Evaluation of the ASCENT Smoking Cessation Program for Adolescents

2008 ◽  
Vol 3 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Jeffrey Hoffman ◽  
Susanna Nemes ◽  
Jennifer Weil ◽  
Sharon Zack ◽  
Kelly Munly ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Average Rate ◽  
Intervention Group ◽  
Smoking Cessation Program ◽  
Control Group ◽  
Youth Smoking ◽  
The Past ◽  
Cessation Intervention ◽  
Quit Rate ◽  
Experimental Group

AbstractThe goal of this study was to evaluate the Adolescent Smoking Cessation Escaping Nicotine and Tobacco (ASCENT) program, a multifaceted smoking cessation intervention for teens, aged 14 to 18. Seven schools were randomised into either an intervention group (n = 61) or a comparison control group (n = 44). Findings suggested that 67% of the teens in the experimental group reported they did not smoke daily in the past 12 months, compared to 42% of the control group (p < .05). In addition, experimental (treated) youth reduced their smoking from an average of 8 cigarettes a day at baseline to 6 cigarettes a day (p < .05). Although not statistically significant, the overall 1-year quit rate for both groups was higher than the average rate for youth cessation programs (12%). The results of this study suggest that, with appropriate interventions, it is feasible to reduce youth smoking.

scholarly journals Effects of a Mobile App Called Quittr, Which Utilizes Premium Currency and Games Features, on Improving Engagement With Smoking Cessation Intervention: Pilot Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Ivan Bindoff ◽  
Tristan R Ling ◽  
Peter Gee ◽  
Benjamin Geelan ◽  
Stuart G Ferguson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Randomized Controlled ◽  
Cessation Intervention ◽  
Quit Rate ◽  
Mhealth Apps

BACKGROUND Numerous mobile health (mHealth) apps have been developed to support smokers attempting to quit smoking. Although these apps have been reported to be successful, only modest improvements in the quit rate have been measured. It has been proposed that efforts to improve user engagement and retention may improve the quit rate further. Owing to the high cost of smoking-related disease, it is considered worthwhile to pursue even small improvements. OBJECTIVE The aim of this study was to test a novel smartphone app that leverages premium currency strategies developed by the mobile games industry in an attempt to improve engagement and retention with a smoking cessation intervention. METHODS We designed and developed a smoking cessation app called “Quittr” in line with previously developed smoking cessation mHealth apps. In addition to this established framework, we added a stand-alone fully featured city-building clicker-style game called “Tappy Town,” and a premium virtual currency called “QuitCoins.” The user earns QuitCoins for using the app in a way that contributes positively toward their quit attempt, and they can redeem these coins in Tappy Town for bonuses. To establish whether these features improved engagement and retention, we ran a 5-month randomized controlled trial where the intervention group had the full app with the extra games features, while the control group had the standard app only. Recruitment was performed via web-based advertising. Participants (N=175) had no direct contact with the researchers or other support staff. RESULTS No significant differences in terms of engagement, retention, or smoking outcomes were found between the control and intervention groups. However, survey data indicated that the majority of the participants valued Tappy Town (10/17, 59%) and the QuitCoins rewards system (13/17, 77%). Usage data also suggested that Tappy Town was widely played and was generally appealing to users (mean total time spent in app, control group: 797 seconds vs intervention group: 3502 seconds, <i>P&lt;</i>.001). Analysis of the results suggests that users in the intervention group may have been negatively affected by the aspects of the chosen design, and some theories were explored to explain this unexpected outcome. CONCLUSIONS Although the novel features of the Quittr app failed to improve the key outcomes measured in this study, there were enough positive indications to warrant further exploration of the concept. Additional research will be required to identify and correct any design flaws that may have adversely affected our participants before a follow-up study can be completed. CLINICALTRIAL Australian and New Zealand Clinical Trials Register ACTRN12617000491369; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372661&amp;isReview=true

scholarly journals Effects of a Mobile App Called Quittr, Which Utilizes Premium Currency and Games Features, on Improving Engagement With Smoking Cessation Intervention: Pilot Randomized Controlled Trial

