Trial reportJournal of the National Cancer Institute. Monographs2013
A randomized trial of an avatar-hosted multiple behavior change intervention for young adult smokers.
Trial report in Journal of the National Cancer Institute. Monographs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 10 of them syntheses that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Behavior Change Techniques in Digital Health Interventions for Promoting Adolescent Health Behaviors: Systematic Umbrella Review.JMIR mental health · 2026Pooled it
- The Measurement of Dose and Response for Smoking Behavior Change Interventions in the Digital Age: Systematic Review.Journal of medical Internet research · 2022Pooled it
- The Effects of Nonclinician Guidance on Effectiveness and Process Outcomes in Digital Mental Health Interventions: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- Smoking-Cessation Interventions for U.S. Young Adults: Updated Systematic Review.American journal of preventive medicine · 2020Pooled it
- Serious games for smoking prevention and cessation: A systematic review of game elements and game effects.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Real-time video counselling for smoking cessation.The Cochrane database of systematic reviews · 2019Pooled it
- The use of social media in nutrition interventions for adolescents and young adults-A systematic review.International journal of medical informatics · 2018Pooled it
- Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations.The Cochrane database of systematic reviews · 2017Pooled it
- Internet-based interventions for smoking cessation.The Cochrane database of systematic reviews · 2017Pooled it
- NUYou: Results from a cluster randomized trial testing a mHealth cardiovascular health intervention in young adults.Journal of American college health : J of ACH · 2026Trial
- Tailored text message and web intervention for smoking cessation in U.S. socioeconomically-disadvantaged young adults: A randomized controlled trial.Preventive medicine · 2022Trial
- Effectiveness and Components of Health Behavior Interventions on Increasing Physical Activity Among Healthy Young and Middle-Aged Adults: A Systematic Review with Meta-Analyses.Behavioral sciences (Basel, Switzerland) · 2024Review
- Underreporting of implementation strategies and barriers in physical activity interventions for young people at risk of problematic substance use: a brief report.Implementation science communications · 2024Article
- Article
- Campus tobacco control policies and cessation interventions in college students: a commentary calling for research and action to address tobacco-related health disparities.Translational behavioral medicine · 2021Article
- Impact of alcohol and drug use on smoking and cessation in socioeconomically disadvantaged young adults.Addictive behaviors · 2020Article
- A mHealth intervention to preserve and promote ideal cardiovascular health in college students: Design and protocol of a cluster randomized controlled trial.Contemporary clinical trials · 2020Article
- A Review of Virtual Coaching Systems in Healthcare: Closing the Loop With Real-Time Feedback.Frontiers in digital health · 2020Review
- Acceptability of Robotic-Assisted Exercise Coaching Among Diverse Youth: Pilot Study.JMIR pediatrics and parenting · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundYoung adulthood is a critical transition period for the development of health behaviors. We present here the results of a randomized controlled trial of an online avatar-hosted personal health makeover program designed for young adult smokers.
methodsWe conducted a three-group randomized trial comparing delivery of general lifestyle content (Tx1), personally tailored health information (Tx2), and personally tailored health information plus online video-based peer coaching (Tx3) as part of a 6-week online health program. Participants were asked to set weekly goals around eating breakfast, exercise, alcohol use, and cigarette smoking. Eligibility criteria included age (18-30 years) and smoking status (any cigarette use in the previous 30 days). The primary outcome was self-reported 30-day abstinence measured 12 weeks postenrollment.
resultsParticipant (n = 1698) characteristics were balanced across the groups (72% women, mean age 24, 26% nonwhite, 32% high school education or less, and 50% daily smokers). Considering intention to treat, 30-day smoking abstinence rates were statistically significantly higher in the intervention groups (Tx1 = 11%, Tx2 = 23%, Tx3 = 31%, P < .001). Participants in the intervention groups were also more likely to reduce their number of days spent on binge drinking and increase their number of days eating breakfast and exercising. Overall, intervention group participants were much more likely to make positive changes in at least three or four of the target behaviors (Tx1 = 19%, Tx2 = 39%, Tx3 = 41%, P < .001).
conclusionsThis online avatar-hosted personal health makeover "show" increased smoking abstinence and induced positive changes in multiple related health behaviors. Addition of the online video-based peer coaching further improved behavioral outcomes.
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Registered trials
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.