McKelvey Karma, Ramo Danielle
Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA, United States.
Center for Tobacco Control Research and Education, University of California San Francisco, San Francisco, CA, United States.
JMIR Form Res. 2018 Sep 4;2(2):e11138. doi: 10.2196/11138.
Smoking cessation interventions delivered through social media have the potential to engage young people in behavior change.
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.
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.
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.
Intervention messages tailored to readiness-to-quit appear useful in eliciting the desired responses from young adult smokers, with limited influence by monetary incentive.
ClinicalTrials.gov NCT02207036; https://clinicaltrials.gov/ct2/show/NCT02207036 (Archived by WebCite at http://www.webcitation.org/722XAEAAz).
通过社交媒体提供的戒烟干预措施有可能促使年轻人改变行为。
本研究旨在描述在一项针对年轻成年人的脸书戒烟干预措施中参与者发布的信息，以识别对行为改变的支持。
我们对一项随机试验治疗组的数据进行了定性分析，该试验测试了烟草状况项目脸书干预措施的疗效。通过脸书招募了年龄在18 - 25岁的年轻成年人（N = 138，女性：81/138，58.7%；白人：101/138，73.2%；平均年龄21岁），并根据戒烟意愿将他们分到15个脸书秘密群组中的一个。连续90天发布到群组的信息根据戒烟意愿进行了调整：未准备好（46/138，33.3%）、正在考虑（66/138，47.8%）和准备好（26/138，18.8%）。群组被随机分配，发布信息可获得高达90美元报酬或无激励措施。两名独立编码员对用户帖子进行了开放式编码。我们按戒烟意愿组和激励条件考虑内容。
所有群组中出现了4个主要主题：应对技巧、朋友和家人、戒烟动机以及戒烟的益处。未准备好组的主要主题是朋友和家人（有激励措施）以及戒烟动机（无激励措施），而应对技巧是正在考虑组和准备好组的主要主题。主题的表达因戒烟意愿组而异，但不受激励条件影响。
根据戒烟意愿量身定制的干预信息似乎有助于从年轻成年吸烟者那里获得期望的反应，金钱激励的影响有限。
ClinicalTrials.gov NCT02207036；https://clinicaltrials.gov/ct2/show/NCT02207036（由WebCite存档于http://www.webcitation.org/722XAEAAz）
