Experiences of Ex-Smokers Serving as Peer Supporters in an Instant Messaging-Based Smoking Cessation Program: A Qualitative Study.

Objectives: To explore the experiences of ex-smokers acting as peer supporters delivering chat-based instant messaging smoking cessation support in a post- randomized controlled trial qualitative study. Methods: We used purposive sampling to recruit 21 ex-smokers, who had previously provided chat-ba...

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Publicado en:Nursing Reports Vol. 16; no. 5; pp. 170 - 184
Autores principales: Guo, Ziqiu, Luk, Tzu Tsun, Weng, Xue, Lee, Jung Jae, Wu, Yongda, Zhao, Shengzhi, Cheung, Derek Yee Tak, Lai, Agnes Yuen Kwan, Tong, Henry Sau Chai, Lai, Vienna Wai Yin, Lam, Tai Hing, Wang, Man Ping
Formato: research tables/charts Journal Article
Publicado: MDPI May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
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        atl: Experiences of Ex-Smokers Serving as Peer Supporters in an Instant Messaging-Based Smoking Cessation Program: A Qualitative Study.
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        au:
          Guo, Ziqiu
          Luk, Tzu Tsun
          Weng, Xue
          Lee, Jung Jae
          Wu, Yongda
          Zhao, Shengzhi
          Cheung, Derek Yee Tak
          Lai, Agnes Yuen Kwan
          Tong, Henry Sau Chai
          Lai, Vienna Wai Yin
          Lam, Tai Hing
          Wang, Man Ping
        affil: School of Nursing, The University of Hong Kong, Hong Kong SAR, China
      sug:
        subj:
          Ex-Smokers Psychosocial Factors
          Smoking Cessation
          Peer Group
          Support, Psychosocial
          Instant Messaging
          Human
          Interview Guides
          Qualitative Studies
          Health Promotion
          Behavior Therapy
          Internet-Based Intervention
          Semi-Structured Interview
          Motivation
          Life Style Changes
          Telehealth
          Uncertainty
          Funding Source
          Hong Kong
          Male
          Female
          Purposive Sample
          Exploratory Research
          Thematic Analysis
          Data Analysis Software
          Male
          Female
      ab: Objectives: To explore the experiences of ex-smokers acting as peer supporters delivering chat-based instant messaging smoking cessation support in a post- randomized controlled trial qualitative study. Methods: We used purposive sampling to recruit 21 ex-smokers, who had previously provided chat-based instant messaging behavioral support to smokers in Hong Kong. Individual online semi-structured interviews were conducted. All interviews were audiotaped and transcribed verbatim. The transcripts were analyzed using inductive thematic analysis following Braun and Clarke's six-phase framework. Results: Five themes were identified: stepping into the supporter role as ex-smokers, contributions beyond facilitating smoking cessation, mutual benefits as ex-smoking peer supporters, challenges in providing support, and the potential of mobile health-based peer support. Participants identified experiential sharing as a key mechanism for engaging motivated smokers, although its impact was limited by low user responsiveness. They described extending their support beyond smoking cessation (e.g., stress relief and healthier lifestyles), and reported mutual benefits, such as enhanced happiness, a positive attitude, and prevention of smoking relapse. Nevertheless, participants' ability to effectively support smoking was challenged by limited interaction in the mHealth setting, difficulties offering timely responses, and uncertainty about how to handle complex personal situations. They suggested that future mobile health peer support can consider involving famous people as peer supporters, using personalized messaging, and adding incentives in the program to increase smokers' motivation. Conclusions: Ex-smoking peer support in mHealth settings appears feasible and mutually beneficial, but its effectiveness may be constrained by low engagement and unclear role expectations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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