背景:SMS短信是负担得起的,可扩展,和有效的戒烟干预措施。然而,关于SMS短信干预措施的研究很少,专门设计用于支持吸烟的人通过切换到vaping来戒烟。
目标:在三个阶段,与vapers和吸烟者,我们共同开发并共同制作了手机短信程序。共同生产范式使我们能够与研究人员和社区合作,开发出更相关的,可接受,和公平的短信程序。
方法:在第一阶段,我们通过Twitter聘请了vape的人,并收到了167份回复,要求他们为希望通过改用vaping戒烟的人写短信。我们筛选,调整后,精致,并以信息为主题,导致一组95个映射到能力,机会,和动机-行为结构。在第2阶段,我们通过网络调查评估了第1阶段的95条消息,其中参与者(66/202,32.7%的女性)在9种构造的7分Likert量表上对20条消息进行了评分:可以理解,clear,可信,乐于助人,有趣的,无害的,积极的,热情和他们收到这些信息会有多高兴。在第3阶段,我们实施了SMS文本消息的最终集合,作为更大的随机优化试验的一部分,其中603名参与者(平均年龄38.33岁,SD12.88岁;n=369,61.2%女性)接受了SMS短信支持,然后对他们的有用性和频率进行了评估,并在12周的随访中提供了免费文本评论.
结果:对于第2阶段,计算了9个构建体的每个消息的均值和SD。用vapers讨论了那些具有低于4的中性锚或具有不利评论的方法,并进一步细化或去除。这导致了最后一组78个被映射到早期,mid-,或退出的后期阶段为消息创建订单。对于第3阶段,共有38.5%(232/603)的参与者在12周的随访中提供了评级。总的来说,69.8%(162/232)报告说短信有用,发现戒烟率和有用性评分之间存在显著关联(χ21=9.6;P=0.002)。对自由文本评论的内容分析显示,2个最常见的正面主题是有帮助的(13/47,28%)和令人鼓舞的(6/47,13%),2个最常见的负面主题过于频繁(9/47,19%)和烦人(4/47,9%)。
结论:在本文中,我们描述了一组SMS短信的最初共同生产和共同开发,以通过过渡到vaping来帮助吸烟者戒烟。我们鼓励研究人员使用,进一步发展,并评估SMS文本消息集,并使其适应目标人群和相关上下文。
BACKGROUND: SMS text messages are affordable, scalable, and effective smoking cessation interventions. However, there is little research on SMS text message interventions specifically designed to support people who smoke to quit by switching to vaping.
OBJECTIVE: Over 3 phases, with vapers and smokers, we codeveloped and coproduced a mobile phone SMS text message program. The
coproduction paradigm allowed us to collaborate with researchers and the community to develop a more relevant, acceptable, and equitable SMS text message program.
METHODS: In phase 1, we engaged people who vape via Twitter and received 167 responses to our request to write SMS text messages for people who wish to quit smoking by switching to vaping. We screened, adjusted, refined, and themed the messages, resulting in a set of 95 that were mapped against the Capability, Opportunity, and Motivation-Behavior constructs. In phase 2, we evaluated the 95 messages from phase 1 via a web survey where participants (66/202, 32.7% woman) rated up to 20 messages on 7-point Likert scales on 9 constructs: being understandable, clear, believable, helpful, interesting, inoffensive, positive, and enthusiastic and how happy they would be to receive the messages. In phase 3, we implemented the final set of SMS text messages as part of a larger randomized optimization
trial, in which 603 participants (mean age 38.33, SD 12.88 years; n=369, 61.2% woman) received SMS text message support and then rated their usefulness and frequency and provided free-text comments at the 12-week follow-up.
RESULTS: For phase 2, means and SDs were calculated for each message across the 9 constructs. Those with means below the neutral anchor of 4 or with unfavorable comments were discussed with vapers and further refined or removed. This resulted in a final set of 78 that were mapped against early, mid-, or late stages of quitting to create an order for the messages. For phase 3, a total of 38.5% (232/603) of the participants provided ratings at the 12-week follow-up. In total, 69.8% (162/232) reported that the SMS text messages had been useful, and a significant association between quit rates and usefulness ratings was found (χ21=9.6; P=.002). A content analysis of free-text comments revealed that the 2 most common positive themes were helpful (13/47, 28%) and encouraging (6/47, 13%) and the 2 most common negative themes were too frequent (9/47, 19%) and annoying (4/47, 9%).
CONCLUSIONS: In this paper, we describe the initial
coproduction and codevelopment of a set of SMS text messages to help smokers stop smoking by transitioning to vaping. We encourage researchers to use, further develop, and evaluate the set of SMS text messages and adapt it to target populations and relevant contexts.