10.2196/23734 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e23734
Author(s):  
Ivan Bindoff ◽  
Tristan R Ling ◽  
Peter Gee ◽  
Benjamin Geelan ◽  
Stuart G Ferguson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Trial Registration ◽  
Control Group ◽  
Randomized Controlled ◽  
Cessation Intervention ◽  
Quit Rate ◽  
Mhealth Apps

Background Numerous mobile health (mHealth) apps have been developed to support smokers attempting to quit smoking. Although these apps have been reported to be successful, only modest improvements in the quit rate have been measured. It has been proposed that efforts to improve user engagement and retention may improve the quit rate further. Owing to the high cost of smoking-related disease, it is considered worthwhile to pursue even small improvements. Objective The aim of this study was to test a novel smartphone app that leverages premium currency strategies developed by the mobile games industry in an attempt to improve engagement and retention with a smoking cessation intervention. Methods We designed and developed a smoking cessation app called “Quittr” in line with previously developed smoking cessation mHealth apps. In addition to this established framework, we added a stand-alone fully featured city-building clicker-style game called “Tappy Town,” and a premium virtual currency called “QuitCoins.” The user earns QuitCoins for using the app in a way that contributes positively toward their quit attempt, and they can redeem these coins in Tappy Town for bonuses. To establish whether these features improved engagement and retention, we ran a 5-month randomized controlled trial where the intervention group had the full app with the extra games features, while the control group had the standard app only. Recruitment was performed via web-based advertising. Participants (N=175) had no direct contact with the researchers or other support staff. Results No significant differences in terms of engagement, retention, or smoking outcomes were found between the control and intervention groups. However, survey data indicated that the majority of the participants valued Tappy Town (10/17, 59%) and the QuitCoins rewards system (13/17, 77%). Usage data also suggested that Tappy Town was widely played and was generally appealing to users (mean total time spent in app, control group: 797 seconds vs intervention group: 3502 seconds, P<.001). Analysis of the results suggests that users in the intervention group may have been negatively affected by the aspects of the chosen design, and some theories were explored to explain this unexpected outcome. Conclusions Although the novel features of the Quittr app failed to improve the key outcomes measured in this study, there were enough positive indications to warrant further exploration of the concept. Additional research will be required to identify and correct any design flaws that may have adversely affected our participants before a follow-up study can be completed. Trial Registration Australian and New Zealand Clinical Trials Register ACTRN12617000491369; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=372661&isReview=true

The Impact of a Brief Intervention on Maternal Smoking Behavior

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_2) ◽  
pp. 267-271
Author(s):  
Judith A. Groner ◽  
Karen Ahijevych ◽  
Lindsey K. Grossman ◽  
Leslie N. Rich
Keyword(s):  
Smoking Cessation ◽  
Controlled Trial ◽  
Safety Information ◽  
Stage Of Change ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Primary Care Center ◽  
Cessation Intervention ◽  
Quit Rate ◽  
The Impact

Objective. To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than 1) mothers receiving routine smoking cessation advice or 2) a control group. Design. Randomized, controlled trial. Setting. Primary care center in a large urban children's hospital. Intervention. Four hundred seventy-nine mothers were randomly assigned to a smoking cessation intervention either aimed at their child's health or their own health, or to a control group receiving safety information. Outcome Measures. Smoking status, stage of change, cigarettes/day, location smoking occurred, and knowledge of ETS effects. Results. Complete data (baseline and both follow-ups) were available for 166 subjects. There was no impact of group assignment on the quit rate, cigarettes/day, or stage of change. The Child Health Group intervention had a sustained effect on location where smoking reportedly occurred (usually outside) and on improved knowledge of ETS effects. Conclusions. Further research is needed to devise more effective methods of using the pediatric health care setting to influence adult smoking behaviors.

scholarly journals A Pragmatic Pilot Cluster-Randomized Study of Tobacco Screening and Smoking Cessation Program for Community Pharmacies in Japan: FINE Program

