The Tobacco Status Project (TSP): Study protocol for a randomized controlled trial of a Facebook smoking cessation intervention for young adults
journal contributionposted on 12.02.2021, 04:16 by DE Ramo, Johannes ThrulJohannes Thrul, KL Delucchi, PM Ling, SM Hall, JJ Prochaska
© 2015 Ramo et al. Background: Tobacco use remains the leading cause of premature morbidity and mortality in the United States. Young adults are less successful at quitting, use cessation treatment less often than smokers of other ages, and can be a challenge to retain in treatment. Social media, integrated into the lives of many young adults, represents a promising strategy to deliver evidence-based smoking cessation treatment to a large, diverse audience. The goal of this trial is to test the efficacy of a stage-based smoking cessation intervention on Facebook for young adults age 18 to 25 on smoking abstinence, reduction in cigarettes smoked, and thoughts about smoking abstinence. Methods/Design: This is a randomized controlled trial. Young adult smokers throughout the United States are recruited online and randomized to either the 3 month Tobacco Status Project intervention on Facebook or a referral to a smoking cessation website. The intervention consists of assignment to a secret Facebook group tailored to readiness to quit smoking (precontemplation, contemplation, preparation), daily Facebook contacts tailored to readiness to quit smoking, weekly live counseling sessions, and for those in preparation, weekly Cognitive Behavioral Therapy counseling sessions on Facebook. Primary outcome measure is biochemically-verified 7-day point prevalence abstinence from smoking at posttreatment (3 months), 6, and 12 months. Secondary outcome measures are reduction of 50 % or more in cigarettes smoked, 24 h quit attempts, and commitment to abstinence at each time point. A secondary aim is to test, within the TSP condition, the effect of a monetary incentive at increasing engagement in the intervention. Discussion: This randomized controlled trial is testing a novel Facebook intervention for treating young adults' tobacco use. If efficacious, the social media intervention could be disseminated widely and expanded to address additional health risks. Trial registration: ClinicalTrials.gov: NCT02207036, May 13, 2014.
This study was supported by the National Institute on Drug Abuse (NIDA K23 DA032578 and P50 DA09253). Preparation of this manuscript was supported by the National Cancer Institute (CA-113710). None of the funding sources had any further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication.
JournalBMC Public Health
Pagination9p. (p. 1-9)
PublisherBioMed Central Ltd
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Science & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthPHYSICAL-ACTIVITY INTERVENTIONCIGARETTE-SMOKINGSMOKERSREDUCTIONPROGRAMHELPABSTINENCEHEALTHIERBARRIERSMODELHumansTobacco Use DisorderClinical ProtocolsSmoking CessationMotivationCounselingResearch DesignAdolescentAdultReferral and ConsultationUnited StatesFemaleMaleYoung AdultSocial MediaTobacco ProductsSmoking PreventionCognitive Behavioral TherapyOutcome Assessment, Health CarePublic Health