Isse Naohi, Tachibana Yuki, Kinoshita Makiko, Fetters Michael D
Department of General Medicine, Ako Municipal Hospital, Ako, Japan.
Department of Internal Medicine, Okinawa Prefectural Yaeyama Hospital, Ishigaki, Japan.
JMIR Form Res. 2021 Sep 20;5(9):e25883. doi: 10.2196/25883.
Smoking relapse prevention after completion of a smoking cessation program is highly germane to reducing smoking rates.
The purpose of this study was to evaluate the 1-year outcomes of a social media-based and peer and clinician-supported smoking cessation program on Facebook and examine communication patterns that could support smoking cessation and identify risk of relapse.
We used a mixed methods case study evaluation approach featuring a single-case holistic design. We recruited volunteers who signed up after successful completion of a 12-week clinical smoking cessation program in a general medicine department in Japan. Participants contemporaneously accessed a closed Facebook page, and we analyzed their posts including text and emoticons. We used joint display analysis, which involved iterative structuring and restructuring construct-specific tables with both types of data to find the most effective approach for integrating the quantitative results with the qualitative results of content analysis.
One successful participant and 2 relapsed participants were analyzed to explore the specific patterns of postings prior to relapse. Decisive comments about quitting smoking were common among participants, but encouraging messages for peers were more common from the successful participant. Comments seeking social support and reassurance were warning signs of relapse. Conflicted comments also may be a warning sign of relapse risk.
These findings based on a mixed methods case study of a social media platform supporting smoking cessation could be used to guide messaging in other online social networking service communities after a smoking cessation program to help reduce smoking relapse.
UMIN Clinical Trials Registry UMIN000031172; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035595.
戒烟项目结束后预防复吸对于降低吸烟率至关重要。
本研究旨在评估基于社交媒体且有同伴及临床医生支持的Facebook戒烟项目的1年效果，并研究有助于戒烟及识别复吸风险的交流模式。
我们采用了一种混合方法的案例研究评估方法，其特点是单案例整体设计。我们招募了在日本某综合内科成功完成12周临床戒烟项目后报名的志愿者。参与者同时访问一个封闭的Facebook页面，我们分析他们的帖子，包括文字和表情符号。我们使用联合展示分析，即通过迭代构建和重组针对特定结构的表格来整合这两类数据，以找到将定量结果与内容分析定性结果相结合的最有效方法。
对1名成功戒烟参与者和2名复吸参与者进行分析，以探索复吸前发帖的具体模式。参与者中关于戒烟的决定性评论很常见，但成功戒烟的参与者向同伴发送的鼓励信息更为常见。寻求社会支持和安心的评论是复吸的警示信号。矛盾的评论也可能是复吸风险的警示信号。
基于支持戒烟的社交媒体平台的混合方法案例研究结果，可用于指导戒烟项目后在其他在线社交网络服务社区中的信息传递，以帮助减少吸烟复吸。
UMIN临床试验注册中心UMIN000031172；https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035595。
