six colleges in the Southeastern US, and 718 (35.9%) returned a completed survey. The current analyses focused on the 95 participants who reported nondaily smoking (i.e., smoking between 1 and 29 days of the past 30 days). In addition to the items created for scale development, measures included socio-demographics, other measures of motivation and confidence/self-efficacy, past smoking/quitting history, readiness to quit, and other psychosocial factors related to smoking. Results: The 19-item Reasons for Nondaily Smoking Scale (RNS) demonstrated an average score of 45.36 (SD = 15.55) and internal consistency (Cronbach's alpha of 0.79). Factor analysis of the items extracted four factors which accounted for 57.4% of score variance: Social influences; Enhancing buzzes and positive affect; Negative affect regulation; and Lack of concern of addiction. Concurrent and discriminant validity were documented. Conclusions: Developing validated measures designed to assess factors associated with nondaily smoking will enhance our ability to address this growing public health concern. The development and validation of the RNS for young adults may be critical in informing our intervention strategies and potentially for effecting or predicting cessation among young adult nondaily smokers.

Natural Observation of Alcohol Price and Promotions at Bars: Implications for Alcohol Misuse Prevention

2021 ◽  
pp. 109019812110547
Author(s):  
Melissa J. Cox ◽  
Meredith Moskwiak ◽  
Beth H. Chaney ◽  
Madison Garrigues
Keyword(s):  
Young Adults ◽  
Young Adult ◽  
Alcohol Consumption ◽  
Alcohol Misuse ◽  
Health Concern ◽  
Prevention Policy ◽  
Observational Assessment ◽  
Wide Range ◽  
Age Verification ◽  
Alcohol Price

Alcohol misuse among young adults remains a primary public health concern given the wide range of short- and long-term physical, social, and societal consequences of the behavior. On-premise drinking establishments, which allow alcohol consumption on site (i.e., bars), are frequent locations for young adult alcohol use. Risks for alcohol misuse within the bar setting are key factors to identify for prevention. Notably, alcohol price and promotions are associated with alcohol consumption among young adults. This study sought to develop and pilot test an observational protocol to assess the alcohol environment at on-premise drinking establishments. Following qualitative exploration of salient risk factors in these settings through focus groups with young adults, an observational tool was adapted and tested in a feasibility study. The refined tool was then pilot tested with two independent data collectors conducting natural observation at 13 establishments in the downtown nightlife district of a small, southeastern city. High interrater reliability was noted. Descriptive summary statistics of bar characteristics demonstrate low alcohol prices with variability across types of alcohol (e.g., beer, wine, and liquor), greater numbers of alcohol promotions inside rather than outside the building, and higher rates of manual versus electronic age verification procedures. Observational assessment of alcohol price and marketing at on-premise drinking establishments as described in this study is needed to inform prevention policy and programs to reduce harms associated with young adult alcohol misuse.

scholarly journals Utilizing Social Norms Marketing to Address E-Cigarette Use on College Campuses

2018 ◽  
Vol 59 ◽  
pp. 01017
Author(s):  
Kristen Scholly ◽  
Lynn Garcia ◽  
Stormy Dodge ◽  
Pallav Pokhrel
Keyword(s):  
Young Adults ◽  
Service Learning ◽  
Social Norms ◽  
Multivariate Logistic Regression Analysis ◽  
Active Role ◽  
Adolescents And Young Adults ◽  
Health Concern ◽  
Cigarette Use ◽  
Factors Associated ◽  
Social Norms Marketing

E-cigarette use is a serious health concern among adolescents and young adults. This study identifies factors associated with e-cigarette use in an effort to better understand what impacts college students’ decisions to use this tobacco product. This study utilizes data from a survey conducted at a research institution and two community colleges located in Hawaii. A multivariate logistic regression analysis identified key risk factors associated with college student e-cigarette use. Independent factors associated with e-cigarette use included use of traditional cigarettes and having one or more family members or friends who currently used e-cigarettes. Exposure to online e-cigarette information was also associated with increased odds of e-cigarette use. The study findings have important implications for e-cigarette control among adolescents and young adults. Service learning students can take an active role in developing social norms marketing campaigns designed to communicate the risks of e-cigarette use and counter marketing ploys that foster unsubstantiated beliefs regarding the benefits of e-cigarette use.

scholarly journals Crush the Crave: Development and Formative Evaluation of a Smartphone App for Smoking Cessation (Preprint)

2017 ◽  
Author(s):  
Neill B Baskerville ◽  
Laura L Struik ◽  
Darly Dash
Keyword(s):  
Social Support ◽  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Focus Groups ◽  
Positive Reinforcement ◽  
Formative Evaluation ◽  
Controlled Trial ◽  
Star Model ◽  
Task Support

