Developing Mood-Based Computer-Tailored Health Communication for Smoking Cessation: Feasibility Randomized Controlled Trial.
Developing Mood-Based Computer-Tailored Health Communication for Smoking Cessation: Feasibility Randomized Controlled Trial.
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为戒烟开发基于情绪的计算机定制健康沟通：可行性随机对照试验。
DOI：
10.2196/48958
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发表时间：
2023-12-22
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
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计算机定制健康传播（CTHC）是一种广泛使用的提高戒烟干预措施有效性的策略，其重点是为个人选择最佳信息。最近，CTHC干预措施已被测试使用上下文信息，如参与者的当前压力或位置，以适应消息选择。然而，情绪尚未被用于CTCH干预措施，并可能增加其有效性。本研究旨在研究目前吸烟的成年人的情绪和戒烟信息的有效性之间的关联。2022年1月，我们招募了一个基于网络的方便吸烟成年人样本（N=615;平均年龄41.13岁）。参与者被随机分配到3种情绪条件（积极，消极或中性）中的一种，并观看从国际情感图片系统中选择的图片，以在指定条件下诱导情绪状态。然后，参与者观看了戒烟信息，主题涵盖五个主题：（1）经济成本或回报，（2）健康，（3）生活质量，（4）戒烟的挑战，（5）戒烟的动机或原因。在每条信息之后，参与者完成了3个结构的问题：信息接受性，感知相关性和他们的戒烟动机。该过程重复30次。我们使用单因素方差分析来估计这些结构上的情绪状况的关联，控制人口统计学，每天吸烟，以及在预测试期间测量的戒烟动机。我们还估计了5个吸烟信息主题类别中的每一个的情绪和结果之间的关联。情绪状况对戒烟动机结果有总体统计学显著影响（P= 0.02），但对信息接受性（P= 0.16）和感知相关性（P= 0.86）结果没有影响。积极情绪条件下的参与者报告的戒烟动机明显高于消极情绪条件下的参与者（P= 0.005）。积极情绪状态下的参与者在观看财务（P= 0.03），健康（P= 0.01），生活质量（P= 0.04）和戒烟挑战（P= 0.03）主题类别的戒烟信息后报告了更高的戒烟动机。我们还比较了每种情绪条件，发现积极情绪条件下的参与者在看到财务（P=.01），健康（P=.003），生活质量（P=.01）和戒烟挑战（P=.01）主题类别的信息后，辞职的动机显着高于消极情绪条件下的参与者。我们的研究结果表明，考虑情绪可能对未来的CTHC干预很重要。因为那些在信息暴露时处于积极情绪状态的人更有可能有更大的戒烟动机，所以戒烟CTHC干预措施可以考虑在传递这些信息时帮助改善参与者情绪的策略。对于那些处于中性和消极情绪状态的人来说，专注于某些信息主题（健康和戒烟动机）可能比其他信息主题更有效。
Computer-tailored health communication (CTHC), a widely used strategy to increase the effectiveness of smoking cessation interventions, is focused on selecting the best messages for an individual. More recently, CTHC interventions have been tested using contextual information such as participants’ current stress or location to adapt message selection. However, mood has not yet been used in CTCH interventions and may increase their effectiveness. This study aims to examine the association of mood and smoking cessation message effectiveness among adults who currently smoke cigarettes. In January 2022, we recruited a web-based convenience sample of adults who smoke cigarettes (N=615; mean age 41.13 y). Participants were randomized to 1 of 3 mood conditions (positive, negative, or neutral) and viewed pictures selected from the International Affective Picture System to induce an emotional state within the assigned condition. Participants then viewed smoking cessation messages with topics covering five themes: (1) financial costs or rewards, (2) health, (3) quality of life, (4) challenges of quitting, and (5) motivation or reasons to quit. Following each message, participants completed questions on 3 constructs: message receptivity, perceived relevance, and their motivation to quit. The process was repeated 30 times. We used 1-way ANOVA to estimate the association of the mood condition on these constructs, controlling for demographics, cigarettes per day, and motivation to quit measured during the pretest. We also estimated the association between mood and outcomes for each of the 5 smoking message theme categories. There was an overall statistically significant effect of the mood condition on the motivation to quit outcome (P=.02) but not on the message receptivity (P=.16) and perceived relevance (P=.86) outcomes. Participants in the positive mood condition reported significantly greater motivation to quit compared with those in the negative mood condition (P=.005). Participants in the positive mood condition reported higher motivation to quit after viewing smoking cessation messages in the financial (P=.03), health (P=.01), quality of life (P=.04), and challenges of quitting (P=.03) theme categories. We also compared each mood condition and found that participants in the positive mood condition reported significantly greater motivation to quit after seeing messages in the financial (P=.01), health (P=.003), quality of life (P=.01), and challenges of quitting (P=.01) theme categories than those in the negative mood condition. Our findings suggest that considering mood may be important for future CTHC interventions. Because those in the positive mood state at the time of message exposure were more likely to have greater quitting motivations, smoking cessation CTHC interventions may consider strategies to help improve participants’ mood when delivering these messages. For those in neutral and negative mood states, focusing on certain message themes (health and motivation to quit) may be more effective than other message themes.
DOI：
10.3390/ijerph182211814
发表时间：
2021-11-11
影响因子：
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作者：
Stevens EM;Villanti AC;Leshner G;Wagener TL;Keller-Hamilton B;Mays D
通讯作者：
Mays D