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Computer-tailored smoking cessation advice matched to reading ability: Perceptions of participants from the ESCAPE trial

Bennett, K; Gilbert, H; Sutton, S; (2015) Computer-tailored smoking cessation advice matched to reading ability: Perceptions of participants from the ESCAPE trial. Patient Education and Counseling , 98 (12) pp. 1577-1584. 10.1016/j.pec.2015.06.013. Green open access

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Abstract

Objective: To explore perceptions of computer-tailored advice reports for Objective To explore perceptions of computer-tailored advice reports for smoking cessation matched to the recipient's reading level. Methods: Current cigarette smokers in the UK aged 18–65 who completed a Smoking Behavior Questionnaire (n = 6911) were randomized to receive standard generic materials or standard materials plus computer-tailored reports adapted to the recipient's reading level. Smoking status and perception of the reports was assessed at a 6-month follow-up. 4677 participants were included in the analysis. Results: 53.3% were categorized into the easy reading group (ERG). The relative benefit of the intervention for prolonged 3-month abstinence was more marked in the ERG (2.6%/1.9%, OR = 1.50) than in the standard reading group (SRG) (4.0%/3.8%, OR = 1.05), although the interaction was not statistically significant. Participants in the Intervention group perceived the standard materials more positively than did those in the Control group, and participants in the ERG perceived both the generic material and the tailored report more positively. Conclusions: The easy reading version of this brief self-help intervention was better perceived than the standard version, and appeared to have a small, but promising effect in smokers with a lower literacy level. Practice implications: An association between reading level and deprivation emphasizes the need to adapt smoking cessation materials to address the needs of smokers with lower literacy.

Type: Article
Title: Computer-tailored smoking cessation advice matched to reading ability: Perceptions of participants from the ESCAPE trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.pec.2015.06.013
Publisher version: http://dx.doi.org/10.1016/j.pec.2015.06.013
Language: English
Additional information: © 2015 The Authors. Published by Elsevier Ireland Ltd.This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/).
Keywords: Computer tailoring, Literacy, Perceptions, Self-help, Smoking cessation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1469522
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