BACKGROUND Emerging evidence supports the use of smartphone apps for smoking cessation, especially in young adults given their high smoking rates and high smartphone ownership rates. Although evaluative evidence is encouraging for supporting smoking cessation, there remains a paucity of research describing the design and development processes of mobile health (mHealth) interventions. OBJECTIVE The aim of this paper was to describe the process of developing Crush the Crave (CTC), an evidence-informed app to support smoking cessation in young adults, and the results of a formative evaluation of app usage behavior, as part of a broader program of research that seeks to establish the effectiveness of the CTC app. METHODS The Spiral Technology Action Research (STAR) 5-cycle model (listen, plan, do, act, and study) was employed to guide the development, implementation, and dissemination of CTC. The approach to development and formative evaluation included focus groups with young adult smokers (n=78) across 2 phases, analysis of the content of existing apps, 2 sessions with content experts, and Google Analytics to assess user behavior during a 12-month pilot. RESULTS LISTEN—focus groups revealed young adult smoker preferences of (1) positive reinforcement, (2) personalization, (3) social support, (4) quit support, (5) tracking the behavior, and (6) tracking quit benefits. PLAN—informed by evidence for smoking cessation, young adult preferences and an assessment of popular cessation apps, content experts produced a mind map and a storyboard describing app content and structure. DO—focus groups with young adult smokers provided feedback on the first version of the app with opinions on content and suggestions for improvement such as providing alerts and distractions from craving. ACT—refinements were made, and app content was organized using the 4 key design components informed by principles of persuasive technology for behavior change: credibility, task support, dialogue support, and social support. CTC was launched in April 2013 and piloted from the period July 2013 to June 2014 where 1987 Android users had 18,567 sessions, resulting in 59,384 page views and 89.58% (1780/1987) of users returning within the same day to use CTC. STUDY—a pragmatic randomized controlled trial of CTC was launched in August 2014 to demonstrate that including mHealth technology as a population-based intervention can help young adult smokers to quit. The results of this phase will be presented in a subsequent publication. CONCLUSIONS CTC is one of the first smoking cessation apps designed to meet the needs of young adult smokers. The development was informed by the inclusion of young adults in the design and the systematic application of multiple stakeholder input, scientific evidence, and theory. The STAR model approach was followed from the beginning of intervention development, which should facilitate optimization of mHealth interventions in the future. CLINICALTRIAL ClinicalTrials.gov NCT01983150; http://clinicaltrials.gov/ct2/show/NCT01983150 (Archived by WebCite at http://www.webcitation.org/6VGyc0W0i)

scholarly journals Reasons for Polytobacco Use among Young Adults: Scale Development and Validation

2016 ◽  
Vol 2 (July) ◽  
Author(s):  
Carla Berg ◽  
Regine Haardoerfer ◽  
Gillian Schauer ◽  
Betelihem Getachew ◽  
Matt Masters ◽  
...  
Keyword(s):  
Young Adults ◽  
Scale Development ◽  
Scale Development And Validation ◽  
Development And Validation

Association of BMI Changes Between Adolescence and Young Adulthood With Smoking Cessation

2018 ◽  
Vol 33 (3) ◽  
pp. 358-362
Author(s):  
Jerome F. Walker ◽  
Paul D. Loprinzi
Keyword(s):  
High School ◽  
Smoking Cessation ◽  
Young Adults ◽  
Weight Gain ◽  
Young Adult ◽  
Young Adulthood ◽  
Smoking Status ◽  
High School Education ◽  
Quit Smoking ◽  
Bmi Trajectories

Purpose: Weight gain frequently accompanies smoking cessation. This study examined if increasing body mass index (BMI) during the early years of smoking influences quitting by young adulthood. Design: Longitudinal, observational study using in-home interview data. Setting: National Longitudinal Study of Adolescent and Adult Health (Add Health) 1994 to 2008. Subjects: Nine hundred forty-nine adolescent smokers (12-19 years) followed into young adulthood (20-32 years) through 4 waves of in-home interviews. Measures: Outcome variable: Young adult smoking status (yes or no) reported at in-home interviews. Factors: Gender and 4 longitudinal adolescent/young adult BMI trajectories—normal/normal, normal/overweight, normal/obese, and overweight/obese. Covariates: Race-ethnicity, education, household income, and recent quit attempt in adolescence. Analysis: Binary logistic regression analysis. Results: Overall, the rate at which young adults quit smoking was not significantly different based on gender. However, longitudinal changes in BMI trajectory and gender interact to influence young adult smoking status. Women having normal/overweight and normal/obese BMI trajectories were less likely to quit smoking than men. Odds that young adults having some college or post-high school education quit smoking were greater than those with high school education or less. Conclusion: At a minimum, providing direct information regarding anticipated weight changes after quitting is indicated in smoking cessation intervention, in addition to strategies to mitigate postcessation weight gain. Faced with weight gain, younger smokers, particularly women, may be more resistant to quitting smoking.

