Computer-Based Smoking Cessation Interventions in Adolescents: Description, Feasibility, and Six-Month Follow-Up Findings

Pallonen, Unto E.; Velicer, Wayne F.; Prochaska, James O.; Rossi, Joseph S.; Bellis, Jeffrey M.; Tsoh, Janice Y.; Migneault, Jeffrey P.; Smith, Nelson; Prokhorov, Alexander V.

doi:10.3109/10826089809056250

Cited by 89 publications

(48 citation statements)

References 40 publications

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“…We found that a web-based, tailored, and theory-based intervention can lead to greater involvement and cognitive processing of asthma information than generic programs, ultimately leading to better outcomes (9,35,36). Making the program school based ensured greater access.…”

Section: Discussionmentioning

confidence: 98%

A Web-based, Tailored Asthma Management Program for Urban African-American High School Students

Joseph¹,

Peterson²,

Havstad³

et al. 2007

Am J Respir Crit Care Med

155

273

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Rationale: Urban African-American youth, aged 15-19 years, have asthma fatality rates that are higher than in whites and younger children, yet few programs target this population. Traditionally, urban youth are believed to be difficult to engage in health-related programs, both in terms of connecting and convincing. Objectives: Develop and evaluate a multimedia, web-based asthma management program to specifically target urban high school students. The program uses "tailoring," in conjunction with theorybased models, to alter behavior through individualized health messages based on the user's beliefs, attitudes, and personal barriers to change. Methods: High school students reporting asthma symptoms were randomized to receive the tailored program (treatment) or to access generic asthma websites (control). The program was made available on school computers. Conclusions: A web-based, tailored approach to changing negative asthma management behaviors is economical, feasible, and effective in improving asthma outcomes in a traditionally hard-to-reach population. Measurements and Main

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Section: Discussionmentioning

confidence: 98%

A Web-based, Tailored Asthma Management Program for Urban African-American High School Students

Joseph¹,

Peterson²,

Havstad³

et al. 2007

Am J Respir Crit Care Med

155

273

View full text Add to dashboard Cite

show abstract

“…218 We examined 13 homogeneous studies of smoking cessation interventions reviewed in that report. [219][220][221][222][223][224][225][226][227][228][229][230][231] Of these studies, 10 [219][220][221][222][223][224][225][226][227][228] reported results in such a way that the results could be extracted and compared. The interventions used in these studies varied, but most considered the stages of smoking cessation pre-contemplation, contemplation and action.…”

Section: Stages Of Change Analysismentioning

confidence: 99%

Contamination in trials of educational interventions

Keogh-Brown¹,

Bachmann²,

Shepstone³

et al. 2007

Health Technol Assess

126

112

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“…14 Although there is still a dearth of evidence in the results of internet based health promotion interventions, 15 the Internet is regarded as a potentially useful tool to conduct health research interventions. 16 Researchers are starting to conduct web-based interventions for cigarette smoking prevention and cessation, [17][18][19][20][21] depression and anxiety treatment, [22][23][24]25 and other health related studies such as alcohol use, 26 drug abuse, 27 HIV, 28 nutrition and obesity, 14,29,30 and physical activity. 31,32 From completed or on-going web-based intervention programs, researchers have realized the difficulty of retaining participants in longitudinal web-based research, 33 as well as the challenges in both content development and program implementation.…”

mentioning

confidence: 99%

Internet Accessibility and Usage among Urban Adolescents in Southern California: Implications for Web-Based Health Research

Park

Unger

Palmer

et al. 2005

CyberPsychology & Behavior

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The World Wide Web (WWW) poses a distinct capability to offer interventions tailored to the individual's characteristics. To fine tune the tailoring process, studies are needed to explore how Internet accessibility and usage are related to demographic, psychosocial, behavioral, and other health related characteristics. This study was based on a cross-sectional survey conducted on 2373 7 th grade students of various ethnic groups in Southern California. Measures of Internet use included Internet use at school or at home, Email use, chat-room use, and Internet favoring. Logistic regressions were conducted to assess the associations between Internet uses with selected demographic, psychosocial, behavioral variables and self-reported health statuses. The proportion of students who could access the Internet at school or home was 90% and 40%, separately. Nearly all (99%) of the respondents could access the Internet either at school or at home. Higher SES and Asian ethnicity were associated with higher internet use. Among those who could access the Internet and after adjusting for the selected demographic and psychosocial variables, depression was positively related with chat-room use and using the Internet longer than 1 hour per day at home, and hostility was positively related with Internet favoring (All ORs = 1.2 for +1 STD, p < 0.05). Less parental monitoring and more unsupervised time were positively related to email use, chat-room use, and at home Internet use (ORs for +1 STD ranged from 1.2 to 2.0, all p < 0.05), but not related to at school Internet use. Substance use was positively related to email use, chat-room use, and at home Internet use (OR for "used" vs. "not used" ranged from 1.2 to 4.0, p < 0.05). Self-reported health problems were associated with higher levels of Internet use at home but lower levels of Internet use at school. More physical activity was related to more email use (OR = 1.3 for +1 STD), chat room use (OR = 1.2 for +1 STD), and at school ever Internet use (OR = 1.2 for +1 STD, all p < 0.05). Body mass index was not related to any of the Internet use-related measures. In this ethnically diverse sample of Southern California 7 th grade students, 99% could access the Internet at school and/or at home. This suggests that the Internet is already a potential venue for large scale health communication studies. Adolescents with more psychosocial risk factors or detrimental health behaviors were more likely to use the Internet. Therefore, if used properly, Internet interventions could effectively address the high risk populations. Additional research is needed to gain a more complete understanding of the positive and negative consequences of Internet use among adolescents.

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Computer-Based Smoking Cessation Interventions in Adolescents: Description, Feasibility, and Six-Month Follow-Up Findings

Cited by 89 publications

References 40 publications

A Web-based, Tailored Asthma Management Program for Urban African-American High School Students

A Web-based, Tailored Asthma Management Program for Urban African-American High School Students

Contamination in trials of educational interventions

Internet Accessibility and Usage among Urban Adolescents in Southern California: Implications for Web-Based Health Research

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