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Mitsuko Onda ◽  
Michiko Horiguchi ◽  
Masayuki Domichi ◽  
Naoki Sakane
Keyword(s):  
Smoking Cessation ◽  
Small Sample Size ◽  
Controlled Trial ◽  
Randomized Study ◽  
Intervention Group ◽  
Small Sample ◽  
Smoking Cessation Program ◽  
Control Group ◽  
Community Pharmacies ◽  
Cluster Randomized

Objectives. To investigate the effectiveness of a smoking cessation program (FINE program) in community pharmacies. Methods. A cluster-randomized controlled trial was conducted in 11 community pharmacies in Japan. The participants were randomly assigned to a pharmacist-led structured smoking cessation program (intervention group) or pharmacist-led usual care (control group). The intervention group was followed up over the telephone on the third day of smoking cessation, and ongoing follow-up and advice were provided according to the original smoking cessation guidebook developed for the current study based on a behavioral change approach. The control group received brief advice and ready-made pamphlets on smoking cessation from pharmacists upon their visit to these community pharmacies. The primary outcome was continued smoking cessation as determined by self-reporting and carbon monoxide monitoring with a microsmokerlyzer after 3 months. Results. Five hundred and seventy-two smokers who met the eligibility criteria visited the pharmacies included in the study. Of these individuals, 24 patients agreed to participate in the study. The quit rates were 45.5% and 18.2% in the intervention and control groups, respectively ( P = 0.380 , effect   size = 0.60 ). Conclusion. Based on the effect size values, the FINE program may be effective to some extent, but the difference was not significant. We speculate that this is related to the small sample size due to difficulty in recruiting. Further studies with an effective recruitment method and larger sample sizes are needed to accurately verify the effectiveness of this program.

scholarly journals Effectiveness of Integrated Change Model-based Smoking Cessation Program for High School Students

2021 ◽  
Vol 28 (2) ◽  
pp. 195-206
Author(s):  
Hae Seon Lee ◽  
Su Hyun Kim
Keyword(s):  
High School ◽  
Smoking Cessation ◽  
High School Students ◽  
Smoking Cessation Program ◽  
Control Group ◽  
Change Model ◽  
Vocational High School ◽  
School Students ◽  
Model Based ◽  
Experimental Group

Purpose: The purposes of this study were to develop and to evaluate the effectiveness of the I-change model-based smoking cessation program for vocational high school students.Methods: A non-equivalent control group pretest-posttest design was conducted. Fifty seven participants from a vocational high school in U city, South Korea participated in the study which was done during March and April 2019. The I-change model-based smoking cessation programs was developed focusing on enhancing awareness, motivation, and ability to stop smoking for use by high school students. The experimental group completed 8 sessions of the I-change model-based smoking cessation program over 4 weeks, while the control group participated in the general school smoking cessation program. Data were analyzed using x2 test, independent t-test, Mann-Whitney U test and ANCOVA with the IBM SPSS 25.0 program.Results: After the intervention, the experimental group demonstrated significantly higher levels of awareness about smoking cessation and self-efficacy, better attitude toward cons of smoking, and more change in the stage of behavior than the control group. There was no significant difference in attitude toward pros of smoking between the two groups.Conclusion: The I-change model-based smoking cessation program is an effective intervention to improve motivation and change in the stage of behavior for adolescents in vocational high schools. The program will contribute to health education for smoking cessation in vocational high schools.

scholarly journals Smoking Cessation Rates After a Nurse-Led Inpatient Smoking Cessation Intervention

2010 ◽  
Vol 5 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Marc Meysman ◽  
Hedwig Boudrez ◽  
Kris Nackaerts ◽  
Björn Dieriks ◽  
Rudy Indemans ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Stage Of Change ◽  
Control Group ◽  
University Hospitals ◽  
Smoking Cessation Advice ◽  
Cessation Intervention ◽  
Continuous Abstinence ◽  
Over 40 Years ◽  
Experimental Group ◽  
Action Stage

