Learning Objectives: Assess the efficacy of the interactive computer-based smokeless tobacco (ST) cessation program, Chewer's Choice, and its potential use as a ST cessation program in various environments.
Abstract: While smokeless tobacco use continues to increase, few resources assist users in quitting. With support from NCI, we developed and evaluated an interactive computer-mediated intervention, Chewer's Choice, to aid users in quitting ST. It engages the user by combining video, graphics, text, and animation to assess and evaluate users based on their ST habits. Utilizing a baseball field design, the program allows users to set their own pace moving along base paths, each base representing a key quitting stage. They are asked questions and inquiries about their ST use (brand, quantity, frequency, etc.), level of addiction, and readiness to quit. Upon completing the program, users receive a customized full-color Game Plan for Quitting, including ideas for specific behavior changes to stay chew-free.
We recruited 175 users via media ads to evaluate Chewer's Choice. Daily users over age 18 were asked to complete baseline and follow-up measures to evaluate both consumer satisfaction and changes in use.
The process evaluation was very positive, with strong ratings on consumer satisfaction. Mailed surveys at one and three months assessed changes in tobacco use. Initial results for the first 50 subjects were very positive, with 85% quitting for 24 hours or more. The self-reported abstinence rate at one month was 30%, and at three months, 24%. Results of the full sample of 175 subjects will be reported. The interactive program provides a unique way to assist ST users in quitting and could be widely disseminated to provide cessation services to under-served populations of tobacco users.
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