Evidence map›Paper›PMID 23388554›Full record

Trial reportJournal of medical Internet research2013

Influence of delivery strategy on message-processing mechanisms and future adherence to a Dutch computer-tailored smoking cessation intervention.

Nicola Esther Stanczyk, Rik Crutzen, Catherine Bolman, Jean Muris, Hein de Vries

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Real-time video counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Print-based self-help interventions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Internet-based interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Mobile phone-based interventions for smoking cessation.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Randomized Trial of a Web-Based Intervention to Address Barriers to Clinical Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Trial
  6. Trial
  7. Investigating the early uptake of digital self-management interventions amongst Dutch cancer survivors using nationwide registry data-the OncoAppstore case.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicola Esther StanczykMaastricht University/CAPHRI, Department of Health Promotion, Maastricht University, Maastricht, Netherlands. nicola.stanczyk@maastrichtuniversity.nl
Rik Crutzen
Catherine Bolman
Jean Muris
Hein de Vries

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmoking tobacco is one of the most preventable causes of illness and death. Web-based tailored smoking cessation interventions have shown to be effective. Although these interventions have the potential to reach a large number of smokers, they often face high attrition rates, especially among lower educated smokers. A possible reason for the high attrition rates in the latter group is that computer-tailored smoking cessation interventions may not be attractive enough as they are mainly text-based. Video-based messages might be more effective in attracting attention and stimulating comprehension in people with a lower educational level and could therefore reduce attrition rates.

objectiveThe objective of the present study was to investigate whether differences exist in message-processing mechanisms (attention, comprehension, self-reference, appreciation, processing) and future adherence (intention to visit/use the website again, recommend the website to others), according to delivery strategy (video or text based messages) and educational level, to a Dutch computer-tailored smoking cessation program.

methodsSmokers who were motivated to quit within the following 6 months and who were aged over 16 were included in the program. Participants were randomly assigned to one of two conditions (video/text CT). The sample was stratified into 2 categories: lower and higher educated participants. In total, 139 participants completed the first session of the web-based tailored intervention and were subsequently asked to fill out a questionnaire assessing message-processing mechanisms and future adherence. ANOVAs and regression analyses were conducted to investigate the differences in message-processing mechanisms and future adherence with regard to delivery strategy and education.

resultsNo interaction effects were found between delivery strategy (video vs text) and educational level on message-processing mechanisms and future adherence. Delivery strategy had no effect on future adherence and processing mechanisms. However, in both groups results indicated that lower educated participants showed higher attention (F(1,138)=3.97; P=.05) and processing levels (F(1,138)=4.58; P=.04). Results revealed also that lower educated participants were more inclined to visit the computer-tailored intervention website again (F(1,138)=4.43; P=.04).

conclusionsComputer-tailored programs have the potential to positively influence lower educated groups as they might be more involved in the computer-tailored intervention than higher educated smokers. Longitudinal studies with a larger sample are needed to gain more insight into the role of delivery strategy in tailored information and to investigate whether the intention to visit the intervention website again results in the ultimate goal of behavior change.

trial registrationNetherlands Trial Register (NTR3102).

Indexed as

InternetAdultEducational StatusFemaleHealth PromotionHumansMaleMiddle AgedMotivationNetherlandsPatient ComplianceSmokingSmoking CessationSmoking PreventionSurveys and QuestionnairesTelemedicine

Identifiers

PMID23388554
PMCPMC3636289

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.