Live counselor contact in a Facebook intervention predicts smoking cessation outcomes.

Thrul, Johannes; Meacham, Meredith C.; Tice, Chiara; Kelly, Oona A.; Ramo, Danielle E.

doi:10.1037/adb0000541

Cited by 7 publications

(5 citation statements)

References 49 publications

(71 reference statements)

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“…Overall, BeMe is a promising example of the combination of digital and live interactive support in practice. This study contributes to the growing body of work demonstrating the utility and impact of the combination of digital and live human support in digital interventions [ 21 , 63 ], and demonstrated acceptability and utility in a large sample of adolescents. The positive responses to BeMe’s content, activities, and coaching service are encouraging.…”

Section: Discussionmentioning

confidence: 81%

“…The addition of synchronous human support through skills-based coaching appears to improve adherence to and outcomes from digital mental health interventions as well as lower dropout among adolescents [ 17 ]. For example, live counselor contact was associated with improved clinical outcomes from a smoking cessation intervention delivered via Facebook to young adults [ 21 ]. Peer-to-peer counseling from paraprofessionals in a digital environment aided the delivery of evidence-based skills to undergraduate college students [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Acceptability and Utility of a Smartphone App to Support Adolescent Mental Health (BeMe): Program Evaluation Study

Prochaska,

Wang,

Bowdring

et al. 2023

JMIR Mhealth Uhealth

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Background Adolescents face unprecedented mental health challenges, and technology has the opportunity to facilitate access and support digitally connected generations. The combination of digital tools and live human connection may hold particular promise for resonating with and flexibly supporting young people’s mental health. Objective This study aimed to describe the BeMe app-based platform to support adolescents’ mental health and well-being and to examine app engagement, usability, and satisfaction. Methods Adolescents in the United States, aged 13 to 20 years, were recruited via the web and enrolled between September 1 and October 31, 2022. App engagement, feature use, clinical functioning, and satisfaction with BeMe were examined for 30 days. BeMe provides content based on cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and positive psychology; interactive activities; live text-based coaching; links to clinical services; and crisis support tools (digital and live). Results The average age of the sample (N=13,421) was 15.04 (SD 1.7) years, and 56.72% (7612/13,421) identified with she/her pronouns. For the subsample that completed the in-app assessments, the mean scores indicated concern for depression (8-item Patient Health Questionnaire mean 15.68/20, SD 5.9; n=239), anxiety (7-item Generalized Anxiety Disorder Questionnaire mean 13.37/17, SD 5.0; n=791), and poor well-being (World Health Organization–Five Well-being Index mean 30.15/100, SD 16.1; n=1923). Overall, the adolescents engaged with BeMe for an average of 2.38 (SD 2.7) days in 7.94 (SD 24.1) sessions and completed 11.26 (SD 19.8) activities. Most adolescents engaged with BeMe’s content (12,270/13,421, 91.42%), mood ratings (13,094/13,421, 97.56%), and interactive skills (10,098/13,421, 75.24%), and almost one-fifth of the adolescents engaged with coaching (2539/13,421, 18.92%), clinical resources (2411/13,421, 17.96%), and crisis support resources (2499/13,421, 18.62%). Overall app engagement (total activities) was highest among female and gender-neutral adolescents compared with male adolescents (all P<.001) and was highest among younger adolescents (aged 13-14 years) compared with all other ages (all P<.001). Satisfaction ratings were generally high for content (eg, 158/176, 89.8% rated as helpful and 1044/1139, 91.66% improved coping self-efficacy), activities (5362/8468, 63.32% helpful and 4408/6072, 72.6% useful in coping with big feelings), and coaching (747/894, 83.6% helpful and 747/894, 83.6% improved coping self-efficacy). Engagement (total activities completed) predicted the likelihood of app satisfaction (P<.001). Conclusions Many adolescents downloaded the BeMe app and completed multiple sessions and activities. Engagement with BeMe was higher among female and younger adolescents. Ratings of BeMe’s content, activities, and coaching were very positive for cognitive precursors aimed at reducing depression and anxiety and improving well-being. The findings will inform future app development to promote more sustained engagement, and future evaluations will assess the effects of BeMe on changes in mental health outcomes.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Acceptability and Utility of a Smartphone App to Support Adolescent Mental Health (BeMe): Program Evaluation Study

Prochaska,

Wang,

Bowdring

et al. 2023

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“… 10–12 , 43 , 46 We evaluated a standalone intervention to enhance its scale and dissemination and did not include live counselor contact, online cessation counseling, or provide NRT, as in prior studies. 10–12 , 49 …”

Section: Discussionmentioning

confidence: 99%

“…A Facebook intervention has promise as a scalable intervention strategy to promote engagement in cessation treatment among AN people, especially those living in rural, remote, off-road communities, and this study points to new directions for research into how peer support through social media can promote long-term cessation in this population. Based on suggestions by our participants and supported in the literature, 49 we plan to hold Facebook live events with Native Elder speakers, Tribal cessation program counselors, Alaska’s Tobacco Quitline coaches, and or health care providers to motivate and guide cessation. That more than 70% of our participants indicated an interest in moderating a Facebook cessation group was unexpected.…”

Section: Discussionmentioning

confidence: 99%

Facebook Intervention to Connect Alaska Native People With Resources and Support to Quit Smoking: CAN Quit Pilot Randomized Controlled Trial

