Do Elizabeth K, Cha Sarah, Tulsiani Shreya, Edwards Giselle, Yu Linda Q, Amato Michael S, Jacobs Megan A, Hair Elizabeth C
Schroeder Institute, Truth Initiative, Washington, DC, USA.
Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Internet Interv. 2024 Oct 4;38:100779. doi: 10.1016/j.invent.2024.100779. eCollection 2024 Dec.
The evidence-based vaping cessation program, This is Quitting (TIQ), has been found to be effective in promoting abstinence among young people who use e-cigarettes.
To estimate acceptability and engagement with Discord among treatment seeking youth and young adults and assess the benefit of adding an online social platform via Discord to TIQ.
Between February and March 2023, 527 TIQ participants (aged 13-24 years) were invited to join Discord with other TIQ users (TIQ Discord). Participants completed two online surveys, at baseline and 1-month post study enrollment. Descriptive statistics were used to describe acceptability and engagement with TIQ Discord. Chi-square, Fisher's exact, and -tests were used to compare changes in confidence in ability to quit and vaping abstinence across those who joined and engaged with TIQ Discord, compared to those receiving TIQ only.
Among the = 319 who were invited to TIQ Discord and provided follow-up data, 57.4 % joined. Among those who joined ( = 183), 61.7 % engaged with TIQ Discord by contributing at least one message or reaction. The mean number of contributed messages was 4.0 (median = 1, range = 1 to 51) and reactions was 0.31 (median = 0, range = 0 to 14). Engaging with TIQ Discord was positively associated with increased confidence in quitting at follow-up (-value = 0.02), but vaping abstinence at follow-up did not differ (p-value = 0.87).
Over half of participants who were invited to TIQ Discord joined - indicating high acceptability and an uptake rate that is higher than what is typically observed for online cessation communities. Engagement was positively associated with proximal outcomes, but self-selection prevents causal attribution. Pilot study results suggest acceptability of Discord for providing digital cessation support to young people in combination with a text-message cessation intervention.
基于证据的电子烟戒烟项目“这就戒烟”（TIQ）已被证明在促进使用电子烟的年轻人戒烟方面有效。
评估寻求治疗的青少年和青年对Discord的接受度和参与度，并评估通过Discord为TIQ添加在线社交平台的益处。
在2023年2月至3月期间，邀请了527名TIQ参与者（年龄在13 - 24岁之间）与其他TIQ用户一起加入Discord（TIQ Discord）。参与者在基线时和研究入组后1个月完成了两项在线调查。描述性统计用于描述对TIQ Discord的接受度和参与度。卡方检验、费舍尔精确检验和t检验用于比较加入并参与TIQ Discord的人与仅接受TIQ的人在戒烟能力信心和电子烟戒断方面的变化。
在被邀请加入TIQ Discord并提供后续数据的319人中，57.4%的人加入了。在加入的人（n = 183）中，61.7%的人通过至少发送一条消息或做出一次反应来参与TIQ Discord。贡献消息的平均数为4.0（中位数 = 1，范围 = 1至51），反应数为0.31（中位数 = 0，范围 = 0至14）。参与TIQ Discord与随访时戒烟信心的增加呈正相关（p值 = 0.02），但随访时的电子烟戒断情况没有差异（p值 = 0.87）。
被邀请加入TIQ Discord的参与者中超过一半加入了，这表明接受度很高，且接受率高于在线戒烟社区的典型观察值。参与与近期结果呈正相关，但自我选择妨碍了因果归因。试点研究结果表明，Discord与短信戒烟干预相结合，可为年轻人提供数字戒烟支持，具有可接受性。
