Instant Messaging Reinforcement for Smoking Cessation Counseling Training
- Conditions
- Smoking Cessation Counseling PracticeSmoking Cessation Counseling Ability
- Interventions
- Other: WhatsApp message
- Registration Number
- NCT06374082
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
This research aims to assess the impact of instant messaging reinforcement on the learning outcomes of smoking cessation counseling (SCC) training among master of nursing (MN) students at the University of Hong Kong. The hypotheses suggest that this reinforcement can enhance students' SCC knowledge and techniques, improve their perception of SCC, and increase their application of SCC in clinical work.
The study is a pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio, using WhatsApp Messenger (WhatsApp) messages for intervention and control groups. The intervention group receives messages related to SCC, while the control group receives generic mental health information. The subjects are MN students enrolled in the "Tobacco Dependency Nursing Intervention and Management" course.
The study uses various tools for measurement, including Ecological momentary assessment (EMA) and Providers Smoking Cessation Training Evaluation (ProSCiTE). The main outcome measures include SCC practice frequency, SCC knowledge score, SCC attitude score, and SCC practice score.
Data analysis will be performed in Statistical Package for the Social Sciences (SPSS), using descriptive statistics, intention-to-treat analysis, Chi-square and t-tests, Cohen's d for effect size, and linear mixed models. The expected results suggest that instant messaging reinforcement will enhance SCC knowledge, attitude, and practice among MN students.
- Detailed Description
This study aims to evaluate the efficacy of instant messaging reinforcement on the learning outcomes of smoking cessation counseling (SCC) training among master of nursing (MN) students at the University of Hong Kong.
Hypotheses to be tested: (1) Instant messaging reinforcement can increase MN students' mastery of SCC knowledge and techniques. (2) Instant messaging reinforcement can increase MN students' positive perception towards SCC and their willingness to provide SCC in their clinical work. (3) Instant messaging reinforcement can increase MN students' SCC practice, i.e. the frequency at which they perform Ask, Advise, Assess, Assist, and Arrange (5As), during their clinical work.
Design and subjects: This proposed study is a 2-arm, placebo-control, pragmatic randomized controlled trial (RCT) with a 1:1 allocation ratio. The intervention involves sending reinforcement WhatsApp messages to participants. To ensure that the subjects do not know their assigned group, the investigators also sent WhatsApp messages to the control group, but these messages are unrelated to smoking cessation counseling. The targeted subjects are MN students who are taking the course "Tobacco Dependency Nursing Intervention and Management (NURS8205)" in the spring semester of 2024. The course mentioned would be attended by all students regardless of their participation in this study.
Intervention group: 3 WhatsApp messages per week for six weeks after course training. These messages are about the core content of the course developed based on the Knowledge-Attitude-Practice (KAP) model.
Control group: WhatsApp messages about generic mental health information with the same frequency and schedule as the intervention group.
Instruments: Ecological momentary assessment (EMA) measurement of SCC practice frequency; Providers Smoking Cessation Training Evaluation (ProSCiTE); Self-compiled questionnaire on SCC knowledge; Self-compiled baseline questionnaire.
Main outcome measures: (1) MN students' SCC practice frequency, measured by EMA; (2) MN students' SCC knowledge score, measured by self-compiled questionnaire; (3) MN students' SCC attitude score, measured by attitude subscale of Providers Smoking Cessation Training Evaluation (ProSCiTE); (4) MN students' SCC practice score, measured by behavior subscale of Providers Smoking Cessation Training Evaluation (ProSCiTE).
Data analysis: Data analysis will be conducted in SPSS for Windows (version 20), using descriptive statistics (frequency, percentage, mean) to summarize outcomes and variables. Intention-to-treat analysis will handle participants lost to follow-up as no change. Outcome comparisons between groups will utilize Chi-square and t-tests, calculating Cohen's d for effect size. Linear mixed models will evaluate intervention effects on KAP, considering multiple observations and data clustering within subjects. SCC practice frequency, as measured by EMA, will be analyzed at between- and within-person levels using the "xtcenter" module, exploring associations with outcomes simultaneously.
Expected results: Instant messaging will improve MN students' SCC knowledge and skills, positive attitude toward providing SCC, and eventually increase their SCC practice frequency in their clinical practice.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 42
- MN students (1 or 2 years)
- Able to access WhatsApp and receive messages
• Currently attending any other SCC training program other than this course
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group WhatsApp message WhatsApp messages based on smoking cessation counseling Knowledge-Attitude-Practice (KAP) Control group WhatsApp message WhatsApp messages about generic mental health information
- Primary Outcome Measures
Name Time Method SCC practice measurement The EMA will be conducted every night for two weeks after 6 weeks of instant messaging reinforcement Participants' SCC practice would be measured through ecological momentary assessment (EMA) by asking how many times they have performed Ask, Advise, Assess, Assist, and Arrange (5As) on each working day
- Secondary Outcome Measures
Name Time Method SCC practice score through study completion, an average of 6 months Measured by behavior subscale of Providers Smoking Cessation Training Evaluation (ProSCiTE), the score ranges from 19 to 95, with higher score indicating better outcome
SCC knowledge score through study completion, an average of 6 months Measured by self-compiled questionnaire on knowledge about SCC, the score ranges from 0 to 14, with higher score indicating better outcome
SCC attitude score through study completion, an average of 6 months Measured by attitude subscale of Providers Smoking Cessation Training Evaluation (ProSCiTE), the score ranges from 8 to 40, with higher score indicating better outcome
Trial Locations
- Locations (1)
Hong KongLKS Faculty of Medicine
🇭🇰Hong Kong, Hong Kong