To text or not to text? Acceptability of WeChat and text messaging intervention to promote tobacco control assistance among parents who smoke in rural China

Chen, Xiaoxiao; Duan, Zhao; Wen, Tong; Xiao, Xilong; Pan, Zixian; He, Jingyi; Zheng, Pinpin; Wei, Hao; Lin, Huang; Abdullah, Abu S.

doi:10.18332/tid/114089

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…This might be because men are more task-orientated and more interested in new technology [ 32 , 33 ]. Moreover, inconsistent with the findings of earlier studies, we also found an association between acceptance of a text messaging intervention and educational levels, which was reflected by the high proportion of those with at least a college or university education in our study [ 16 , 34 ].…”

Section: Discussioncontrasting

confidence: 99%

“…On the other hand, a mobile intervention could be achieved through WeChat (a popular, multipurpose messaging, social media, and mobile payment app). There are more than 1.1 billion WeChat users in China [ 16 ]. Therefore, the intervention could offer an opportunity to extend the reach of tobacco cessation interventions outside of traditional health care settings via a mobile phone app that most adults already own, is generally always on, and is already used many times each day.…”

Section: Introductionmentioning

confidence: 99%

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Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study

Su¹,

Wei²,

Cheng³

et al. 2023

J Med Internet Res

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Background Randomized controlled trials on text message interventions for smoking cessation have shown they are effective and recommended for tobacco control. However, the effectiveness in real-world settings is largely unknown, especially in low- and middle-income countries. Objective This study aimed to provide real-world evidence about the utilization and effectiveness of a message-based tobacco cessation program (mCessation) in China. Methods From May 2021 to September 2022, 16,746 people from the general population participated in the mCessation program provided by the World Health Organization. All participants received text messages on smoking cessation via instant messaging for 6 months, and they were also required to report smoking status. We randomly selected 2500 participants and interviewed them by telephone to determine the 7-day point prevalence abstinence rate at 6 months. Descriptive statistics were used to analyze population characteristics and abstinence rate. Logistic regression analysis was performed to explore risk factors for the abstinence rate. Results Among the 2500 participants, the mean age was 35 years, and most (2407/2500, 96.20%) were male. The prevalence of tobacco dependence and light degree of tobacco dependence were 85.70% (2142/2500) and 89.10% (2228/2500), respectively. For respondents (953/2500, 38.10%), the 7-day point prevalence abstinence rate at 6 months was 21.90% (209/953). Participants older than 40 years or with tobacco dependence had significantly higher abstinence rates than those who were younger than 30 years old (odds ratio [OR] 1.77, 95% CI 1.06-3.29) or without dependence (OR 1.64, 95% CI 1.08-2.51), respectively. However, married people or heavily dependent smokers tended to find it more difficult to successfully quit smoking compared with unmarried people (OR 0.57, 95% CI 0.34-0.93) or lightly dependent smokers (OR 0.16, 95% CI 0.02-0.98), respectively. Conclusions In a real-world setting, mCessation China was generally acceptable to men and lightly dependent smokers, and it could help 1 in 5 smokers aged 18 years to 67 years quit smoking. However, strategies to increase awareness of young and married adults may improve implementation and abstinence rates.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study

Su¹,

Wei²,

Cheng³

et al. 2023

J Med Internet Res

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show abstract

“…Research on methods and approaches to smoking cessation has developed in China as awareness of the hazards of smoking and the dangers of secondhand and thirdhand smoke have spread, which shows that the Chinese Government has realized the importance of smoking cessation 23 , especially with the development of information technology 24 , and more and more smokers who want to quit are trying electronic information system interventions for smoking cessation methods and approaches 25 . However, we still find that most of the concerns about the impact factors of smoking cessation focus on the perception of smoking harm and smoking cessation drugs usage instead of psychological intervention.…”

Section: Discussionmentioning

confidence: 99%

Relationships among smoking abstinence self-efficacy, trait coping style and nicotine dependence of smokers in Beijing

Ma¹,

Li²,

Zhang³

et al. 2020

Tob. Induc. Dis.

