Luo T, Li M S, Williams D, Phillippi S, Yu Q, Kantrow S, Kao Y H, Celestin M, Lin W T, Tseng T S
Behavioral and Community Health Sciences, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
School of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Perspect Public Health. 2021 Jan;141(1):50-63. doi: 10.1177/1757913920906845. Epub 2020 Feb 20.
Previous studies have shown that smoking tobacco significantly increases both incidence and mortality rates for many diseases. Social media has become one of the most influential platforms for various smoking cessation interventions. However, results from smoking cessation interventions have differed from study to study. Limited studies have summarised cessation outcomes from social media-based interventions. Therefore, the objective of this review is to explore the effectiveness of using social media for smoking cessation.
We searched PubMed, MEDLINE, PsycINFO, and CINAHL for articles between June 2008 and June 2018, and also assessed the references of selected articles. We included studies that used social media as intervention platforms, provided a baseline assessment before the intervention, and provided smoking cessation outcomes after the intervention.
We identified 13 original studies that enrolled between 16 and 1698 participants; 7-day Point Prevalence Abstinence (PPA) rate was the most frequently used measure of abstinence, with a range of 7%-75%, regardless of the measurement time, study design, and analysis methods. Social media-based smoking cessation interventions were effective, because (1) smokers reported higher 7-day PPA rates after intervention compared to baseline and (2) smokers reported higher 7-day PPA rates in intervention groups than in control groups. Moreover, at each time point, approximately half of all smokers in studies reporting abstinence were found to be biochemically abstinent. There were no significant differences in the effectiveness of smoking cessation outcomes between those that used existing popular social networking platforms (e.g. Pechmann 's studies) and those that used individually designed interactive platforms (e.g. MyLastDip, iQuit system, Quitxt system).
This review highlights the effectiveness of social media-based smoking cessation intervention studies. Due to the widespread use of social media, as well as its low cost, we suggest embedding smoking cessation interventions within existing popular social media platforms.
先前的研究表明，吸烟会显著增加多种疾病的发病率和死亡率。社交媒体已成为各种戒烟干预措施最具影响力的平台之一。然而，不同研究的戒烟干预结果存在差异。仅有少数研究总结了基于社交媒体的干预措施的戒烟效果。因此，本综述的目的是探讨利用社交媒体进行戒烟的有效性。
我们在PubMed、MEDLINE、PsycINFO和CINAHL数据库中检索了2008年6月至2018年6月期间的文章，并对所选文章的参考文献进行了评估。我们纳入了将社交媒体用作干预平台、在干预前进行基线评估并在干预后提供戒烟结果的研究。
我们确定了13项原始研究，这些研究招募了16至1698名参与者；无论测量时间、研究设计和分析方法如何，7天点流行率戒断率（PPA）是最常用的戒断指标，范围在7%至75%之间。基于社交媒体的戒烟干预措施是有效的，原因如下：（1）与基线相比，吸烟者在干预后报告的7天PPA率更高；（2）吸烟者在干预组中报告的7天PPA率高于对照组。此外，在报告戒断情况的研究中，每个时间点约有一半的吸烟者被发现生化指标显示已戒烟。使用现有流行社交网络平台（如佩克曼的研究）的研究与使用单独设计的互动平台（如MyLastDip、iQuit系统、Quitxt系统）的研究在戒烟效果方面没有显著差异。
本综述强调了基于社交媒体的戒烟干预研究的有效性。鉴于社交媒体的广泛使用及其低成本，我们建议将戒烟干预措施嵌入现有的流行社交媒体平台中。
