数字化戒烟干预中青年戒烟者参与在线社交平台的情况：对戒烟能力和戒烟信心的影响

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-10-04 DOI:10.1016/j.invent.2024.100779

Elizabeth K. Do , Sarah Cha , Shreya Tulsiani , Giselle Edwards , Linda Q. Yu , Michael S. Amato , Megan A. Jacobs , Elizabeth C. Hair

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引用次数: 0

摘要

背景以证据为基础的电子烟戒烟计划 "这就是戒烟（TIQ）"已被发现能有效促进使用电子烟的年轻人戒烟。目的评估寻求治疗的青少年和年轻成年人对 Discord 的接受度和参与度，并评估通过 Discord 在 TIQ 中添加在线社交平台的益处。方法在 2023 年 2 月至 3 月期间，邀请 527 名 TIQ 参与者（13-24 岁）与其他 TIQ 用户一起加入 Discord（TIQ Discord）。参与者分别在基线和研究注册后 1 个月内完成了两次在线调查。描述性统计用于描述对 TIQ Discord 的接受度和参与度。使用卡方检验、费雪精确检验和 t 检验来比较加入并参与 TIQ Discord 的人与只接受 TIQ 的人在戒烟能力和禁烟信心方面的变化。在加入者（n = 183）中，61.7% 的人参与了 TIQ Discord，至少贡献了一条信息或作出了反应。贡献的消息平均数量为 4.0（中位数 = 1，范围 = 1 至 51），反应平均数量为 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），但随访时的吸烟戒断率没有差异（p 值 = 0.87）。参与度与近端结果呈正相关，但自我选择阻碍了因果关系。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。

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Online social platform engagement by young treatment seekers in a digital vaping cessation intervention: Effects on confidence in the ability to quit vaping and vaping abstinence

Background

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.

Purpose

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.

Methods

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 t-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.

Results

Among the n = 319 who were invited to TIQ Discord and provided follow-up data, 57.4 % joined. Among those who joined (n = 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 (p-value = 0.02), but vaping abstinence at follow-up did not differ (p-value = 0.87).

Discussion

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.

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions