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A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum

A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum
A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum
Background

This article reports a pilot study of a new smoking cessation website (‘StopAdvisor’), which has been developed on the basis of PRIME theory, evidence, web-design expertise and user-testing. The aims were to i) evaluate whether cessation, website usage and satisfaction were sufficiently high to warrant a randomised controlled trial (RCT) and ii) assess whether outcomes were affected by socio-economic status.

Methods

This was an uncontrolled pilot study. Two hundred and four adult daily smokers willing to make a serious quit attempt were included. All participants received support from ‘StopAdvisor’, which recommends a structured quit plan and a variety of evidence-based behaviour change techniques for smoking cessation. A series of tunnelled sessions and a variety of interactive menus provide tailored support for up to a month before quitting through until one-month post-quit (http://www.lifeguideonline.org/player/play/stopadvisordemonstration). The primary outcome was self-report of at least 1 month of continuous abstinence collected at 2 months post-enrolment and verified by saliva cotinine or anabasine. Usage was indexed by log-ins and page views. Satisfaction was assessed by dichotomous ratings of helpfulness, personal relevance, likelihood of recommendation and future use, which were collected using an online questionnaire at 2 months post-enrolment. Outcomes according to socio-economic status were assessed.

Results

At 8 weeks post-enrolment, 19.6% (40/204) of participants were abstinent according to the primary outcome criteria (95% C.I. = 14.1% to 25.1%). Participants viewed a mean of 133.5 pages (median = 71.5) during 6.4 log-ins (median = 3). A majority of respondents rated the website positively on each of the four satisfaction `ratings (range = 66.7% to 75.3%). There was no evidence of an effect of socio-economic status on abstinence (OR = 1.01, C.I. = 0.50–2.07), usage (page-views, t(202) = 0.11, p = .91; log-ins, t(202) = 0.21, p = .83), or satisfaction (helpfulness, OR = 1.09, C.I. = 0.41–2.88; personal relevance, OR = 0.55, C.I. = 0.20–1.56; recommendation, OR = 0.98, C.I. = 0.34–2.81; use in future, OR = 1.45, C.I. = 0.49–4.27).

Conclusions

The systematic application of theory, evidence, web-design expertise, and user-testing has resulted in a website that shows sufficiently promising efficacy and usability to warrant evaluation in a RCT. The website appears to be similarly effective and acceptable to users across the social spectrum.
smoking cessation intervention, internet-based, website, theory-based, pilot
1365-1370
Brown, J.
64c8be68-e3cb-49ff-b5b0-525db5f4bcd0
Michie, S.
138e20f5-3bed-46f5-8ab5-d9473fdd18dd
Geraghty, A.W.
2c6549fe-9868-4806-b65a-21881c1930af
Miller, S.
b1c434a6-041c-4771-8ed2-3d050eec6e5f
Yardley, L.
64be42c4-511d-484d-abaa-f8813452a22e
Gardner, B.
6f6a2dc7-5dfa-4454-8234-b1391f6984cb
Shahab, L.
091b5bdb-9f3a-4f01-98c5-e9f94b5a142c
Stapleton, J.A.
977c5b13-c92d-43ef-91aa-1f525fc958a3
West, R.
a9db1581-6cca-48a5-88f5-fb2ea422830c
Brown, J.
64c8be68-e3cb-49ff-b5b0-525db5f4bcd0
Michie, S.
138e20f5-3bed-46f5-8ab5-d9473fdd18dd
Geraghty, A.W.
2c6549fe-9868-4806-b65a-21881c1930af
Miller, S.
b1c434a6-041c-4771-8ed2-3d050eec6e5f
Yardley, L.
64be42c4-511d-484d-abaa-f8813452a22e
Gardner, B.
6f6a2dc7-5dfa-4454-8234-b1391f6984cb
Shahab, L.
091b5bdb-9f3a-4f01-98c5-e9f94b5a142c
Stapleton, J.A.
977c5b13-c92d-43ef-91aa-1f525fc958a3
West, R.
a9db1581-6cca-48a5-88f5-fb2ea422830c

Brown, J., Michie, S., Geraghty, A.W., Miller, S., Yardley, L., Gardner, B., Shahab, L., Stapleton, J.A. and West, R. (2012) A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum. Addictive Behaviors, 37 (12), 1365-1370. (doi:10.1016/j.addbeh.2012.05.016). (PMID:22795643)

Record type: Article

Abstract

Background

This article reports a pilot study of a new smoking cessation website (‘StopAdvisor’), which has been developed on the basis of PRIME theory, evidence, web-design expertise and user-testing. The aims were to i) evaluate whether cessation, website usage and satisfaction were sufficiently high to warrant a randomised controlled trial (RCT) and ii) assess whether outcomes were affected by socio-economic status.

Methods

This was an uncontrolled pilot study. Two hundred and four adult daily smokers willing to make a serious quit attempt were included. All participants received support from ‘StopAdvisor’, which recommends a structured quit plan and a variety of evidence-based behaviour change techniques for smoking cessation. A series of tunnelled sessions and a variety of interactive menus provide tailored support for up to a month before quitting through until one-month post-quit (http://www.lifeguideonline.org/player/play/stopadvisordemonstration). The primary outcome was self-report of at least 1 month of continuous abstinence collected at 2 months post-enrolment and verified by saliva cotinine or anabasine. Usage was indexed by log-ins and page views. Satisfaction was assessed by dichotomous ratings of helpfulness, personal relevance, likelihood of recommendation and future use, which were collected using an online questionnaire at 2 months post-enrolment. Outcomes according to socio-economic status were assessed.

Results

At 8 weeks post-enrolment, 19.6% (40/204) of participants were abstinent according to the primary outcome criteria (95% C.I. = 14.1% to 25.1%). Participants viewed a mean of 133.5 pages (median = 71.5) during 6.4 log-ins (median = 3). A majority of respondents rated the website positively on each of the four satisfaction `ratings (range = 66.7% to 75.3%). There was no evidence of an effect of socio-economic status on abstinence (OR = 1.01, C.I. = 0.50–2.07), usage (page-views, t(202) = 0.11, p = .91; log-ins, t(202) = 0.21, p = .83), or satisfaction (helpfulness, OR = 1.09, C.I. = 0.41–2.88; personal relevance, OR = 0.55, C.I. = 0.20–1.56; recommendation, OR = 0.98, C.I. = 0.34–2.81; use in future, OR = 1.45, C.I. = 0.49–4.27).

Conclusions

The systematic application of theory, evidence, web-design expertise, and user-testing has resulted in a website that shows sufficiently promising efficacy and usability to warrant evaluation in a RCT. The website appears to be similarly effective and acceptable to users across the social spectrum.

Full text not available from this repository.

More information

e-pub ahead of print date: 9 June 2012
Published date: December 2012
Keywords: smoking cessation intervention, internet-based, website, theory-based, pilot
Organisations: Primary Care & Population Sciences, Psychology

Identifiers

Local EPrints ID: 363488
URI: https://eprints.soton.ac.uk/id/eprint/363488
PURE UUID: ee8a1868-2686-4170-8feb-b2c8f3d2efd9
ORCID for L. Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 25 Mar 2014 14:23
Last modified: 15 Aug 2019 00:50

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