PDF(Pubmed)
Abstract：
UNASSIGNED: Ecological momentary assessment (EMA) is an increasingly used tool for data collection in behavioral research, including smoking cessation studies. As previous addiction research suggests, EMA has the potential to elicit cue reactivity by triggering craving and increasing behavioral awareness. However, there has been limited evaluation of its potential influence on behavior.
UNASSIGNED: By examining the perspectives of research participants enrolled in a tobacco treatment intervention trial, this qualitative analysis aims to understand the potential impact that EMA use may have had on smoking behaviors that may not have otherwise been captured through other study measures.
UNASSIGNED: We performed a qualitative analysis of in-depth interviews with participants enrolled in a pilot randomized controlled trial of a tobacco treatment intervention that used SMS text messaging to collect EMA data on smoking behaviors. In the pilot randomized controlled trial, combustible cigarette and e-cigarette use and smoking-related cravings were measured as part of an EMA protocol, in which SMS text messaging served as a smoking diary. SMS text messaging was intended for data collection only and not designed to serve as part of the intervention. After a baseline assessment, participants were asked to record daily nicotine use for 12 weeks by responding to text message prompts that they received 4 times per day. Participants were prompted to share their experiences with the EMA text messaging component of the trial but were not directly asked about the influence of EMA on their behaviors. Transcripts were coded according to the principles of the framework for applied research. The codes were then examined, summarized, and grouped into themes based on the principles of grounded theory.
UNASSIGNED: Interviews were analyzed for 26 participants. The themes developed from the analysis suggested the potential for EMA, in the form of an SMS text messaging smoking diary, to influence participants\' smoking behaviors. The perceived impacts of EMA text messaging on smoking behaviors were polarized; some participants emphasized the positive impacts of text messages on their efforts to reduce smoking, while others stressed the ways that text messaging negatively impacted their smoking reduction efforts. These contrasting experiences were captured by themes reflecting the positive impacts on smoking behaviors, including increased awareness of smoking behaviors and a sense of accountability, and the negative impacts on emotions and smoking behaviors, including provoking a sense of guilt and triggering smoking behaviors.
UNASSIGNED: The collection of EMA smoking behavior data via SMS text messaging may influence the behaviors and perceptions of participants in tobacco treatment interventions. More research is needed to determine the magnitude of impact and mechanisms, to account for the potential effects of EMA. A broader discussion of the unintended effects introduced by EMA use is warranted among the research community.
UNASSIGNED: By examining the perspectives of research participants enrolled in a tobacco treatment intervention trial, this qualitative analysis aims to understand the potential impact that EMA use may have had on smoking behaviors that may not have otherwise been captured through other study measures.
UNASSIGNED: We performed a qualitative analysis of in-depth interviews with participants enrolled in a pilot randomized controlled trial of a tobacco treatment intervention that used SMS text messaging to collect EMA data on smoking behaviors. In the pilot randomized controlled trial, combustible cigarette and e-cigarette use and smoking-related cravings were measured as part of an EMA protocol, in which SMS text messaging served as a smoking diary. SMS text messaging was intended for data collection only and not designed to serve as part of the intervention. After a baseline assessment, participants were asked to record daily nicotine use for 12 weeks by responding to text message prompts that they received 4 times per day. Participants were prompted to share their experiences with the EMA text messaging component of the trial but were not directly asked about the influence of EMA on their behaviors. Transcripts were coded according to the principles of the framework for applied research. The codes were then examined, summarized, and grouped into themes based on the principles of grounded theory.
UNASSIGNED: Interviews were analyzed for 26 participants. The themes developed from the analysis suggested the potential for EMA, in the form of an SMS text messaging smoking diary, to influence participants\' smoking behaviors. The perceived impacts of EMA text messaging on smoking behaviors were polarized; some participants emphasized the positive impacts of text messages on their efforts to reduce smoking, while others stressed the ways that text messaging negatively impacted their smoking reduction efforts. These contrasting experiences were captured by themes reflecting the positive impacts on smoking behaviors, including increased awareness of smoking behaviors and a sense of accountability, and the negative impacts on emotions and smoking behaviors, including provoking a sense of guilt and triggering smoking behaviors.
