Use of Online Health Communities in Smoking Cessation: a Social Support Perspective

Online health communities could be effective interventions for smoking cessation. This study aims to explore the reason why smokers turn to online health communities to support their smoking cessation from the social support perspective. We conducted a qualitative study by interviewing seven users of an online smoking cessation community in Finland. Our findings uncover that emotional support, informational support, and companionship are strong motivators for smokers to use smoking cessation online communities. Further, informational support and companionship are found to have different importance for people at different stages of smoking cessation. The role of companionship also varies between posters and lurkers of smoking cessation online community. The findings in this research provide practical guidelines to smoking cessation online health communities on how to understand smokers’ needs and retain them to use smoking cessation online health communities from the social support perspective, aiming to support their smoking cessation.

[1]  Zheshi Bao,et al.  Exploring continuance intention of social networking sites: An empirical study integrating social support and network externalities , 2016, Aslib J. Inf. Manag..

[2]  Nathan K. Cobb,et al.  Social network structure of a large online community for smoking cessation. , 2010, American journal of public health.

[3]  R. Britt,et al.  Online Social Support for Participants of Crohn’s and Ulcerative Colitis Groups , 2017, Health communication.

[4]  Kathleen R. Bogart,et al.  "Rare place where I feel normal": Perceptions of a social support conference among parents of and people with Moebius syndrome. , 2017, Research in developmental disabilities.

[5]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[6]  Yi-Hung Liu,et al.  Factors driving continued use of online health promotion competitions: Evidence from an online weight-loss community , 2018, Online Inf. Rev..

[7]  Christopher C. Yang,et al.  Using content and network analysis to understand the social support exchange patterns and user behaviors of an online smoking cessation intervention program , 2015, J. Assoc. Inf. Sci. Technol..

[8]  Sean A. Munson,et al.  Lessons from Practice: Designing Tools to Facilitate Individualized Support for Quitting Smoking , 2017, CHI.

[9]  Efraim Turban,et al.  What Drives Social Commerce: The Role of Social Support and Relationship Quality , 2011, Int. J. Electron. Commer..

[10]  R. Fisher Social Desirability Bias and the Validity of Indirect Questioning , 1993 .

[11]  Lucy Popova,et al.  Exploring Smoking Stigma, Alternative Tobacco Product Use, & Quit Attempts. , 2016, Health behavior and policy review.

[12]  Adam D. I. Kramer,et al.  Bulletin Personality and Social Psychology Giving Birth to Empathy: the Effects of Similar Experience on Empathic Accuracy, Empathic Concern, and on Behalf Of: Society for Personality and Social Psychology , 2022 .

[13]  Man Ping Wang,et al.  Using WhatsApp and Facebook Online Social Groups for Smoking Relapse Prevention for Recent Quitters: A Pilot Pragmatic Cluster Randomized Controlled Trial , 2015, Journal of medical Internet research.

[14]  J. Suhr,et al.  Controllability of Stressful Events and Satisfaction With Spouse Support Behaviors , 1992 .

[15]  Hilary Graham,et al.  Smoking, Stigma and Social Class , 2011, Journal of Social Policy.

[16]  Mercy Mpinganjira,et al.  Precursors of trust in virtual health communities: A hierarchical investigation , 2018, Inf. Manag..

[17]  T. Kurko,et al.  Is nicotine replacement therapy overvalued in smoking cessation? Analysis of smokers' and quitters' communication in social media , 2015, Health expectations : an international journal of public participation in health care and health policy.

[18]  Rebecca L. Kinney,et al.  An Observational Study of Social and Emotional Support in Smoking Cessation Twitter Accounts: Content Analysis of Tweets , 2015, Journal of medical Internet research.

[19]  Nathan K. Cobb,et al.  Online Social Networks and Smoking Cessation: A Scientific Research Agenda , 2011, Journal of medical Internet research.

[20]  Cynthia M. Lakon,et al.  Randomised controlled trial evaluation of Tweet2Quit: a social network quit-smoking intervention , 2016, Tobacco Control.

[21]  Yong Tan,et al.  Feeling Blue? Go Online: An Empirical Study of Social Support among Patients , 2010, Inf. Syst. Res..

[22]  J. Dallery,et al.  Systematic review of social media interventions for smoking cessation. , 2017, Addictive behaviors.

[23]  Xiaolin Lin,et al.  Delineating the dimensions of social support on social networking sites and their effects: A comparative model , 2016, Comput. Hum. Behav..

[24]  Lokman I. Meho E-mail interviewing in qualitative research: A methodological discussion , 2006, J. Assoc. Inf. Sci. Technol..

[25]  Amanda L. Graham,et al.  Use of an online smoking cessation community promotes abstinence: Results of propensity score weighting. , 2015, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[26]  W. Miller,et al.  Is low therapist empathy toxic? , 2013, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[27]  K. Zhao,et al.  Analyzing and Predicting User Participations in Online Health Communities: A Social Support Perspective , 2017, Journal of medical Internet research.

[28]  Trevor Cohen,et al.  Content-driven analysis of an online community for smoking cessation: integration of qualitative techniques, automated text analysis, and affiliation networks. , 2015, American journal of public health.

[29]  D. Hunt,et al.  Expression of empathy in a Facebook-based diabetes support group , 2018, Discourse, Context & Media.

[30]  L. Stead,et al.  Group behaviour therapy programmes for smoking cessation. , 2000, The Cochrane database of systematic reviews.

[31]  Steve Howard,et al.  Patterns of support in an online community for smoking cessation , 2013, C&T '13.

[32]  Anika Batenburg,et al.  Virtual Support Communities and Psychological Well-Being: The Role of Optimistic and Pessimistic Social Comparison Strategies , 2015, J. Comput. Mediat. Commun..

[33]  Cameron D. Norman,et al.  Effect of a Digital Social Media Campaign on Young Adult Smoking Cessation. , 2016, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[34]  Tao Zhou Understanding social influence on mobile social networking sites: A social support perspective , 2019 .

[35]  Kuang-Yuan Huang,et al.  Not Just for Support: Companionship Activities in Healthcare Virtual Support Communities , 2014, Communications of the Association for Information Systems.

[36]  Amanda L. Graham,et al.  Systematic review and meta-analysis of Internet interventions for smoking cessation among adults , 2016, Substance abuse and rehabilitation.

[37]  Anol Bhattacherjee Social Science Research: Principles, Methods, and Practices , 2012 .

[38]  S. Shumaker,et al.  Toward a Theory of Social Support: Closing Conceptual Gaps , 1984 .

[39]  Tim Lancaster,et al.  Individual behavioural counselling for smoking cessation. , 2017, The Cochrane database of systematic reviews.

[40]  R. Perera,et al.  Telephone counselling for smoking cessation. , 2003, The Cochrane database of systematic reviews.

[41]  Christopher C. Yang,et al.  Social Support and Exchange Patterns in an Online Smoking Cessation Intervention Program , 2013, 2013 IEEE International Conference on Healthcare Informatics.

[42]  T. Kamarck,et al.  Social support and smoking cessation and maintenance. , 1986, Journal of consulting and clinical psychology.

[43]  Aziz Sheikh,et al.  Internet-based interventions for smoking cessation. , 2017, The Cochrane database of systematic reviews.