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Testing a Self-affirmation Intervention for Use in a Mobile Application

Testing a Self-affirmation Intervention for Use in a Mobile Application

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03405220
Enrollment
900
Registered
2018-01-23
Start date
2018-01-16
Completion date
2018-09-30
Last updated
2018-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking, Smoking Cessation, Smoking, Tobacco

Keywords

smoking, self-affirmation, mobile application, cessation

Brief summary

The aim of these studies is to adapt the self-affirmation kindness questionnaire for use in a mobile application. Two studies will be conducted to test hypotheses that simplifying and shortening the original questionnaire in systematic ways will result in comparable effectiveness (compared to the original version) in promoting reduced defensive avoidance, less reactance, greater yielding, and higher intentions to quit smoking among a sample of smokers.

Detailed description

Research has shown that self-affirmation interventions, in which people are instructed to focus on their strengths and values, can offset self-threats and promote healthier behaviors, such as smoking cessation. A commonly used self-affirmation intervention is known as the kindness quiz. The original kindness questionnaire (Reed & Aspinwall, 1998) consists of 10 yes/no questions, and participants are asked to think about and write down an example of each. For example, one item is Have you ever been considerate of another person's feelings? \_\_\_\_ YES \_\_\_\_NO; IF YES, WRITE ABOUT A SPECIFIC EXAMPLE. The items were written so that all participants should be able to say yes in response to each question, which will affirm a positive view of themselves. The purpose of these studies are to test shorter and simpler versions of this kindness questionnaire so that it can be implemented on mobile phones. In Study 1, we will test whether written examples are necessary for the effectiveness of the self-affirmation intervention (compared to no examples or imagined examples) compared to a control. In Study 2, we will again test whether written examples are necessary, as well as whether shorter questionnaires (i.e., 5 items or 3 items) are as effective as the original 10 item questionnaire.

Interventions

BEHAVIORALSelf affirmation, 10 items, written examples

Participants will complete the 10 item self-affirmation kindness quiz and will be asked to provide written examples for each item they respond yes to.

BEHAVIORALSelf affirmation, 10 items, no examples

Participants will complete the 10 item self-affirmation kindness quiz and will not be asked to provide examples for any items they respond yes to.

BEHAVIORALSelf affirmation, 10 items, imagined examples

Participants will complete the 10 item self-affirmation kindness quiz and will be asked to imagine examples for each item they respond yes to.

BEHAVIORALSelf affirmation, 5 items, written examples

Participants will complete a 5 item self-affirmation kindness quiz and will be asked to provide written examples for each item they respond yes to.

BEHAVIORALSelf affirmation, 5 items, no examples

Participants will complete a 5 item self-affirmation kindness quiz and will not be asked to provide examples for any items they respond yes to.

BEHAVIORALSelf affirmation, 5 items, imagined examples

Participants will complete a 5 item self-affirmation kindness quiz and will be asked to imagine examples for each item they respond yes to.

BEHAVIORALSelf affirmation, 3 items, written examples

Participants will complete a 3 item self-affirmation kindness quiz and will be asked to provide written examples for each item they respond yes to.

BEHAVIORALSelf affirmation, 3 items, no examples

Participants will complete a 3 item self-affirmation kindness quiz and will not be asked to provide examples for any items they respond yes to.

BEHAVIORALSelf affirmation, 3 items, imagined examples

Participants will complete a 3 item self-affirmation kindness quiz and will be asked to imagine examples for each item they respond yes to.

Sponsors

Washington University School of Medicine
CollaboratorOTHER
Kent State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

Study 1 will use a 2 (self-affirmation: self-affirmation, control) X 3 (Mode of example: none, write, imagine) experimental design. In the self-affirmation condition, participants will complete the self-affirmation kindness quiz (10 questions) and in the control condition they will complete a personal opinion survey (10 questions). Depending on the mode of example condition, participants will not be asked to provide examples, asked to write examples for each of the 10 questions, or asked to imagine examples for each of the 10 questions. Based on examination of data from Study 1 (i.e., which items receive more yes responses and for which items examples are provided), in Study 2 we will test whether using fewer self-affirmation items influences dependent variables. Study 2 will use a 3 (Number of questions: 10, 5, 3) X 3 (Mode of example: none, write, imagine) experimental design.

Eligibility

Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Currently live in the US * 21-65 years (several states have 21 as minimum legal age to smoke) * self-identified every day or some day smoker * no prior diagnosis of lung cancer, chronic obstructive pulmonary disease, or emphysema (the most common and well-known smoking-related diseases

Exclusion criteria

* Not currently living in the US * Less than 21 years of age or older than 65 * Nonsmoker * Prior diagnosis of lung cancer, chronic obstructive pulmonary disease, or emphysema (the most common and well-known smoking-related diseases

Design outcomes

Primary

MeasureTime frameDescription
Defensive Avoidanceimmediately post-interventionIndicator of defensive information processing, 3 items (Witte)
Reactanceimmediately post-interventionIndicator of defensive information processing, 27 items (Hall et al., 2016)
Yieldingimmediately post-interventionIndicator of defensive information processing, 7 items (Brennan et al., 2011, 2014)
Intentions to quit smoking in the next 3 monthsimmediately post-interventionIntentions to quit smoking, 3 items

Secondary

MeasureTime frameDescription
Affective perceived likelihoodimmediately post-intervention3 items
Cognitive perceived likelihood of developing smoking related diseaseimmediately post-intervention3 items
Worryimmediately post-intervention3 items
Anticipated regretimmediately post-intervention3 items
Perceived severityimmediately post-intervention3 items
Response efficacy of quitting smokingimmediately post-intervention3 items
Self-efficacy to quit smokingimmediately post-intervention3 items

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026