A Multimedia Mobile Phone-Based Youth Smoking Cessation Intervention: Findings From Content Development and Piloting Studies
A Multimedia Mobile Phone-Based Youth Smoking Cessation Intervention: Findings From Content Development and Piloting Studies
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DOI：
10.2196/jmir.1007
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发表时间：
2008-01-01
影响因子：
7.4
通讯作者：
Rodgers, Anthony
中科院分区：
文献类型：
--
作者：
Whittaker, Robyn;Maddison, Ralph;Rodgers, Anthony
背景：虽然大多数吸烟的年轻人都想戒烟，但很少有人能获得戒烟支持服务。基于移动的电话的戒烟计划非常适合年轻人：移动的电话是最常见的同伴交流方式，信息可以随时随地以匿名方式传递。随着短信戒烟计划的成功，我们开发了一种创新的多媒体移动的电话戒烟intervention.Objective：本研究的目的是开发和试点测试一个面向青少年的多媒体戒烟干预提供单独由移动的phone.Methods：开发包括创建内容和建立技术平台。内容开发由一个专家组监督，该专家组就青年发展原则、观察学习（来自社会认知理论）、有效戒烟干预和社会营销提供建议。青年人参与了三个内容开发阶段（通过焦点小组和在线调查进行协商、内容预测试和选择榜样）。然后开发了视频和短信，结合了这项研究的发现。建立了信息技术系统，以支持通过移动的电话传送多媒体信息。一项试点研究，使用一个简短的4周的视频和文本内容的程序测试的系统的可靠性和可接受的intervention.Results：大约180名年轻人参加了咨询阶段。有很高的优先级放在音乐放松（75%）和兴趣与他人互动的程序（40%会阅读消息，36%会阅读博客）。预测试阶段（n=41）的结果包括选择“真实的”和“诚实的”角色模型的重要性，可信的故事，并在动画（37%）的兴趣。在参与试点研究的15名参与者中，有13名（87%）在4周后接受了后续采访：12名参与者喜欢该计划或大部分时间都喜欢它，并认为榜样是可信的; 7名喜欢榜样视频信息（5名不确定）; 8名使用额外的帮助来满足渴望; 9名对每天两条信息感到满意。9名参与者（60%）在计划期间戒烟。在试点study.Conclusions：多媒体移动的电话戒烟计划在技术上是可行的，开发的内容是适合这种媒体，是可以接受的，我们的目标人群。这些结果为目前正在评估的6个月干预措施的设计提供了信息，以提高年轻人戒烟率的有效性。
Background: While most young people who smoke want to quit, few access cessation support services. Mobile phone-based cessation programs are ideal for young people: mobile phones are the most common means of peer communication, and messages can be delivered in an anonymous manner, anywhere, anytime. Following the success of our text messaging smoking cessation program, we developed an innovative multimedia mobile phone smoking cessation intervention.Objective: The aim of the study was to develop and pilot test a youth-oriented multimedia smoking cessation intervention delivered solely by mobile phone.Methods: Development included creating content and building the technology platform. Content development was overseen by an expert group who advised on youth development principles, observational learning (from social cognitive theory), effective smoking cessation interventions, and social marketing. Young people participated in three content development phases (consultation via focus groups and an online survey, content pre-testing, and selection of role models). Video and text messages were then developed, incorporating the findings from this research. Information technology systems were established to support the delivery of the multimedia messages by mobile phone. A pilot study using an abbreviated 4-week program of video and text content tested the reliability of the systems and the acceptability of the intervention.Results: Approximately 180 young people participated in the consultation phase. There was a high priority placed on music for relaxation (75%) and an interest in interacting with others in the program (40% would read messages, 36% would read a blog). Findings from the pre-testing phase (n=41) included the importance of selecting "real" and "honest" role models with believable stories, and an interest in animations (37%). Of the 15 participants who took part in the pilot study, 13 (87%) were available for follow-up interviews at 4 weeks: 12 participants liked the program or liked it most of the time and found the role model to be believable; 7 liked the role model video messages (5 were unsure); 8 used the extra assistance for cravings; and 9 were happy with two messages per day. Nine participants (60%) stopped smoking during the program. Some technical challenges were encountered during the pilot study.Conclusions: A multimedia mobile phone smoking cessation program is technically feasible, and the content developed is appropriate for this medium and is acceptable to our target population. These results have informed the design of a 6-month intervention currently being evaluated for its effectiveness in increasing smoking cessation rates in young people.