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INTRODUCTION Psychological, physiological and social factors play an important role in the initiation, persistence, dependence and relapse of smoking behaviors, and coping style and smoking abstinence self-efficacy can all affect nicotine dependence. METHODS A cross-sectional sample of 568 quitters from 19 communities in Beijing in 2019 was surveyed. Demographic information and psychological characteristics of smokers were collected by an interview questionnaire, and psychological traits scales including the Smoking Abstinence Self-Efficacy (SASE) and the Trait Coping Style Questionnaire (TCSQ). We compared differences in psychological traits across demographic information and explored the relationship between nicotine dependence and coping styles and self-efficacy in refusing to smoke. RESULTS Significant differences were identified in self-efficacy in refusing to smoke and across dimensions among quitters by gender, job type, education level, and monthly income level (all p<0.05). Males had lower self-efficacy in the habitual/ addictive context than females; retirees had better overall self-efficacy and selfefficacy in the negative/emotional context than business service workers and professionals; and high-educated, high-income quitters had lower self-efficacy in the negative/emotional context. There are significant differences in positive coping styles among quitters of different ages, levels of education, and types of work (all p<0.05). The results further showed that the underage population, highly educated population, and practitioners other than those in retirement, are less likely to use positive coping styles. Interventional effects analysis showed that a higher sense of self-efficacy in addictive contexts can counteract some of the negative coping styles that induce smoking. CONCLUSIONS Self-efficacy played an indirect mediating role between negative coping style and nicotine dependence; individuals who used more negative coping styles were more likely to engage in smoking and therefore were more nicotine dependent. Hence, it is necessary to reduce the use of negative coping strategies and improve the self-efficacy of smoking abstinence in the face of addiction.

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“…Implementing smoking cessation interventions using WeChat may thus mitigate the lack of smoking cessation services in rural areas. Moreover, acceptance of social media-based interventions for tobacco cessation is high among rural smokers [28]. Smokers who lived in rural areas had better smoking cessation outcomes; however, the effectiveness of a WeChat-based intervention was only found in the urban area.…”

Section: Using Wechat To Mitigate the Difference Between Urban And Ruralmentioning

confidence: 99%

Urban and Rural Disparities in a WeChat-Based Smoking Cessation Intervention among Chinese Smokers

Luo

Williams

et al. 2021

IJERPH

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Introduction: Tobacco use, which is directly responsible for 10% of total deaths per year globally, remains consistently high, with approximately 20% of the population reporting regular consumption globally. Moreover, health disparities regarding tobacco consumption and smoking cessation are growing between rural and urban populations worldwide. Social media interventions for tobacco cessation may effectively reach both groups. The objective of this study was to evaluate the efficacy of a WeChat-delivered smoking cessation intervention among rural and urban Chinese smokers, and to assess moderating variables that may contribute to differential intervention efficacy. Methods: WeChat was used to recruit smokers into this intervention study between 1 July and 5 August 2019. Participants were randomized to one of three intervention schedules: participants in the Standard Group and the Enhanced Group received 20 smoking-related messages over 2 weeks, whereas participants in the Enhanced Group received an extra 6 oral health-related messages for one week. Participants in the control group received 20 smoking-related messages after the post-intervention assessment. Participants completed questionnaires at baseline and at 4 weeks follow-up. Our primary outcome was smoking cessation stage of change and secondary outcome was 24-h point prevalence abstinence (PPA). Urban and rural areas were based on self-reported living areas. Chi-squared test, Fisher’s exact test, ANOVA test, linear regression, and logistic regression were used for analysis. Results: Overall, 403 participants completed the intervention (233 rural, 107 suburban, 63 urban). Compared to urban participants, rural participants were more likely to have progressed to a later stage of change (β = 0.40, 95% CI: 0.13, 0.67) and to report higher 24-h PPA rates at follow-up (aOR = 3.23, 95% CI: 1.36, 7.68). After stratification by living area, the intervention effects in stage of change and 24-h PPA rate at follow-up were only found in the urban subgroup. Discussion: Smokers who lived in rural areas reported better smoking cessation outcomes compared with urban smokers; however, the efficacy of a WeChat-based smoking cessation intervention was only found for participants living in an urban area. WeChat based smoking cessation interventions should be used to promote smoking cessation in urban, suburban, and rural areas.

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To text or not to text? Acceptability of WeChat and text messaging intervention to promote tobacco control assistance among parents who smoke in rural China

Cited by 6 publications

References 33 publications

Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study

Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study

Relationships among smoking abstinence self-efficacy, trait coping style and nicotine dependence of smokers in Beijing

Urban and Rural Disparities in a WeChat-Based Smoking Cessation Intervention among Chinese Smokers

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