A Multimedia Support Skills Intervention for Female Partners of Male Smokeless Tobacco Users: Use and Perceived Acceptability

Akers, Laura; Andrews, Judy A.; Gordon, Judith S.

doi:10.2196/formative.9948

Cited by 2 publications

(3 citation statements)

References 31 publications

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“…Participating women were then automatically randomized by the Web-based program to receive an intervention (access to an interactive website plus mailed booklet) or delayed treatment (receiving the intervention after completing a 7.5-month follow-up assessment). The intervention program was designed to help the women encourage their partner to consider quitting smokeless tobacco, support him if he decided to do so, and accept his decision if he was not interested in quitting [ 24 ]. All study activities were conducted online, with the exception of phone calls to complete follow-up assessments for women who did not respond to email reminders.…”

Section: Introductionmentioning

confidence: 99%

Using Facebook for Large-Scale Online Randomized Clinical Trial Recruitment: Effective Advertising Strategies

Akers¹,

Gordon²

2018

J Med Internet Res

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Targeted Facebook advertising can be an effective strategy to recruit participants for a large-scale online study. Facebook advertising is useful for reaching people in a wide geographic area, matching a specific demographic profile. It can also target people who would be unlikely to search for the information and would thus not be accessible via Google AdWords. It is especially useful when it is desirable not to raise awareness of the study in a demographic group that would be ineligible for the study. This paper describes the use of Facebook advertising to recruit and enroll 1145 women over a 15-month period for a randomized clinical trial to teach support skills to female partners of male smokeless tobacco users. This tutorial shares our study team’s experiences, lessons learned, and recommendations to help researchers design Facebook advertising campaigns. Topics covered include designing the study infrastructure to optimize recruitment and enrollment tracking, creating a Facebook presence via a fan page, designing ads that attract potential participants while meeting Facebook’s strict requirements, and planning and managing an advertising campaign that accommodates the rapid rate of diminishing returns for each ad.

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Section: Introductionmentioning

confidence: 99%

Using Facebook for Large-Scale Online Randomized Clinical Trial Recruitment: Effective Advertising Strategies

Akers¹,

Gordon²

2018

J Med Internet Res

Self Cite

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“…We also report quit rates at 7.5 months for the subsample of those who had reported use at 6 weeks (N = 499), because we expected fairly high rates of "delayed cessation" since almost 40% of the 170 women who completed "The Basics" did so after the six-week follow-up. 19 Defining cessation. "Quit All Tobacco" is defined as reporting that the ST user had quit all tobacco at the assessment point (6 weeks or 7.5 months).…”

Section: Discussionmentioning

confidence: 99%

“…The UCare intervention is described in greater detail elsewhere. 19 In a randomized clinical trial to evaluate the effect of the intervention on supporter behaviors and attitudes and their relation to the ST user's cessation, those randomized to receive the UCare intervention showed greater change in supportive behaviors and attitudes at six-week follow-up than did those randomized to a Delayed Treatment control. 20 The effects were even more pronounced when comparing the control group with the subset of women who had completed the full intervention (completed the website "Basics" or reported reading the full booklet).…”

Section: Description Of the Ucare-chewfree Interventionmentioning

confidence: 99%

Effect of a Responsiveness-Based Support Intervention on Smokeless Tobacco Cessation: The UCare-ChewFree Randomized Clinical Trial

Akers

Andrews

Lichtenstein

et al. 2019

Nicotine &Amp; Tobacco Research

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Introduction Partner behaviors and attitudes can motivate or undermine a tobacco user’s cessation efforts. We developed a multimedia intervention, UCare (Understanding-CAring-REspect) for women who wanted their male partner to quit smokeless tobacco (ST), based on perceived partner responsiveness—the empirically based theory that support is best received when the supporter conveys respect, understanding, and caring. Methods One thousand one hundred three women were randomized to receive either immediate access to the UCare website and printed booklet (Intervention; N = 552), or a Delayed Treatment control (N = 551). We assessed supportive behaviors and attitudes at baseline and 6-week follow-up, and the ST-using partner’s abstinence at 6 weeks and 7.5 months (surrogate report). Results For partners of women assigned to Intervention, 7.0% had quit all tobacco at 7.5 months, compared with 6.6% for control (χ2 (1, n = 1088) = .058, p = .810). For partners of women completing the intervention, 12.4% had quit all tobacco at 7.5 months, compared with 6.6% for Delayed Treatment (χ2 (1, n = 753) = 6.775, p = .009). A previously reported change in responsiveness-based behaviors and instrumental behaviors at 6 weeks mediated 7.5-month cessation, and change in responsiveness-based attitudes mediated the change in responsiveness-based behaviors, indirectly increasing cessation. Conclusions A responsiveness-based intervention with female partners of male ST users improved supportive attitudes and behaviors, leading to higher cessation rates among tobacco users not actively seeking to quit. The study demonstrates the potential for responsiveness as a basis for effective intervention with supporters. This approach may reach tobacco users who would not directly seek help. Implications This study demonstrates the value of a responsiveness-based intervention (showing respect, understanding, and caring) in training partners to provide support for a loved one to quit ST. In a randomized clinical trial, 1,103 women married to or living with a ST user were randomized to receive the UCare-ChewFree intervention (website + booklet) or a Delayed Treatment control. Women completing the intervention were more likely to improve their behaviors and attitudes, and change in behaviors and attitudes mediated cessation outcomes for their partners, who had not enrolled in the study and may not have been seeking to quit. Trial Registration ClinicalTrials.gov NCT01885221

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A Multimedia Support Skills Intervention for Female Partners of Male Smokeless Tobacco Users: Use and Perceived Acceptability

Cited by 2 publications

References 31 publications

Using Facebook for Large-Scale Online Randomized Clinical Trial Recruitment: Effective Advertising Strategies

Using Facebook for Large-Scale Online Randomized Clinical Trial Recruitment: Effective Advertising Strategies

Effect of a Responsiveness-Based Support Intervention on Smokeless Tobacco Cessation: The UCare-ChewFree Randomized Clinical Trial

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