Patten

Koller

Sinicrope

et al. 2022

Nicotine &Amp; Tobacco Research

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Introduction There is some evidence that social media interventions can promote smoking cessation. This randomized controlled pilot study is the first to evaluate the feasibility and potential efficacy of a Facebook smoking cessation intervention among Alaska Native adults. Methods Recruitment and data collection occurred December 2019-March 2021. Participants were recruited statewide in Alaska using Facebook advertisements with a targeted sample of 60 enrolled. Participants were stratified by gender, age, and rural/urban residence and randomly assigned to receive referral resources on evidence-based cessation treatments (EBCTs) (control, n=30) or these resources plus a three-month, closed/private, culturally tailored, Facebook group (intervention, n=31) that connected participants to EBCT resources and was moderated by two Alaska Native Trained Tobacco Specialists. Assessments were conducted online post-randomization at one, three, and six months. Outcomes were feasibility (recruitment, retention, intervention engagement), self-reported use of EBCTs, and biochemically confirmed seven-day point-prevalence smoking abstinence. Results Of intervention participants, 90% engaged (e.g., posted, commented) more than once. Study retention was 57% at six months (no group differences). The proportion utilizing EBCTs was about double for intervention compared with the control group participants at three and six months. Smoking abstinence was higher for intervention than control participants at three months (6.5% vs. 0%, p=0.16) but comparable at six months (6.4% vs. 6.7%, p=0.97). Conclusions While additional research is needed to promote long-term cessation, this pilot trial supports recruitment feasibility during the COVID-19 pandemic, consumer uptake, and a signal for intervention efficacy on the uptake of cessation treatment and short-term smoking abstinence. IMPLICATIONS This study is the first evaluation of a social media intervention for smoking cessation among Indigenous people. We learned that statewide Facebook recruitment of Alaska Native adults who smoke was feasible and there was a signal for the efficacy of a Facebook intervention on the uptake of evidence-based cessation treatment and short-term (three months) biochemically verified smoking abstinence. Clinically, social media platforms may complement current care models by connecting Alaska Native individuals and others living in hard-to-reach communities to cessation treatment resources.

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“…While automated text messages show promise for e-cigarette cessation 21 and have an established evidence-base for cigarette smoking cessation 22 , some users find these programs impersonal and prefer being able to interact with a real person 23,24 . Automated programs can be enhanced by incorporating human-delivered counseling, and emerging evidence from text messaging and social media-based interventions suggests that this hybrid approach may be more effective and engaging than exclusively automated programs [25][26][27] . Considering the nuances of e-cigarette use, including co-use with other substances, and varying motives for use and levels of readiness to quit 28 , the addition of humandelivered counseling to automated text messages could provide more intensive, personalized support to help people who use e-cigarettes to successfully quit.…”

Section: Introductionmentioning

confidence: 99%

A pilot randomized controlled trial of automated and counselor-delivered text messages for e-cigarette cessation

Krishnan¹,

Berg²,

Le³

et al. 2023

Tob. Prev. Cessation

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INTRODUCTION Automated text messaging programs show promise for e-cigarette cessation. Adding live text counseling could make them more engaging. We developed Quit the Vape (QTV), an automated e-cigarette cessation text messaging program, designed to be delivered as stand-alone or with counselor-delivered messages (QTV-C), and evaluated the acceptability and preliminary efficacy of QTV and QTV-C. METHODS Between May and August 2021, we recruited 58 e-cigarette users, aged 20–43 years, 53.5% male, 63.8% non-Hispanic White, from an ongoing cohort study in the United States. Inclusion criteria were: using nicotine-containing e-cigarettes on ≥4 days per month; smartphone ownership; and not receiving tobacco cessation treatment. Motivation to quit did not impact eligibility. Participants were randomized to QTV (n=20), QTV-C (n=19), or control (link to e-cigarette cessation website, n=19). At end-of-treatment, we assessed program engagement and satisfaction, and self-reported quitting behaviors (e.g. point prevalence abstinence, PPA). RESULTS At baseline, average past-month e-cigarette use was 26.8 days (SD=6.2). At follow-up at 4 weeks, among QTV and QTV-C participants, ≥85% replied to ≥1 message, ≥35% set a quit date, and ≤15% opted out. More QTV and QTV-C participants (55.6%) versus control (17.7%) reported program satisfaction (p=0.034). QTV-C participants (vs QTV and control) trended more favorably on 7-day e-cigarette PPA [27.8% (95% CI: 11.5–53.3) vs 11.1% (95% CI: 2.6–37.0) and 5.9% (95% CI: 0.7–34.5)] and quit attempts [66.7% (95% CI: 41.6–84.9) vs 50.0% (95% CI: 27.4–72.6) and 52.9% (95% CI: 29.2–75.5)]. CONCLUSIONS Adding live text counseling to an automated text messaging program is acceptable and shows promise for e-cigarette cessation. A larger trial is warranted to assess its efficacy.

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Live counselor contact in a Facebook intervention predicts smoking cessation outcomes.

Cited by 7 publications

References 49 publications

Acceptability and Utility of a Smartphone App to Support Adolescent Mental Health (BeMe): Program Evaluation Study

Acceptability and Utility of a Smartphone App to Support Adolescent Mental Health (BeMe): Program Evaluation Study

Facebook Intervention to Connect Alaska Native People With Resources and Support to Quit Smoking: CAN Quit Pilot Randomized Controlled Trial

A pilot randomized controlled trial of automated and counselor-delivered text messages for e-cigarette cessation

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