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JPMPH : Journal of Preventive Medicine and Public Health



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Brief Report
Pilot Study of a Brief WeChat Intervention in China to Increase Students’ Willingness to Assist a Flushing Student to Reduce Alcohol Use
Fan Zhang, Lok-Wa Yuen, Lanyan Ding, Ian M. Newman, Duane F. Shell
J Prev Med Public Health. 2018;51(6):320-325.   Published online November 7, 2018
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  • 105 Download
  • 3 Crossref
AbstractAbstract PDF
This pilot study tested the effectiveness of a brief alcohol-related intervention delivered by the social media app WeChat to teach about ethanol-induced facial flushing and increase the willingness of students who see another student flushing to suggest that he or she should reduce or stop drinking. In the context of Chinese drinking culture, it is sometimes socially difficult to refuse a drink, even when experiencing physical discomfort, such as flushing.
Classrooms of students in a medical university in China were randomly assigned to the intervention or control group. Students in the intervention group were invited to view 3 alcohol education lessons on WeChat during a 2-week period. A pretest and posttest before and after the 2-week period assessed changes in students’ willingness to intervene if they saw someone flush while drinking. Data were collected about students’ alcohol use and their ratings of the lessons.
Mixed-design analysis of variance yielded a significant time-by-treatment interaction effect on the variable of willingness to suggest that a flushing person stop or slow down their drinking, and the change was significant between the intervention and control groups. One-way analysis of covariance yielded a significant treatment effect at the posttest, after controlling for the pretest score. Students rated the lessons above the midpoint of the scale for being informative, interesting, and useful.
The pilot study showed that a brief alcohol-related intervention delivered by WeChat could produce a measurable positive change in the willingness of university students to suggest that a student who flushes should stop drinking. This pilot study also suggested improvements for future lessons and evaluation design.


Citations to this article as recorded by  
  • Social media in undergraduate medical education: A systematic review
    Jonathan Guckian, Mrudula Utukuri, Aqua Asif, Oliver Burton, Joshua Adeyoju, Adam Oumeziane, Timothy Chu, Eliot L. Rees
    Medical Education.2021; 55(11): 1227.     CrossRef
  • College students’ use of strategies to hide facial flushing: A target for alcohol education
    Karen G. Chartier, E. Clare Tiarsmith, Taryn O'Shea, Kenneth S. Kendler, Danielle M. Dick
    Journal of American College Health.2020; 68(8): 922.     CrossRef
  • Needs Assessment Survey for a Food Safety Education through We-Media: A Cross-Sectional Survey among Junior Students of an Education and a Medical University in Chongqing, China
    Xinmiao LUO, Li LUO, Hongyan LIU, Yangxue XIAO, Xinyang YU, Xiaorong HOU, Huan ZENG, Fan ZHANG, Yong ZHANG, Manoj SHARM, Yong ZHAO
    Journal of Nutritional Science and Vitaminology.2020; 66(Supplement): S267.     CrossRef
Original Article
Health-Related Behaviors and Subjective Symptoms Associated with Smoking of Freshmen in a University.
Jong Park, Byong Woo Kim, Yang Ok Kim, Ki Soon Kim
Korean J Prev Med. 1992;25(3):223-237.
  • 1,768 View
  • 20 Download
AbstractAbstract PDF
This study was to examine the association of the health-related behaviors and subjective symptoms with smoking. Data were collected by questionnaire survey during regular health examination from Mar. 23 to Mar. 31, 1992 for 1,615 male freshmen of a university in Kwangju City. The results obtained were as follows; 1. Among the freshmen, 26.9% reported that they were smokers. 69.4% for smokers started smoking for the recent 4 years, and 63.4% for smokers smoked 10 cigarettes or more a day. 2. Meal regularity, meat eating, use of coffee or tea and alcohol drinking were positively associated with the status, the duration and the amount of smoking while the vegetable preference was negatively associated with the status and the duration of smoking. 3. There was no evidence of familial aggregation in smoking status except that of siblings. 4. Respiratory symptoms like cough or phlegm, dyspnea were positively associated with the status, the duration, and the amount of smoking. General symptoms like chest pain, fatigue, back pain, facial edema, and weight loss were positively associated with the duration and the amount of smoking. Other symptoms like headache, dizziness, and myalgia were not associated with smoking. 5. In multivariate' logistic regression analysis, cough or phlegm, dyspnea, chest pain, facial edema, and back pain were related to smoking status.

JPMPH : Journal of Preventive Medicine and Public Health