UNASSIGNED: The collection of EMA smoking behavior data via SMS text messaging may influence the behaviors and perceptions of participants in tobacco treatment interventions. More research is needed to determine the magnitude of impact and mechanisms, to account for the potential effects of EMA. A broader discussion of the unintended effects introduced by EMA use is warranted among the research community.
摘要：
■生态瞬时评估（EMA）是行为研究中越来越多地使用的数据收集工具，包括戒烟研究。正如之前的成瘾研究表明，EMA有可能通过触发渴望和增加行为意识来引发线索反应。然而,对其对行为的潜在影响的评估有限。
■通过检查参加烟草治疗干预试验的研究参与者的观点，这项定性分析旨在了解使用EMA可能对吸烟行为产生的潜在影响,而这些影响可能无法通过其他研究措施获得.
我们对参加一项烟草治疗干预的随机对照试验的参与者进行了深入访谈的定性分析，该试验使用SMS短信收集有关吸烟行为的EMA数据。在试点随机对照试验中，作为EMA协议的一部分，测量了可燃香烟和电子烟的使用以及与吸烟相关的渴望。其中短信作为吸烟日记。SMS文本消息仅用于数据收集，而不是作为干预的一部分。在基线评估之后，参与者被要求通过回复每天4次的短信提示来记录12周内尼古丁的每日使用情况.参与者被提示与试验的EMA短信组件分享他们的经验，但没有直接询问EMA对他们行为的影响。根据应用研究框架的原则对成绩单进行编码。然后检查代码，总结,并根据扎根理论的原则分为主题。
■对26名参与者的访谈进行了分析。从分析中得出的主题表明了EMA的潜力，以短信吸烟日记的形式，影响参与者的吸烟行为。EMA短信对吸烟行为的感知影响是两极分化的；一些参与者强调了短信对他们减少吸烟的努力的积极影响，而其他人则强调了短信对他们减少吸烟工作的负面影响。这些对比的经历是由反映对吸烟行为的积极影响的主题捕获的。包括提高对吸烟行为的认识和责任感，以及对情绪和吸烟行为的负面影响，包括挑起负罪感和引发吸烟行为。
■通过SMS文本消息收集EMA吸烟行为数据可能会影响烟草治疗干预措施中参与者的行为和看法。需要更多的研究来确定影响的大小和机制，考虑EMA的潜在影响。研究界需要对EMA使用引入的意外影响进行更广泛的讨论。
■通过检查参加烟草治疗干预试验的研究参与者的观点，这项定性分析旨在了解使用EMA可能对吸烟行为产生的潜在影响,而这些影响可能无法通过其他研究措施获得.
我们对参加一项烟草治疗干预的随机对照试验的参与者进行了深入访谈的定性分析，该试验使用SMS短信收集有关吸烟行为的EMA数据。在试点随机对照试验中，作为EMA协议的一部分，测量了可燃香烟和电子烟的使用以及与吸烟相关的渴望。其中短信作为吸烟日记。SMS文本消息仅用于数据收集，而不是作为干预的一部分。在基线评估之后，参与者被要求通过回复每天4次的短信提示来记录12周内尼古丁的每日使用情况.参与者被提示与试验的EMA短信组件分享他们的经验，但没有直接询问EMA对他们行为的影响。根据应用研究框架的原则对成绩单进行编码。然后检查代码，总结,并根据扎根理论的原则分为主题。
■对26名参与者的访谈进行了分析。从分析中得出的主题表明了EMA的潜力，以短信吸烟日记的形式，影响参与者的吸烟行为。EMA短信对吸烟行为的感知影响是两极分化的；一些参与者强调了短信对他们减少吸烟的努力的积极影响，而其他人则强调了短信对他们减少吸烟工作的负面影响。这些对比的经历是由反映对吸烟行为的积极影响的主题捕获的。包括提高对吸烟行为的认识和责任感，以及对情绪和吸烟行为的负面影响，包括挑起负罪感和引发吸烟行为。
■通过SMS文本消息收集EMA吸烟行为数据可能会影响烟草治疗干预措施中参与者的行为和看法。需要更多的研究来确定影响的大小和机制，考虑EMA的潜在影响。研究界需要对EMA使用引入的意外影响进行更广泛的讨论。