scholarly journals Cold Turkey and Hot Vapes? A National Study of Young Adult Cigarette Cessation Strategies

2018 ◽  
Vol 22 (5) ◽  
pp. 638-646 ◽  
Author(s):  
Shannon Lea Watkins ◽  
Johannes Thrul ◽  
Wendy Max ◽  
Pamela M Ling
Keyword(s):  
Older Adults ◽  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Age Groups ◽  
Strategy Use ◽  
National Study ◽  
Evidence Based ◽  
Product Substitution ◽  
Intentions To Quit

Abstract Introduction Young adults have high smoking rates and low utilization of evidence-based smoking cessation strategies. We investigated smoking cessation intentions, strategy use, and socioeconomic predictors of strategy use among young adult smokers (age 18–24) and compared patterns with those of older adults (age 25–64). Methods We used a population-based sample from the Population Assessment of Tobacco and Health (PATH) study of young adult (n = 1,881) and older adult (n = 6,366) established smokers of conventional cigarettes at Wave 1 (2013–2014), who were surveyed at Wave 2 (2014–2015). Simple regression analysis compared intentions to quit between age groups. Among Wave 1 smokers who reported a Wave 2 quit attempt (young adults [YA] n = 748; older adults [OA] n = 2,068), bivariate and multinomial logistic regression estimated differences in use of behavioral support, pharmacotherapy, product substitution, and unassisted quit attempts. Interaction terms estimated age-group differences in relationships between predictors and cessation strategy use. Results Young adults planned to quit on a longer time frame, expressed lower interest in quitting, and were more confident they would be successful, compared with older adults. Young adults were significantly less likely to use pharmacotherapy (adjusted odds ratio: 0.15; confidence interval: 0.09, 0.24; reference: quitting unassisted). Both groups reported using product substitution (YA: 31.6%; OA: 28.5%), primarily with e-cigarettes, more than any evidence-based cessation strategy. Socioeconomic predictors of cessation strategy use did not differ between age groups. Conclusions More research on why young adult smokers underutilize evidence-based cessation support is needed, as are innovative efforts to increase intentions to quit and utilization of cessation assistance. Implications Young adulthood is a key transition time for tobacco use, and early cessation substantially reduces the risk of morbidity and mortality from smoking. In the context of high e-cigarette and polytobacco use, this study finds young adults have significantly less intention to quit than older adults and are less likely to use evidence-based cessation strategies to help quit. Innovative methods are needed to increase young adult intentions to quit and use of evidence-based cessation assistance.

scholarly journals Factors Associated with Successful Smoking Cessation According to Age Group: Findings of an 11-Year Korea National Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 1576
Author(s):  
Youngmee Kim ◽  
Ji Sung Lee ◽  
Won-Kyung Cho
Keyword(s):  
Smoking Cessation ◽  
Young Adult ◽  
Age Groups ◽  
Middle Aged ◽  
Factors Affecting ◽  
Factors Associated ◽  
Health And Nutrition ◽  
Korean Adult ◽  
Using Data ◽  
Policies And Programs

Previous studies suggest that factors related to smoking cessation may vary with age. This study examined the factors affecting smoking cessation by age among Korean adult male smokers using data from the Korea National Health and Nutrition Examination Survey from 2007 to 2018 (excluding 2013). Logistic regression analyses were used to investigate various factors associated with smoking cessation in three different age groups. Out of a total of 15,492 individuals, 31.5% of the 3523 individuals aged 19–39 years (young adult), 54.7% of the 7390 individuals aged 40–64 years (middle-aged), and 78.6% of the 4589 individuals aged ≥65 years (older adults) succeeded in quitting. In the young adult and middle-aged groups, being married was associated with successful quitting, and lifetime smoking was associated with unsuccessful quitting. Willpower and several comorbidities were related to successful cessation in the middle-aged and older adult groups. Skipping any meal, which suggests unhealthy behavior, was negatively related to quitting in the young adult group. We observed that factors associated with smoking cessation success or failure differed by age, which should be considered when developing smoking cessation policies and programs.

scholarly journals Effect of a Mobile Phone Intervention on Quitting Smoking in a Young Adult Population of Smokers: Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Neill Bruce Baskerville ◽  
Laura Louise Struik ◽  
Godefroy Emmanuel Guindon ◽  
Cameron D Norman ◽  
Robyn Whittaker ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Mobile Technology ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Quit Smoking ◽  
Self Help ◽  
Continuous Abstinence