AbstractObjective: To evaluate the effectiveness of inpatient brief counselling by a smoking cessation nurse compared to usual care (no advice). Methods: The subjects (n = 381, 245 men and 136 women) studied were in-patients, in four Flemish University Hospitals, who were daily smokers. Patients were randomised between 2005 and June 2006. Patients were allocated to an experimental group (EG) or to a control group (CG). Allocation and smoking cessation interventions of patients were stage-matched according to their stage of change as defined by Prochaska and Diclemente. Smoking cessation advice was administered by a qualified smoking cessation nurse. Results: The six-month self-reported continuous abstinence in the EG in 28/178 patients (15.7%) compared to the CG where 14/180 patients were abstinent (7.7%) was significantly better. The effect was most pronounced in the subgroup over 40 years old in the preparation and action stage. In this cohort in the EG, 44% of patients were abstinent at six months compared to 18%in the CG. All patients tended to smoke less after a hospitalisation. Conclusion: The intervention by a smoking cessation nurse during hospitalisation seems effective and is most rewarding in the smokers > 40 years old, and who were well motivated to stop.

scholarly journals Preliminary efficacy of the Quit Together Couple focused pregnancy smoking cessation intervention in Romania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Meghea ◽  
R Bandici ◽  
M D Dascal
Keyword(s):  
Smoking Cessation ◽  
Problem Solving ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Prenatal Smoking ◽  
Eligibility Criteria ◽  
Cessation Intervention ◽  
Pregnant Smokers

Abstract Significance Smoking rates before and during pregnancy are high in Romania and other low- and middle-income countries. We report on the efficacy of a smoking cessation intervention for couples during and after pregnancy in Romania. Methods The Quit Together trial enrolled participants between 2017-2019. The target population was comprised of pregnant smokers and their life partners in Romania. Eligibility criteria included age &gt; =18; pregnant; smoker; married or with a stable partner; willing to share partner contact info to be invited as participants as well. Participants self-enrolled through the Quit Together project webpage responding to Facebook ads and Google AdWords ad campaigns, and promotion through emails, online discussion groups, and printed materials distributed nationally by perinatal educators in ObGyn clinics and other relevant locations. Quit Together is a telephone counselling program building on the Motivation and Problem Solving (MAPS) approach enhanced by targeting the couples' smoking behavior and focusing on dyadic efficacy for smoking cessation. We report preliminary efficacy results of Quit Together. Preliminary Results There were 130 pregnant smokers with confirmed enrollment in the Quit Together trial. Among those who completed the intervention, the postpartum follow-up rate was close to 87% (N = 47/52). The mean age was 28, ranging from 18 to 42. Over 42% graduated college. Over 62% of the pregnant smokers had moderate-high nicotine dependence. Interim smoking cessation efficacy analyses on the first 52 participants indicate that the self-reported quit rate was 29.6% in the intervention group (8/27) vs 20% in the control group (5/25). Biochemically confirmed quit rates were 11.1% (3/27) vs 8% (2/25). Conclusions Motivation and problem-solving telephone counseling with couples can increase smoking cessation during pregnancy. These interim findings suggest that Quit Together may be an efficacious program for prenatal smoking cessation.

scholarly journals A Mobile Social Network–Based Smoking Cessation Intervention for Chinese Male Smokers: Protocol for a Pilot Randomized Controlled Trial

10.2196/18071 ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. e18071 ◽  
Author(s):  
Jinsong Chen ◽  
Elsie Ho ◽  
Yannan Jiang ◽  
Robyn Whittaker ◽  
Tingzhong Yang ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Social Network ◽  
Intervention Group ◽  
Smoking Cessation Intervention ◽  
Cigarette Consumption ◽  
Control Group ◽  
Smoking Abstinence ◽  
Cessation Intervention ◽  
Chinese Male

