Ybarra Michele L, Holtrop Jodi Summers, Prescott Tonya L, Strong David
Center for Innovative Public Health Research, San Clemente, USA.
Department of Family Medicine, University of Colorado Denver School of Medicine, Aurora, USA.
Patient Educ Couns. 2014 Nov;97(2):239-43. doi: 10.1016/j.pec.2014.07.009. Epub 2014 Jul 17.
Report lessons learned in an RCT of Stop My Smoking (SMS) USA, a mHealth smoking cessation program for young adult smokers.
164 18-24-year-olds were recruited nationally, online in 2011. Program evaluation data were provided at 12-week post-Quit Day.
(1) Inviting participants to complete a brief text messaging survey and then asking them to complete a longer online survey resulted in the highest response rate (89%). (2) The positive tone of program messages was the most commonly noted program strength. (3) Suggested improvements included more social connectivity and additional assistance overcoming stressful situations. (4) Half of intervention participants moved through the program linearly and half went through various paths that reflected multiple relapses. Suggestions to use pharmacotherapy resulted in 22% of heavy smokers to utilize it.
Participant feedback provided concrete ways in which this and other young adult-focused interventions can improve messaging and program features to be even more salient.
Future young adult mHealth interventions could: Integrate models that are flexible to different "paths" of behavior change; address stressful life events directly and comprehensively; integrate proactive messaging that promotes pharmacotherapy options; and use text messaging as a gateway to longer online surveys.
报告在美国开展的一项关于“停止吸烟”（SMS）的随机对照试验中所吸取的经验教训，该试验是一项针对年轻成年吸烟者的移动健康戒烟项目。
2011年在全国范围内通过网络招募了164名18至24岁的年轻人。在戒烟日之后12周提供项目评估数据。
（1）邀请参与者完成简短的短信调查，然后要求他们完成更长的在线调查，这导致了最高的回复率（89%）。（2）项目信息的积极语气是最常被提及的项目优势。（3）建议的改进措施包括更多的社交联系以及在克服压力情况方面提供更多帮助。（4）一半的干预参与者按部就班地完成项目，另一半则经历了反映多次复吸的各种路径。使用药物疗法的建议使得22%的重度吸烟者使用了该疗法。
参与者的反馈提供了具体方法，通过这些方法，该项目以及其他针对年轻成年人的干预措施可以改进信息传递和项目功能，使其更加突出。
未来针对年轻成年人的移动健康干预措施可以：整合适应不同行为改变“路径”的模式；直接且全面地应对压力大的生活事件；整合推广药物疗法选择的主动信息传递；并将短信作为通向更长在线调查的途径。
