Feasibility of mobile health game “Fume” in supporting tobacco-related health literacy among early adolescents: A three-armed cluster randomized design

Parisod, Heidi; Pakarinen, Anni; Axelin, Anna; Löyttyniemi, Eliisa; Smed, Jouni; Salanterä, Sanna

doi:10.1016/j.ijmedinf.2018.02.013

Cited by 25 publications

(42 citation statements)

References 23 publications

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“…Unexpectedly, adolescents did not recommend the design of a full game-based intervention. Instead, they expressed interest in short quick games that resemble commonly known games in mobile phone applications (e.g., Temple Run) [39, 40]. Adolescents may prefer short games because they offer immediate feedback on actions and decisions, sometimes within the same interactive environment, allowing for an immersive experience, and helping to sustain interest in content [41].…”

Section: Discussionmentioning

confidence: 99%

Revealing users’ experience and social interaction outcomes following a web-based smoking prevention intervention for adolescents: A qualitative study

et al. 2019

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BackgroundTobacco smoking remains a public health problem among adolescents in the United States. While Web-based interventions for smoking prevention have been successful at the individual level, there is still an urgent need to understand their engagement capabilities and their effects at the social level. In the current study, we aimed to (1) learn about adolescents’ subjective experience with a Web-based program called a smoking prevention interactive experience (ASPIRE), (2) obtain suggestions for improvement in ASPIRE content, (3) identify psychological outcomes of ASPIRE, and (4) explore outcomes of social interaction.Materials and methodsAfter a randomized controlled trial with 110 adolescents, 20 adolescent users of ASPIRE, aged 11–18, were randomly selected to participate in one-on-one interviews at four after-school programs in Houston, Texas. Interviews involved questions concerning adolescents’ experience with the intervention. Qualitative data were coded and analyzed using a constant comparison approach for the generation of themes.ResultsDescribing their experience with ASPIRE, participants expressed comfort in material that is tailored to their demographic and preferred interactive activities over entertaining videos. Presenting suggestions for improvement, participants mainly reported the need to include gaming features into ASPIRE. Presenting psychological outcomes, they expressed emotional engagement in the program, shifts in attitudes and beliefs, and unwillingness to smoke. Finally, as outcomes of social interaction, participants reported engagement with others in discussions about tobacco and their need to hold smokers accountable for their actions.ConclusionsAdolescents’ reports moved from their individual experience with ASPIRE to their active interactions with family members and friends and their attempt to persuade others to quit smoking. Future Web-based programs for adolescents may be designed with tailoring and game play in mind, in order to provide mobilization skills and foster social interactions against smoking.

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Section: Discussionmentioning

confidence: 99%

Revealing users’ experience and social interaction outcomes following a web-based smoking prevention intervention for adolescents: A qualitative study

et al. 2019

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“…In terms of programming methods, the existing web-based media literacy smoking prevention programs include learning to play alone [ 28 ], games to play alone [ 31 ], and activities involving communication with online avatars [ 27 , 32 ], but it was confirmed that there were relatively few interventions which included online interactive communication. This study confirmed the needs for active methods and discussions of female high school students in the program development stage.…”

Section: Discussionmentioning

confidence: 99%

Using Intervention Mapping to Develop a Media Literacy-Based Smoking Prevention Program for Female Adolescents

Kim

2021

IJERPH

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Smoking prevalence among female adolescents in South Korea has increased gradually, despite a decreasing trend seen for male adolescents. Smoking scenes or cigarette advertisements in the media have influenced female adolescents’ initiation into smoking. It is therefore crucial to develop a smoking prevention program to enhance female adolescents’ smoking media literacy by implementing gender-specific interventions. The purpose of this study is to describe how intervention mapping protocol (IMP) was used to develop a media literacy-based smoking prevention program (MLSP) for female adolescents. The IMP was used in six steps: needs assessment (literature review and focus groups comprising 24 female adolescents and 12 teachers), program goal setting, selection of intervention methods, production of program components and materials, program implementation planning, and program evaluation by ten experts and three adolescents. Six performance objectives and 14 change objectives were generated. Each module consisted of theory-based methods such as raising consciousness. Half of the modules covered topics regarding smoking media literacy, while half covered topics related to gender-specific intervention. The major advantages of utilizing IMP are that MLSP has been developed to reflect multiple perspectives, including of adolescents, teachers, and professors through a systematic process, and identified to be acceptable and valid.

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“…Although no difference was found between the motivation levels to quit smoking before and after the intervention, the efficacy of the interventions based on the use of the ICTs is confirmed, especially in occasional smokers (29) . Apart from that, these interventions are more effective if they are adapted to the smokers' characteristics and to the quitting phase in which they are (30) , if they use applications in their mobile devices, or if they combine graphics with humorous and stimulating elements, and with challenging games (31)(32) . Likewise, the participants' follow-up of the intervention was lower than the expected based on the lack of commitment of the young population and on the demands during the intervention (33) .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a web platform on university students’ motivation to quit smoking

Romero-López

Portero-de-la-Cruz

Vaquero-Abellán

2020

Rev. Latino-Am. Enfermagem

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Objective: to know the dependence on nicotine and the motivation to quit smoking in Nursing and Physiotherapy students of a university in the South of Spain, and to evaluate the impact of an intervention based on the use of information technologies on the motivation to quit smoking. Method: a pilot study in two phases: the first being cross-sectional and the second, a before-and-after intervention. The motivation to quit smoking was assessed by means of the Richmond questionnaire, and the dependence on nicotine through the Fagerström questionnaire; additionally, an intervention was performed based on the use of a web platform to increase motivation to quit smoking. Descriptive and inferential statistics were applied. Results: the prevalence in the use of tobacco was 4.33% (n=29). 3.45% of the participants had a high level of dependence; and 6.90%, a high level of motivation. The level of motivation did not change after the intervention (p=0.10). Conclusion: most of the students have low levels of motivation to quit smoking and of physical dependence to nicotine. The level of motivation to quit smoking does not change after performing the intervention.

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Feasibility of mobile health game “Fume” in supporting tobacco-related health literacy among early adolescents: A three-armed cluster randomized design

Cited by 25 publications

References 23 publications

Revealing users’ experience and social interaction outcomes following a web-based smoking prevention intervention for adolescents: A qualitative study

Revealing users’ experience and social interaction outcomes following a web-based smoking prevention intervention for adolescents: A qualitative study

Using Intervention Mapping to Develop a Media Literacy-Based Smoking Prevention Program for Female Adolescents

Effectiveness of a web platform on university students’ motivation to quit smoking

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