BACKGROUND Digital mobile technology presents a promising medium for reaching young adults with smoking cessation interventions because they are the heaviest users of this technology. OBJECTIVE The aim of this study was to determine the efficacy of an evidence-informed smartphone app for smoking cessation, Crush the Crave (CTC), on reducing smoking prevalence among young adult smokers in comparison with an evidence-informed self-help guide, On the Road to Quitting (OnRQ). METHODS A parallel, double-blind, randomized controlled trial with 2 arms was conducted in Canada to evaluate CTC. In total, 1599 young adult smokers (aged 19 to 29 years) intending to quit smoking in the next 30 days were recruited online and randomized to receive CTC or the control condition OnRQ for a period of 6 months. The primary outcome measure was self-reported continuous abstinence at the 6-month follow-up. RESULTS Overall follow-up rates were 57.41% (918/1599) and 60.48% (967/1599) at 3 and 6 months, respectively. Moreover, 45.34% (725/1599) of participants completed baseline, 3-, and 6-month follow-up. Intention-to-treat analysis (last observation carried forward) showed that continuous abstinence (N=1599) at 6 months was not significantly different at 7.8% (64/820) for CTC versus 9.2% (72/779) for OnRQ (odds ratio; OR 0.83, 95% CI 0.59-1.18). Similarly, 30-day point prevalence abstinence at 6 months was not significantly different at 14.4% (118/820) and 16.9% (132/779) for CTC and OnRQ, respectively (OR 0.82, 95% CI 0.63-1.08). However, these rates of abstinence were favorable compared with unassisted 30-day quit rates of 11.5% among young adults. Secondary measures of quit attempts and the number of cigarettes smoked per day at 6-month follow-up did not reveal any significant differences between groups. For those who completed the 6-month follow-up, 85.1% (359/422) of young adult smokers downloaded CTC as compared with 81.8% (346/423) of OnRQ, χ21(N=845)=1.6, P=.23. Furthermore, OnRQ participants reported significantly higher levels of overall satisfaction (mean 3.3 [SD 1.1] vs mean 2.6 [SD 1.3]; t644=6.87, P<.001), perceived helpfulness (mean 5.8 [SD 2.4] vs mean 4.3 [SD 2.6], t657=8.0, P<.001), and frequency of use (mean 3.6 [SD 1.2] vs mean 3.2 [SD 1.1], t683=5.7, P<.001) compared with CTC participants. CONCLUSIONS CTC was feasible for delivering cessation support but was not superior to a self-help guide in helping motivated young adults to quit smoking. CTC will benefit from further formative research to address satisfaction and usage. As smartphone apps may not serve as useful alternatives to printed self-help guides, there is a need to conduct further research to understand how digital mobile technology smoking cessation interventions for smoking cessation can be improved. CLINICALTRIAL ClinicalTrials.gov NCT01983150; http://clinicaltrials.gov/ct2/show/NCT01983150 (Archived by WebCite at http://www.webcitation.org/6VGyc0W0i)

scholarly journals Factors Associated To the Onset of Mental Depression among Young Adults at the Yaounde Central Hospital

2020 ◽  
Vol 7 (09) ◽  
pp. 5006-5016
Author(s):  
Olgayvonne BASSONG MANKOLLO ◽  
Therese Andela Kounou
Keyword(s):  
Young Adults ◽  
Sexual Harassment ◽  
Educational Level ◽  
Mental Wellbeing ◽  
Health Concern ◽  
Central Hospital ◽  
Mental Depression ◽  
Factors Associated ◽  
Work Related ◽  
Moderate Depression

Introduction: Mental depression is the most common mental health illness. The burden related to this condition is very important worldwide. Depression represents a highly prevalent public health concern in Cameroon, particularly within the city Yaounde. Young adults aged 20-40 years, searching for life stability, and consulting general medical practitioners are vulnerable. This study was to analyze factors associated to the onset of depression among young adults at the Yaounde Central Hospital (YCH). Materials and methods:  A cross-sectional, quantitative, and descriptive study was conducted among 124 participants aged 20-40 years at the YCH. Data was collected through two questionnaires between October and November 2019. Chi-square tests and logistic polytomous regression were performed using CSPRO 7.3, SPSS.25, STATA & SPAD softwares. Results: The mean age was 33.19 ±6.19, with 54.8% women and 45.2% men.  Moderate depression was the most represented (53.2%). Depression’s onset was significantly associated to educational level (P=0.016), the experience of work-related sexual harassment (P=0.003), having suffered from a chronic illness (P=0.022) and social isolation (P=0.000). Individuals with a not higher than primary educational level were 3.18 (P=0.003; 95% C.I. 0.52-32.67) times more prone to develop severe rather than moderate depression, compared to their highly educated counterparts. The risk for severe depression was 10.31 (95% C.I 5.22- 12.60) times greatly increased among those that reported work-related sexual harassment. Conclusions: A focus should therefore be placed on strategies ensuring young adults’ mental wellbeing within the social, academic, professional and clinical spheres.  Keywords: Factors associated, mental depression, young adults, Yaounde Central Hospital

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