Background Approximately 2 million Chinese people die annually from tobacco-related diseases, mostly men; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation advice or support. A social network–based gamified smoking cessation intervention (SCAMPI: Smoking Cessation App for Chinese Male: Pilot Intervention) is designed to help Chinese male smokers to quit smoking. Objective This paper aims to present the protocol of a study examining the preliminary effectiveness of SCAMPI by comparing the prolonged abstinence rate of a group of users with a comparator group during a 6-week follow-up period. Methods A two-arm pilot randomized controlled trial was conducted to assess the preliminary effectiveness and acceptability of the SCAMPI program as a smoking cessation intervention. After initial web-based screening, the first 80 eligible individuals who had gone through the required registration process were registered as participants of the trial. Participants were randomly allocated to the intervention group (n=40) and the control group (n=40). Participants in the intervention group used the full version of the SCAMPI program, which is a Chinese smoking cessation program developed based on the Behavior Change Wheel framework and relevant smoking cessation and design guidelines with involvement of target users. The program delivers a range of smoking cessation approaches, including helping users to make quitting plans, calculator to record quitting benefits, calendar to record progress, gamification to facilitate quitting, providing information about smoking harms, motivational messages to help users overcome urges, providing standardized tests to users for assessing their levels of nicotine dependence and lung health, and providing a platform to encourage social support between users. Participants in the control group used the restricted version of the SCAMPI program (placebo app). Results Recruitment for this project commenced in January 2019 and proceeded until March 2019. Follow-up data collection was commenced and completed by June 2019. The primary outcome measure of the study was the 30-day bio-verified smoking abstinence at the 6-week follow-up (self-reported data verified by the Nicotine Cotinine Saliva Test). The secondary outcome measures of the study included participants’ cigarette consumption reduction (compared baseline daily cigarette consumption with end-of-trial daily cigarette consumption), participants’ 7-day smoking abstinence at 4-week and 6-week follow-up (self-reported), participants’ 30-day smoking abstinence at 6-week follow-up (self-reported data only), and participants’ acceptability and satisfaction levels of using the SCAMPI program (measured by the Mobile App Rating Scale questionnaire). Conclusions If the SCAMPI program is shown to be preliminary effective, the study will be rolled out to be a future trial with a larger sample size and longer follow-up (6 months) to identify if it is an effective social network–based tool to support Chinese male smokers to quit smoking. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12618001089224; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375381 International Registered Report Identifier (IRRID) RR1-10.2196/18071

scholarly journals A Mobile Social Network–Based Smoking Cessation Intervention for Chinese Male Smokers: Protocol for a Pilot Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Jinsong Chen ◽  
Elsie Ho ◽  
Yannan Jiang ◽  
Robyn Whittaker ◽  
Tingzhong Yang ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Social Network ◽  
Intervention Group ◽  
Smoking Cessation Intervention ◽  
Cigarette Consumption ◽  
Control Group ◽  
Smoking Abstinence ◽  
Cessation Intervention ◽  
Chinese Male

