scholarly journals Conversation Within a Facebook Smoking Cessation Intervention Trial For Young Adults (Tobacco Status Project): Qualitative Analysis (Preprint)

2018 ◽  
Author(s):  
Karma McKelvey ◽  
Danielle Ramo

BACKGROUND Smoking cessation interventions delivered through social media have the potential to engage young people in behavior change. OBJECTIVE The aim of this study was to describe participant-posted messages in a Facebook smoking cessation intervention for young adults to discern support for behavior change. METHODS We qualitatively analyzed data from the treatment arm of a randomized trial testing the efficacy of the Tobacco Status Project Facebook intervention. Young adults (N=138) aged 18-25 years (female: 81/138, 58.7%; white: 101/138, 73.2%; mean age 21 years) were recruited using Facebook and placed into one of the 15 secret Facebook groups based on readiness-to-quit smoking. Messages posted to groups for 90 consecutive days were tailored to readiness-to-quit: Not Ready (46/138, 33.3%), Thinking (66/138, 47.8%), and Getting Ready (26/138, 18.8%). Groups were randomized to receive up to US $90 for posting or no incentive. Two independent coders conducted open coding of user posts. We considered content by readiness-to-quit group and incentive condition. RESULTS There were 4 dominant themes across all groups: coping skills, friends and family, motivation to quit, and benefits of quitting. The dominant themes in Not Ready groups were friends and family (incentive) and motivation to quit (no incentive), whereas coping skills was the dominant theme in Thinking and Getting Ready groups. The expression of themes varied by readiness-to-quit group but not by incentive condition. CONCLUSIONS Intervention messages tailored to readiness-to-quit appear useful in eliciting the desired responses from young adult smokers, with limited influence by monetary incentive. CLINICALTRIAL ClinicalTrials.gov NCT02207036; https://clinicaltrials.gov/ct2/show/NCT02207036 (Archived by WebCite at http://www.webcitation.org/722XAEAAz)

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110659
Author(s):  
Heather Leutwyler ◽  
Erin Hubbard

Background The high rates of smoking in adults with serious mental illness (SMI) increases risk for COVID-19 infection. The purpose of this paper is to present the results of a smoking cessation intervention that was adapted to be offered by phone during a Shelter in Place (SIP) period in San Francisco, California, at the beginning of the COVID-19 pandemic. Methods During the SIP, we offered counseling sessions by phone to five participants. At the end of each session, we assessed readiness to quit, tobacco cessation or reduction, and inquired about the impact of the shelter in place on smoking habits and mental health. Grounded theory guided data collection and analysis. Results The categories that emerged around barriers and facilitators for smoking cessation were COVID-19–related stressors, having purpose, structure and feelings of connections, and the importance of quitting aides for smoking cessation. Conclusion Offering telephone based smoking cessation counseling to adults with SMI while they shelter in place may improve their readiness to quit.


2021 ◽  
pp. BJGP.2020.0906
Author(s):  
Rukshar K. Gobarani ◽  
Nicholas A. Zwar ◽  
Grant Russell ◽  
Michael J. Abramson ◽  
Billie Bonevski ◽  
...  

