Development of a WeChat-based Mobile Messaging Smoking Cessation Intervention for Chinese Immigrant Smokers: Qualitative Interview Study.
Development of a WeChat-based Mobile Messaging Smoking Cessation Intervention for Chinese Immigrant Smokers: Qualitative Interview Study.
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开发基于微信的移动的消息戒烟干预中国移民吸烟者：定性访谈研究。
DOI：
10.2196/36091
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发表时间：
2022-06-30
影响因子：
2.2
通讯作者：
Sherman, Scott E.
中科院分区：
文献类型：
--
作者：
Jiang, Nan;Rogers, Erin S.;Cupertino, Paula;Zhao, Xiaoquan;Cartujano-Barrera, Francisco;Lyu, Joanne Chen;Hu, Lu;Sherman, Scott E.
吸烟仍然是中国移民的主要公共卫生问题。专注于这一人群的戒烟计划很少，并且由于其覆盖范围较低，对人群水平的影响有限。移动的信息干预有可能接触到大量受众，并扩大吸烟者获得戒烟治疗的机会。本研究描述了一种文化和语言上合适的移动的消息戒烟干预的发展，通过微信，全球华人最常用的社交媒体平台提供给中国移民吸烟者。本研究分为两个阶段。在第一阶段，我们基于社会认知理论和《美国治疗烟草使用和依赖临床实践指南》开发了一个移动的消息库。我们从文化上改编了2个基于社会认知理论的短信戒烟计划（SmokefreeTXT和Decidetexto）的信息。我们还开发了针对未准备好戒烟的吸烟者的新信息，以及针对中国移民吸烟者戒烟障碍和与意志力和尼古丁替代疗法相关的常见误解的新颖内容。在第二阶段，我们于2021年7月至8月在纽约市对20名中国移民吸烟者（包括7名女性）进行了深度访谈。访谈探讨了参与者的吸烟和戒烟经历，然后对短信进行了评估。参与者通过微信查看了17条短信（6条教育信息，3条自我效能信息和8条技能信息），并对这些信息在多大程度上增强了他们的戒烟动机，增强了戒烟信心，并提高了对戒烟策略的认识。访谈寻求对评分不佳的消息的反馈，探索参与者对内容，长度和格式的偏好，讨论他们对微信戒烟干预的担忧，并征求对消息频率和时间的建议。总体而言，参与者报告说，这些信息增强了他们戒烟的动力，提供了鼓励，并使他们更了解如何戒烟。参与者特别喜欢关于吸烟危害和戒烟策略的信息。他们报告了在应用一些戒烟策略时遇到的障碍，包括应对压力和在工作中保持禁欲。参与者对微信移动的消息戒烟干预表达了浓厚的兴趣，并评论了其扩大戒烟治疗途径的潜力。移动的短信深受中国移民吸烟者的欢迎。需要研究来评估微信移动的短信戒烟干预措施在促进中国移民吸烟者戒烟方面的可行性、可接受性和有效性。
Smoking remains a major public health issue among Chinese immigrants. Smoking cessation programs that focus on this population are scarce and have a limited population-level impact due to their low reach. Mobile messaging interventions have the potential to reach large audiences and expand smokers’ access to smoking cessation treatment. This study describes the development of a culturally and linguistically appropriate mobile messaging smoking cessation intervention for Chinese immigrant smokers delivered via WeChat, the most frequently used social media platform among Chinese people globally. This study had 2 phases. In phase 1, we developed a mobile message library based on social cognitive theory and the US Clinical Practice Guidelines for Treating Tobacco Use and Dependence. We culturally adapted messages from 2 social cognitive theory-based text messaging smoking cessation programs (SmokefreeTXT and Decídetexto). We also developed new messages targeting smokers who were not ready to quit smoking and novel content addressing Chinese immigrant smokers’ barriers to quitting and common misconceptions related to willpower and nicotine replacement therapy. In phase 2, we conducted in-depth interviews with 20 Chinese immigrant smokers (including 7 women) in New York City between July and August 2021. The interviews explored the participants’ smoking and quitting experiences followed by assessment of the text messages. Participants reviewed 17 text messages (6 educational messages, 3 self-efficacy messages, and 8 skill messages) via WeChat and rated to what extent the messages enhanced their motivation to quit, promoted confidence in quitting, and increased awareness about quitting strategies. The interviews sought feedback on poorly rated messages, explored participant preferences for content, length, and format, discussed their concerns with WeChat cessation intervention, and solicited recommendations for frequency and timing of messages. Overall, participants reported that the messages enhanced their motivation to quit, offered encouragement, and made them more informed about how to quit. Participants particularly liked the messages about the harms of smoking and strategies for quitting. They reported barriers to applying some of the quitting strategies, including coping with stress and staying abstinent at work. Participants expressed strong interest in the WeChat mobile messaging cessation intervention and commented on its potential to expand their access to smoking cessation treatment. Mobile messages are well accepted by Chinese immigrant smokers. Research is needed to assess the feasibility, acceptability, and efficacy of WeChat mobile messaging smoking cessation interventions for promoting abstinence among Chinese immigrant smokers.
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影响因子：
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作者：
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影响因子：
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