This study is a 3-arm randomized controlled trial including: (1) Adventure-based training intervention group, (2) WhatsApp intervention group and (3) Control group.
Depression and stress are obstacles of youth smokers to quit smoking, youth smokers who have positive thinking and less depression exhibited smoking abstinence at last. Adventure-based training could enhance participants' self-efficacy, self-esteem and also improve mental health of children and youth by doing physical activity. On the other hand, previous mobile phone-based studies (e.g. short messaging services or Apps) showed that the mental health of youth had been improved by providing instant response to the subjects when they felt depressed. A paper published recently proved that WhatsApp group could prevent relapse among the quitters. Thus, adventure-based training and social support in WhatsApp group would predict to reduce depression and stress so as to quit smoking in youth.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
300
One-day adventure-based training will be assigned to subjects and the activities include wall climbing, rope course and health talk on mood, pressure management and smoking cessation.
A WhatsApp group will be opened for the subjects and we will send messages about mood and pressure management to them and encourage them to quit smoking. The subjects can share their unhappy things in the group.
Telephone follow-up will be conducted at 1-week, 1-, 3-, 6-, 9-, 12-, 24-month and smoking cessation counselling will be delivered to the subjects.
The University of Hong Kong
Hong Kong, China
RECRUITINGSelf-reported 7-day point prevalence
The subjects will be asked whether they have smoked cigarette in the past 7 day at 6-month
Time frame: 6-month
Biochemical validated quit rate
Bio-chemical validated quit rate will be conducted if the subjects who reported they have been stop smoking for at least 7 days at 6-month. They will be invited to perform saliva cotinine test (using NicAlert strip) plus exhaled carbon monoxide text to validate the smoking status.
Time frame: 6-month
Change in Depressive symptoms
A 20-item scale (CESDC) will be used to assess the depressive symptoms of the subjects after 6 months.
Time frame: 6-month
Change in Self-esteem
A 10-item scale (RSES) will be used to assess the self-esteem level of the subjects after 6 months.
Time frame: 6-month
Change in Quality of life
A 11-item scale (SF-6D) will be used to assess the quality of life of the subjects after 6 months.
Time frame: 6-month
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