Gültzow Thomas, Smit Eline Suzanne, Hudales Raesita, Dirksen Carmen D, Hoving Ciska
Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
Department of Communication Science, Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, the Netherlands.
Digit Health. 2020 Dec 29;6:2055207620980241. doi: 10.1177/2055207620980241. eCollection 2020 Jan-Dec.
Evidence-based smoking cessation support tools (EBSTs) can double the quitting chances, but uptake among smokers is low. A digital decision aid (DA) could help smokers choose an EBST in concordance with their values and preferences, but it is unclear which type of smokers are interested in a digital DA. We hypothesized that smokers' general decision-making style (GDMS) could be used to identify early adopters. This study therefore aimed to identify smoker profiles based on smokers' GDMS and investigate these profiles' association with intention to use a digital DA.
A cross-sectional dataset (N = 200 smokers intending to quit) was used to perform a hierarchical cluster analysis based on smokers' GDMS scores.
Clusters were compared on demographic and socio-cognitive variables. Mediation analyses were conducted to see if the relationship between cluster membership and intention was mediated through socio-cognitive variables (e.g., attitude).
Two clusters were identified; (n = 134) were more avoidant, more regretful and tended to depend more on others in their decision making, while (n = 66) were more spontaneous and intuitive in their decision making. Cluster membership was significantly related to intention to use a DA, with being more interested. Yet, this association ceased to be significant when corrected for socio-cognitive variables (e.g., attitude). This indicates that cluster membership affected intention via socio-cognitive variables.
The GDMS can be used to identify smokers who are interested in a digital DA early on. As such, the GDMS can be used to tailor recruitment and DA content.
基于证据的戒烟支持工具(EBSTs)可使戒烟几率翻倍,但吸烟者对其的采用率较低。数字决策辅助工具(DA)可帮助吸烟者根据自身价值观和偏好选择EBSTs,但尚不清楚哪种类型的吸烟者对数字DA感兴趣。我们假设吸烟者的一般决策风格(GDMS)可用于识别早期采用者。因此,本研究旨在根据吸烟者的GDMS识别吸烟者特征,并调查这些特征与使用数字DA意愿之间的关联。
使用一个横断面数据集(N = 200名打算戒烟的吸烟者),根据吸烟者的GDMS得分进行分层聚类分析。
比较各聚类在人口统计学和社会认知变量方面的情况。进行中介分析,以查看聚类成员身份与意愿之间的关系是否通过社会认知变量(如态度)进行中介。
识别出两个聚类;[聚类1](n = 134)更倾向于回避、更易后悔,并且在决策时往往更依赖他人,而[聚类2](n = 66)在决策时更自发、更直观。聚类成员身份与使用DA的意愿显著相关,[聚类2]更感兴趣。然而,在对社会认知变量(如态度)进行校正后,这种关联不再显著。这表明聚类成员身份通过社会认知变量影响意愿。
GDMS可用于早期识别对数字DA感兴趣的吸烟者。因此,GDMS可用于定制招募方式和DA内容。