Vogel Erin A, Belohlavek Alina, Prochaska Judith J, Ramo Danielle E
Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, USA.
Stanford Prevention Research Center, Department of Medicine, Stanford University, USA.
Internet Interv. 2019 Jan 28;15:87-92. doi: 10.1016/j.invent.2019.01.002. eCollection 2019 Mar.
This study tested engagement in and acceptability of a digital smoking cessation intervention designed for young adults and tailored to sexual and gender minority (SGM) individuals. The intervention included 90 Facebook posts delivered in private groups tailored to readiness to quit smoking (Ready to quit in 30 days/Not Ready; 180 posts total; 101 posts SGM-tailored by content/image). Acceptability was evaluated over 30 days (3 posts/day). Participants' ( = 27) open-ended feedback was coded and tallied; posts with significant negative feedback were flagged for change. Flags and comment volume were examined by SGM tailoring (versus not tailored) and content category (motivational interviewing, experiential strategies, behavioral strategies, relevant topics). Engagement and acceptability were high. All participants reported viewing at least half of the posts, and the majority reported viewing all 90 posts ( comments per participant = 51.74). The majority of participants agreed or strongly agreed with statements about the intervention's helpfulness and clarity. Posts received an average of 8.08 comments ( = 2.58), with 59 posts (32.8%) flagged for change. Posts engaged comments and were found to be acceptable at comparable levels regardless of SGM tailoring and content category (all p-values > .189). SGM young adult smokers were highly engaged in an SGM-tailored smoking cessation intervention on Facebook and rated the intervention positively. Both tailored and non-tailored Facebook posts in a variety of content areas were generally well-received by SGM young adults, an underserved population with high rates of smoking.
本研究测试了一种为年轻人设计并针对性少数群体（SGM）个体量身定制的数字戒烟干预措施的参与度和可接受性。该干预措施包括在根据戒烟准备程度定制的私密群组中发布90条脸书帖子（30天内准备戒烟/未准备好；总共180条帖子；其中101条按内容/图像针对SGM群体定制）。在30天内（每天3条帖子）对可接受性进行评估。对参与者（n = 27）的开放式反馈进行编码和统计；标记出有明显负面反馈的帖子以便修改。根据是否针对SGM群体定制以及内容类别（动机访谈、体验策略、行为策略、相关主题）来检查标记和评论量。参与度和可接受性都很高。所有参与者都报告至少浏览了一半的帖子，大多数人报告浏览了全部90条帖子（每位参与者的评论数 = 51.74）。大多数参与者同意或强烈同意关于该干预措施的帮助性和清晰度的陈述。帖子平均收到8.08条评论（标准差 = 2.58），有59条帖子（32.8%）被标记以便修改。无论是否针对SGM群体定制以及内容类别如何，帖子都能吸引评论且被认为具有相当的可接受性（所有p值 > 0.189）。SGM年轻成年吸烟者对脸书上针对SGM群体定制的戒烟干预措施参与度很高，并对该干预措施给予了积极评价。在各种内容领域中，无论是针对SGM群体定制的还是未定制的脸书帖子，一般都受到SGM年轻成年人的好评，这是一个吸烟率高但服务不足的群体。
