View in EDS

Adaptive digital platforms for youth tobacco cessation: a meta-analytic evaluation of web-based behaviour change interventions.

Saved in:
Bibliographic Details
Title: Adaptive digital platforms for youth tobacco cessation: a meta-analytic evaluation of web-based behaviour change interventions.
Authors: Lu, Yao1 (AUTHOR), Pan, Chengchang2 (AUTHOR), Yang, Yingkai3 (AUTHOR), Gu, Xintong4 (AUTHOR), Hu, Xin3 (AUTHOR), Hou, Shijie3 (AUTHOR), Liu, Wenhui3 (AUTHOR), Dong, Chaoqi3 (AUTHOR), Liu, Keyao3 (AUTHOR), Jiang, Hua3 (AUTHOR)
Source: Health Education Research. Dec2025, Vol. 40 Issue 6, p1-12. 12p.
Subject Terms: *Behavioral assessment, *Social media, *Government policy, *Goal (Psychology), *Motivation (Psychology), *Health education, *Counseling, *Theory, *Gamification, *Adolescence, Carbon dioxide analysis, Saliva analysis, Evaluation of medical care, Smoking cessation, Medical information storage & retrieval systems, Mobile apps, Risk assessment, Cotinine, Tobacco, Phenomenological biology, Research funding, Evaluation of human services programs, CINAHL database, Sex distribution, Affinity groups, Internet, Meta-analysis, Biochemistry, Age distribution, Disease prevalence, Descriptive statistics, Systematic reviews, MEDLINE, Odds ratio, Telemedicine, Medical databases, Health behavior, Mathematical models, Avatars (Virtual reality), Online information services, Confidence intervals, Social support, Data analysis software, User interfaces, Biomarkers, Medical referrals, Drug abstinence
Abstract: Digital behaviour change interventions delivered through web-adaptive platforms offer novel pathways for tobacco control in youth. However, the longitudinal efficacy of tailored online cessation tools remains underexplored. This meta-analysis evaluates the comparative effectiveness of dynamically tailored web interventions versus passive controls in youth smokers. Following PRISMA guidelines, we systematically searched six databases (PubMed, Cochrane, Web of Science, Embase, SCOPUS, and CINAHL) through January 2024. Seven randomized controlled trials (n  = 5660) assessing adaptive web platforms for smokers aged 10–30 years were included, with methodological rigour assessed via Joanna Briggs Institute criteria. Adaptive interventions significantly improved self-reported abstinence versus controls [risk ratio (RR) = 2.19, 95% CI 1.48–3.24]. Efficacy varied by follow-up stage: 1–2-month RR = 1.56 (1.28–1.90), 2–3-month RR = 2.24 (1.64–3.07), 4–6-month RR = 1.62 (0.96–2.74), and 7–24-month RR = 1.54 (1.12–2.11). Biochemical validation data from three trials showed null effects (RR = 0.05, −0.09 to 0.18), revealing measurement discordance. Web-based adaptive tools demonstrate short-term efficacy in youth smoking cessation, yet require integration with objective verification protocols. Future implementations should prioritize real-world engagement metrics and standardized outcome reporting. [ABSTRACT FROM AUTHOR]
Copyright of Health Education Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 190722511
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Adaptive digital platforms for youth tobacco cessation: a meta-analytic evaluation of web-based behaviour change interventions.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lu%2C+Yao%22">Lu, Yao</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pan%2C+Chengchang%22">Pan, Chengchang</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yang%2C+Yingkai%22">Yang, Yingkai</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gu%2C+Xintong%22">Gu, Xintong</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hu%2C+Xin%22">Hu, Xin</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hou%2C+Shijie%22">Hou, Shijie</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Wenhui%22">Liu, Wenhui</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dong%2C+Chaoqi%22">Dong, Chaoqi</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liu%2C+Keyao%22">Liu, Keyao</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jiang%2C+Hua%22">Jiang, Hua</searchLink><relatesTo>3</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Health+Education+Research%22">Health Education Research</searchLink>. Dec2025, Vol. 40 Issue 6, p1-12. 12p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Behavioral+assessment%22">Behavioral assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22Social+media%22">Social media</searchLink><br />*<searchLink fieldCode="DE" term="%22Government+policy%22">Government policy</searchLink><br />*<searchLink fieldCode="DE" term="%22Goal+%28Psychology%29%22">Goal (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+education%22">Health education</searchLink><br />*<searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br />*<searchLink fieldCode="DE" term="%22Theory%22">Theory</searchLink><br />*<searchLink fieldCode="DE" term="%22Gamification%22">Gamification</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Carbon+dioxide+analysis%22">Carbon dioxide analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Saliva+analysis%22">Saliva analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Mobile+apps%22">Mobile apps</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cotinine%22">Cotinine</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco%22">Tobacco</searchLink><br /><searchLink fieldCode="DE" term="%22Phenomenological+biology%22">Phenomenological biology</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Affinity+groups%22">Affinity groups</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Biochemistry%22">Biochemistry</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+models%22">Mathematical models</searchLink><br /><searchLink fieldCode="DE" term="%22Avatars+%28Virtual+reality%29%22">Avatars (Virtual reality)</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22User+interfaces%22">User interfaces</searchLink><br /><searchLink fieldCode="DE" term="%22Biomarkers%22">Biomarkers</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abstinence%22">Drug abstinence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Digital behaviour change interventions delivered through web-adaptive platforms offer novel pathways for tobacco control in youth. However, the longitudinal efficacy of tailored online cessation tools remains underexplored. This meta-analysis evaluates the comparative effectiveness of dynamically tailored web interventions versus passive controls in youth smokers. Following PRISMA guidelines, we systematically searched six databases (PubMed, Cochrane, Web of Science, Embase, SCOPUS, and CINAHL) through January 2024. Seven randomized controlled trials (n  = 5660) assessing adaptive web platforms for smokers aged 10–30 years were included, with methodological rigour assessed via Joanna Briggs Institute criteria. Adaptive interventions significantly improved self-reported abstinence versus controls [risk ratio (RR) = 2.19, 95% CI 1.48–3.24]. Efficacy varied by follow-up stage: 1–2-month RR = 1.56 (1.28–1.90), 2–3-month RR = 2.24 (1.64–3.07), 4–6-month RR = 1.62 (0.96–2.74), and 7–24-month RR = 1.54 (1.12–2.11). Biochemical validation data from three trials showed null effects (RR = 0.05, −0.09 to 0.18), revealing measurement discordance. Web-based adaptive tools demonstrate short-term efficacy in youth smoking cessation, yet require integration with objective verification protocols. Future implementations should prioritize real-world engagement metrics and standardized outcome reporting. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Health Education Research is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=190722511
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/her/cyaf057
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Behavioral assessment
        Type: general
      – SubjectFull: Social media
        Type: general
      – SubjectFull: Government policy
        Type: general
      – SubjectFull: Goal (Psychology)
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Health education
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Theory
        Type: general
      – SubjectFull: Gamification
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Carbon dioxide analysis
        Type: general
      – SubjectFull: Saliva analysis
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Mobile apps
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cotinine
        Type: general
      – SubjectFull: Tobacco
        Type: general
      – SubjectFull: Phenomenological biology
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Biochemistry
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Mathematical models
        Type: general
      – SubjectFull: Avatars (Virtual reality)
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: User interfaces
        Type: general
      – SubjectFull: Biomarkers
        Type: general
      – SubjectFull: Medical referrals
        Type: general
      – SubjectFull: Drug abstinence
        Type: general
    Titles:
      – TitleFull: Adaptive digital platforms for youth tobacco cessation: a meta-analytic evaluation of web-based behaviour change interventions.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lu, Yao
      – PersonEntity:
          Name:
            NameFull: Pan, Chengchang
      – PersonEntity:
          Name:
            NameFull: Yang, Yingkai
      – PersonEntity:
          Name:
            NameFull: Gu, Xintong
      – PersonEntity:
          Name:
            NameFull: Hu, Xin
      – PersonEntity:
          Name:
            NameFull: Hou, Shijie
      – PersonEntity:
          Name:
            NameFull: Liu, Wenhui
      – PersonEntity:
          Name:
            NameFull: Dong, Chaoqi
      – PersonEntity:
          Name:
            NameFull: Liu, Keyao
      – PersonEntity:
          Name:
            NameFull: Jiang, Hua
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 02681153
          Numbering:
            – Type: volume
              Value: 40
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Health Education Research
              Type: main
ResultId 1