A Multimedia Mobile Phone–Based Youth Smoking Cessation Intervention: Findings From Content Development and Piloting Studies
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BACKGROUND: While most young people who smoke want to quit, few access cessation support services. Mobile phone-based cessation programs are ideal for young people: mobile phones are the most common means of peer communication, and messages can be delivered in an anonymous manner, anywhere, anytime. Following the success of our text messaging smoking cessation program, we developed an innovative multimedia mobile phone smoking cessation intervention. OBJECTIVE: The aim of the study was to develop and pilot test a youth-oriented multimedia smoking cessation intervention delivered solely by mobile phone. METHODS: Development included creating content and building the technology platform. Content development was overseen by an expert group who advised on youth development principles, observational learning (from social cognitive theory), effective smoking cessation interventions, and social marketing. Young people participated in three content development phases (consultation via focus groups and an online survey, content pre-testing, and selection of role models). Video and text messages were then developed, incorporating the findings from this research. Information technology systems were established to support the delivery of the multimedia messages by mobile phone. A pilot study using an abbreviated 4-week program of video and text content tested the reliability of the systems and the acceptability of the intervention. RESULTS: Approximately 180 young people participated in the consultation phase. There was a high priority placed on music for relaxation (75%) and an interest in interacting with others in the program (40% would read messages, 36% would read a blog). Findings from the pre-testing phase (n = 41) included the importance of selecting "real" and "honest" role models with believable stories, and an interest in animations (37%). Of the 15 participants who took part in the pilot study, 13 (87%) were available for follow-up interviews at 4 weeks: 12 participants liked the program or liked it most of the time and found the role model to be believable; 7 liked the role model video messages (5 were unsure); 8 used the extra assistance for cravings; and 9 were happy with two messages per day. Nine participants (60%) stopped smoking during the program. Some technical challenges were encountered during the pilot study. CONCLUSIONS: A multimedia mobile phone smoking cessation program is technically feasible, and the content developed is appropriate for this medium and is acceptable to our target population. These results have informed the design of a 6-month intervention currently being evaluated for its effectiveness in increasing smoking cessation rates in young people.
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The smoking cessation interventions produced quit rates between 8% and 53%, with follow-up lasting from 4 weeks to 12 months.
“Quit rates from the interventions evaluated in these studies range from 8% [29] to 53% [26] with a follow-up period ranging from 4 weeks to 12 months.”
From Health behavior models in the age of mobile interventions: are our theories up to the task? (2011) · cites this paper as [26]
A few studies have used other output functions such as audio or video.
“A few studies have used other output functions such as audio (e.g., [35]) or video (e.g. [26])”
From Health behavior models in the age of mobile interventions: are our theories up to the task? (2011) · cites this paper as [26]
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- Authors
- Whittaker, R., Maddison, R., McRobbie, H., Bullen, C., Denny, S., Dorey, E., Ellis-Pegler, M., van Rooyen, J., & Rodgers, A.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Whittaker, Robyn
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2008-11-25
- Volume
- 10
- Issue
- 5
- Pages
- e49
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC2630843
- OpenAlex
- W2045570850
- Cited by
- 171
- References
- 42
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2021: 9 · 2020: 5 · 2019: 7 · 2018: 14 · 2017: 13 · 2016: 10 · 2015: 16 · 2014: 16 · 2013: 21 · 2012: 26
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Health Research Council of New Zealand
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- mobile phone intervention, multimedia messaging, text messaging, video messages, role models, social marketing, social cognitive theory, treatment acceptability, smoking cessation, adolescents
- MeSH terms
- Adolescent, Confidentiality, Documentation, Humans, Interpersonal Relations, Interviews as Topic, Music, Pilot Projects, Relaxation Therapy, Role, Social Support, Television, Smoking Cessation, Cell Phone, Marketing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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