scholarly journals Evaluating Outcomes of a Social Media–Based Peer and Clinician-Supported Smoking Cessation Program in Preventing Smoking Relapse: Mixed Methods Case Study

10.2196/25883 ◽  
2021 ◽  
Vol 5 (9) ◽  
pp. e25883
Author(s):  
Naohi Isse ◽  
Yuki Tachibana ◽  
Makiko Kinoshita ◽  
Michael D Fetters

Background Smoking relapse prevention after completion of a smoking cessation program is highly germane to reducing smoking rates. Objective The purpose of this study was to evaluate the 1-year outcomes of a social media–based and peer and clinician-supported smoking cessation program on Facebook and examine communication patterns that could support smoking cessation and identify risk of relapse. Methods We used a mixed methods case study evaluation approach featuring a single-case holistic design. We recruited volunteers who signed up after successful completion of a 12-week clinical smoking cessation program in a general medicine department in Japan. Participants contemporaneously accessed a closed Facebook page, and we analyzed their posts including text and emoticons. We used joint display analysis, which involved iterative structuring and restructuring construct-specific tables with both types of data to find the most effective approach for integrating the quantitative results with the qualitative results of content analysis. Results One successful participant and 2 relapsed participants were analyzed to explore the specific patterns of postings prior to relapse. Decisive comments about quitting smoking were common among participants, but encouraging messages for peers were more common from the successful participant. Comments seeking social support and reassurance were warning signs of relapse. Conflicted comments also may be a warning sign of relapse risk. Conclusions These findings based on a mixed methods case study of a social media platform supporting smoking cessation could be used to guide messaging in other online social networking service communities after a smoking cessation program to help reduce smoking relapse. Trial Registration UMIN Clinical Trials Registry UMIN000031172; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035595

2020 ◽  
Author(s):  
Naohi Isse ◽  
Yuki Tachibana ◽  
Makiko Kinoshita ◽  
Michael D Fetters

BACKGROUND Smoking relapse prevention after completion of a smoking cessation program is highly germane to reducing smoking rates. OBJECTIVE The purpose of this study was to evaluate the 1-year outcomes of a social media–based and peer and clinician-supported smoking cessation program on Facebook and examine communication patterns that could support smoking cessation and identify risk of relapse. METHODS We used a mixed methods case study evaluation approach featuring a single-case holistic design. We recruited volunteers who signed up after successful completion of a 12-week clinical smoking cessation program in a general medicine department in Japan. Participants contemporaneously accessed a closed Facebook page, and we analyzed their posts including text and emoticons. We used joint display analysis, which involved iterative structuring and restructuring construct-specific tables with both types of data to find the most effective approach for integrating the quantitative results with the qualitative results of content analysis. RESULTS One successful participant and 2 relapsed participants were analyzed to explore the specific patterns of postings prior to relapse. Decisive comments about quitting smoking were common among participants, but encouraging messages for peers were more common from the successful participant. Comments seeking social support and reassurance were warning signs of relapse. Conflicted comments also may be a warning sign of relapse risk. CONCLUSIONS These findings based on a mixed methods case study of a social media platform supporting smoking cessation could be used to guide messaging in other online social networking service communities after a smoking cessation program to help reduce smoking relapse. CLINICALTRIAL UMIN Clinical Trials Registry UMIN000031172; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000035595


2020 ◽  
Author(s):  
Naohi Isse ◽  
Yuki Tachibana ◽  
Makiko Kinoshita ◽  
Michael D Fetters

Abstract Background: Smoking-relapse prevention after completion of a smoking cessation program is highly germane to reducing smoking rates. The purpose of this study was to 1) evaluate the one-year outcomes of a social media-based and peer-supported smoking cessation program on Facebook and 2) examine communication patterns that could support smoking cessation and identify risk of relapse.Methods: We utilized a mixed-methods case study evaluation approach featuring a single-case holistic design. We recruited volunteers who signed up after successful completion of a 12-week clinical smoking cessation program in a general medicine department in Japan. The participants accessed a closed Facebook page, and we analyzed their posts including text and emoticons. We utilized joint display analysis which involved iterative structuring and restructuring construct-specific tables with both types of data to find the most effective approach for integrating the quantitative results with the qualitative results of content analysis. Results: One successful participant and two relapse participants were analyzed to explore the specific patterns of postings. Decisive comments about quitting smoking were common among participants, but encouraging messages for peers were more common from the successful participant. Comments for social support and reassurance were warning signs of relapse. Conflicted comments also may be a warning sign of relapse risk. Conclusions: These findings based on a mixed methods case study of a social media platform supporting smoking cessation could be utilized to guide messaging in other online social networking services communities after a smoking-cessation program to help reduce smoking relapse.Trial registration: The trial is registered at the UMIN Clinical Trials Registry. Registration number: UMIN000031172. Registered 28 February 2018, https://www.umin.ac.jp/ctr/index-j.htm


Seizure ◽  
2021 ◽  
Author(s):  
G. Locatelli ◽  
D. Ausili ◽  
V. Stubbings ◽  
S. Di Mauro ◽  
M. Luciani

2018 ◽  
Vol 8 (2) ◽  
pp. 1
Author(s):  
Dino M. Minoli

Globally there are around 34,000 golf facilities including very many small golf clubs that collectively generate significant economic, social and environmental impacts. Thus, small golf clubs have an important role to play in the greening of golf in support of sustainability. Environmental programmes (EPs) were developed to improve the environmental performance of all types and sizes of golf facilities. However, EPs are rarely employed in small golf clubs and no research until now has explored the reasons for this. Data from an in-depth mixed methods case study found several internal and external influences on the level of implementation of EPs in small golf clubs. Interventions are suggested to stimulate the uptake of EPs in smaller golf clubs. The study is of value to the golf sector, government policy and organisations concerned with the greening of small businesses in the greening of an industry sector for sustainability. The study also provides a conceptual/empirical framework for further studies in this under-researched yet noteworthy field.


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