Background: General practitioners have limited capacity to routinely provide smoking cessation support. New strategies are needed to reach all smokers within this setting. Aim: Evaluate the effect of a pharmacist-coordinated interdisciplinary smoking cessation intervention delivered in Australian general practice. Design: Secondary analysis of a cluster RCT conducted in 41 Australian general practices. Methods: 690 current smokers were included in this study; 373 from intervention clinics (N=21) and 317 from control clinics (N=18). A total of 166 current smokers had spirometry confirmed COPD. In the intervention clinics, trained pharmacists provided smoking cessation support, plus Quitline referral. Control clinics provided usual care plus Quitline referral. Those with COPD in the intervention group (n=84) were referred for Home Medicines Review (HMR) and home-based pulmonary rehabilitation (HomeBase) which included further smoking cessation support. Outcomes included carbon monoxide (CO) validated smoking abstinence, self-reported utilisation of smoking cessation aids and differences between groups in readiness to quit score at 6 months. Results: Intention-to-treat analysis showed similar CO-validated abstinence rates at 6 months in the intervention (4.0%) and control clinics (3.5%) and no differences were observed in readiness to quit scores between groups. CO-validated abstinence rates were similar in those who completed HMR and six sessions of HomeBase compared to those with COPD in usual care. Conclusion: A pharmacist-coordinated interdisciplinary smoking cessation intervention when integrated in a general practice setting had no advantages over usual care. Further research is needed to evaluate the effect of HMR and home-based pulmonary rehabilitation on smoking abstinence in smokers with COPD.


2019 ◽  
Vol 38 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Erin A. Vogel ◽  
Johannes Thrul ◽  
Gary L. Humfleet ◽  
Kevin L. Delucchi ◽  
Danielle E. Ramo

2021 ◽  
Author(s):  
Nan Jiang ◽  
Erin S. Rogers ◽  
Ana Paula Cupertino ◽  
Xiaoquan Zhao ◽  
Francisco Cartujano-Barrera ◽  
...  

BACKGROUND Smoking remains a major public health issue among Chinese immigrants. Smoking cessation programs that focus on this population are scarce and have a limited population-level impact due to the low reach. Mobile messaging interventions have the potential to reach large audiences and expand smokers’ access to cessation programs. OBJECTIVE This study describes the development of a culturally and linguistically appropriate mobile messaging smoking cessation intervention for Chinese immigrant smokers delivered via WeChat, the most frequently used social media platform among Chinese globally. METHODS This study consisted of two phases. In phase 1, we developed a mobile message library based on Social Cognitive Theory (SCT). We culturally adapted messages from two SCT-based text messaging smoking cessation programs (i.e., SmokefreeTXT and Decídetexto). We also developed new messages tailored to Chinese immigrant smokers who are not ready to quit smoking and messages addressing their barriers to quitting and misconceptions (e.g., willpower, nicotine replacement therapy). In phase 2, we conducted in-depth interviews with 20 Chinese immigrant smokers (7 females) in New York City between July and August 2021. The interviews explored participants’ smoking and quitting experiences, followed by the assessment of messages. Participants reviewed 17 messages (6 educational messages, 3 self-efficacy messages, and 8 skill messages) on their phone via WeChat. They rated each message on a 0-10 visual analog scale to indicate to what extent the message enhanced their motivation to quit, promoted confidence in quitting, and increased awareness about quitting strategies. We assessed participants’ understanding of the messages, sought feedback on poorly rated messages, and explored their preferences for content, length, and format. Participants also provided feedback about their concerns with the WeChat cessation intervention and recommendations for frequency and timing of messages. RESULTS Overall, participants reported that the messages enhanced their motivation to quit, offered encouragement, and made them more informed about how to quit. Participants particularly liked the messages about the harms of smoking and strategies for quitting. They reported barriers to applying some of the quitting strategies, including the lack of skills to cope with stress and stay abstinent at work. Participants expressed strong interests in the WeChat mobile messaging cessation intervention and commented on the intervention’s potential to expand their access to smoking cessation treatment (e.g., take minimum time, access information at times of their convenience). CONCLUSIONS Mobile messages are well accepted by Chinese immigrant smokers. Research is needed to assess the feasibility, acceptability, and efficacy of WeChat mobile messaging smoking cessation interventions on promoting abstinence among Chinese immigrant smokers. CLINICALTRIAL NA


2015 ◽  
Vol 17 (12) ◽  
pp. e291 ◽  
Author(s):  
Danielle E Ramo ◽  
Johannes Thrul ◽  
Kathryn Chavez ◽  
Kevin L Delucchi ◽  
Judith J Prochaska

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