通过提高媒体素养和提供经济激励来增强对年轻人戒烟的短信支持：一项试点随机对照试验方案

Enhancing Text Message Support With Media Literacy and Financial Incentives for Vaping Cessation in Young Adults: Protocol for a Pilot Randomized Controlled Trial.

作者信息

Michaud Tzeyu, Puga Troy, Archer Rex, Theye Elijah, Zagurski Cleo, Estabrooks Paul, Dai Hongying Daisy

机构信息

Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States.

Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States.

出版信息

JMIR Res Protoc. 2025 Feb 21;14:e60527. doi: 10.2196/60527.

DOI:10.2196/60527

PMID:39983103

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11890145/

Abstract

BACKGROUND

The persistent high prevalence of e-cigarette use among young adults remains a significant public health concern, with limited evidence and guidance on effective vaping cessation programs targeting this population.

OBJECTIVE

This study aims to outline the study design and protocol of a pilot randomized controlled trial aimed at investigating feasibility and assessing whether media literacy education or financial incentives enhance the effectiveness of evidence-based text message support in promoting vaping abstinence among young adult e-cigarette users.

METHODS

The pilot study uses a 4-arm (1:1:1:1) randomized controlled trial design to assess the potential impact of different combinations of media literacy education, financial incentives, and text message support on vaping abstinence over a 3-month period. The first month serves as a preparatory phase for quitting, followed by 2 months focused on abstinence. A total of 80 individuals, aged 19-29 years, who have used e-cigarettes within the past 30 days, have internet access, and express interest in quitting vaping within the next 30 days, will be enrolled. Eligible individuals will be randomized into one of the four study groups: (1) Text Message, (2) Media Literacy, (3) Financial Incentive, and (4) Combined. All participants, regardless of group assignment, will receive text message support. Participants will be followed for 12 weeks, with abstinence status assessed at week 12, as well as during remote check-ins at weeks 6, 8, and 10. Feasibility measures include recruitment rate, reach, engagement, and retention. Other outcomes of interest include self-reported 7-day abstinence and changes in nicotine dependence and media literacy scores. Exit interviews will be conducted with those who complete the study to explore facilitators of and barriers to participation and engagement in vaping cessation, which will inform future program refinement and uptake.

RESULTS

Recruitment for the study commenced in December 2023 and concluded in August 2024. A total of 40 participants were randomized into these groups: 9 for Text Message, 11 for Media Literacy, 10 for Financial Incentive, and 10 for the Combined group. The final assessment was completed in November 2024, and analyses are currently ongoing.

CONCLUSIONS

The findings from this trial could provide valuable insights into the design and uptake of vaping cessation strategies among the young adult population.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05586308; https://clinicaltrials.gov/study/NCT05586308.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60527.

摘要

背景

电子烟在年轻人中的持续高使用率仍是一个重大的公共卫生问题，针对这一人群的有效戒烟项目的证据和指导有限。

目的

本研究旨在概述一项试点随机对照试验的研究设计和方案，该试验旨在调查可行性，并评估媒体素养教育或经济激励措施是否能增强循证短信支持在促进年轻成年电子烟使用者戒烟方面的有效性。

方法

该试点研究采用四组（1:1:1:1）随机对照试验设计，以评估媒体素养教育、经济激励措施和短信支持的不同组合在3个月期间对戒烟的潜在影响。第一个月作为戒烟准备阶段，随后两个月专注于戒烟。共有80名年龄在19至29岁之间、在过去30天内使用过电子烟、有互联网接入且表示有兴趣在未来30天内戒烟的个体将被纳入研究。符合条件的个体将被随机分为四个研究组之一：（1）短信组，（2）媒体素养组，（3）经济激励组，（4）综合组。所有参与者，无论分组如何，都将获得短信支持。参与者将被跟踪12周，在第12周以及第6、8和10周的远程检查时评估戒烟状态。可行性指标包括招募率、覆盖范围、参与度和留存率。其他感兴趣的结果包括自我报告的7天戒烟情况以及尼古丁依赖和媒体素养得分的变化。将对完成研究的参与者进行退出访谈，以探讨参与戒烟的促进因素和障碍，这将为未来项目的改进和推广提供参考。