BACKGROUND Approximately 2 million Chinese people die annually from tobacco-related diseases, mostly men; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation advice or support. A social network–based gamified smoking cessation intervention (<i>SCAMPI: Smoking Cessation App for Chinese Male: Pilot Intervention</i>) is designed to help Chinese male smokers to quit smoking. OBJECTIVE This paper aims to present the protocol of a study examining the preliminary effectiveness of SCAMPI by comparing the prolonged abstinence rate of a group of users with a comparator group during a 6-week follow-up period. METHODS A two-arm pilot randomized controlled trial was conducted to assess the preliminary effectiveness and acceptability of the SCAMPI program as a smoking cessation intervention. After initial web-based screening, the first 80 eligible individuals who had gone through the required registration process were registered as participants of the trial. Participants were randomly allocated to the intervention group (n=40) and the control group (n=40). Participants in the intervention group used the full version of the SCAMPI program, which is a Chinese smoking cessation program developed based on the Behavior Change Wheel framework and relevant smoking cessation and design guidelines with involvement of target users. The program delivers a range of smoking cessation approaches, including helping users to make quitting plans, calculator to record quitting benefits, calendar to record progress, gamification to facilitate quitting, providing information about smoking harms, motivational messages to help users overcome urges, providing standardized tests to users for assessing their levels of nicotine dependence and lung health, and providing a platform to encourage social support between users. Participants in the control group used the restricted version of the SCAMPI program (<i>placebo app</i>). RESULTS Recruitment for this project commenced in January 2019 and proceeded until March 2019. Follow-up data collection was commenced and completed by June 2019. The primary outcome measure of the study was the 30-day bio-verified smoking abstinence at the 6-week follow-up (self-reported data verified by the Nicotine Cotinine Saliva Test). The secondary outcome measures of the study included participants’ cigarette consumption reduction (compared baseline daily cigarette consumption with end-of-trial daily cigarette consumption), participants’ 7-day smoking abstinence at 4-week and 6-week follow-up (self-reported), participants’ 30-day smoking abstinence at 6-week follow-up (self-reported data only), and participants’ acceptability and satisfaction levels of using the SCAMPI program (measured by the Mobile App Rating Scale questionnaire). CONCLUSIONS If the SCAMPI program is shown to be preliminary effective, the study will be rolled out to be a future trial with a larger sample size and longer follow-up (6 months) to identify if it is an effective social network–based tool to support Chinese male smokers to quit smoking. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12618001089224; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375381 INTERNATIONAL REGISTERED REPORT RR1-10.2196/18071

Post creation strategies in a smoking cessation intervention based on motivational interviewing using Facebook: a mixed-methods content analysis (Preprint)

2019 ◽  
Author(s):  
David Pócs ◽  
Tímea Óvári ◽  
Csaba Hamvai ◽  
Oguz Kelemen
Keyword(s):  
Smoking Cessation ◽  
Motivational Interviewing ◽  
Tobacco Use ◽  
Negative Feedback ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Tobacco Use Cessation ◽  
Web Based ◽  
Cessation Intervention ◽  
Significant Difference

BACKGROUND Smoking cessation support on Facebook (FB) is a cost-effective and extensible way to reduce tobacco use among young people. Motivational interviewing (MI) is a practical counselling style in face-to-face smoking cessation support and can be useful in web-based interventions as well. OBJECTIVE This study aimed at identifying which post creation strategies based on MI could achieve positive changes in FB post characteristics and FB users’ comments. METHODS We included MI-adherent posts (N=701) which were not boosted and were targeted at tobacco users. These FB posts have been categorized into five different groups according to specific MI strategies. The control group comprised entertaining and informative posts. Primary outcomes seem to highlight how the content has stimulated interactions (engagement rate), inhibited interactions (negative feedback) or appealed to the audience of the FB page (fan-total reach ratio). The first comments received on the FB posts were evaluated and used as secondary outcomes. We applied the classification of MI approach: change talk (CT), sustain talk (ST), desire, ability, reason, need (DARN), and commitment, activation, taking steps (CAT). RESULTS FB posts which used MI strategies were associated with significantly higher engagement rate (p=.010), higher fan-total reach ratio (p<.001), and more CT (p<.001), DARN (p=.005), or CAT comments (p=.003) compared to the control group. ‘Elaborating CT’ strategies elicited considerably more CT (p<.001) and DARN comments (p=.020). ‘Affirming CT’ strategies obtained higher fan-total reach ratio (p=.011) and generated significantly more CT (p=.006) and CAT comments (p<.001). ‘Reflecting CT’ strategies received significantly higher fan-total reach ratio (p<.001). Finally, ‘relational MI’ strategies achieved significantly higher engagement rate (p<.001) compared to the control group. It should be noted that we did not find significant difference in negative feedback and the number of ST comments. CONCLUSIONS Post creation strategies based on MI stimulated interactions with FB users and generated conversation about tobacco use cessation without relevant negative feedback. Our findings suggest that MI strategies may play a remarkable role in post creation within a web-based smoking cessation intervention. In the future, these strategies could be applicable to other online platforms, such as public health websites, health blogs, mobile applications or social networking groups.

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