Hoeppner Bettina B, Hoeppner Susanne S, Kelly Lourah, Schick Melissa, Kelly John F
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Center for Addiction Medicine, Massachusetts General Hospital, Harvard Medical School, 151 Merrimac Street, Boston, MA, 02114, USA.
Int J Behav Med. 2017 Oct;24(5):683-693. doi: 10.1007/s12529-017-9640-9.
The usefulness of mobile technology in supporting smoking cessation has been demonstrated, but little is known about how smartphone apps could best be leveraged. The purpose of this paper is to describe the program of research that led to the creation of a smoking cessation app for non-daily smokers, so as to stimulate further ideas to create "smart" smartphone apps to support health behavior change.
Literature reviews to evaluate the appropriateness of the proposed app, content analyses of existing apps, and smoking cessation sessions with non-daily smokers (n = 38) to inform the design of the app.
The literature reviews showed that (1) smoking cessation apps are sought after by smokers, (2) positive affect plays an important role in smoking cessation, (3) short, self-administered exercises consistently bring about enduring positive affect enhancements, and (4) low treatment-seeking rates of non-daily smokers despite high motivation to quit indicate a need for novel smoking cessation support. Directed content analyses of existing apps indicated that tailoring, two-way interactions, and proactive features are under-utilized in existing apps, despite the popularity of such features. Conventional content analyses of audio-recorded session tapes suggested that difficulty in quitting was generally linked to specific, readily identifiable occasions, and that social support was considered important but not consistently sought out.
The "Smiling Instead of Smoking" (SIS) app is an Android app that is designed to act as a behavioral, in-the-pocket coach to enhance quitting success in non-daily smokers. It provides proactive, tailored behavioral coaching, interactive tools (e.g., enlisting social support), daily positive psychology exercises, and smoking self-monitoring.
移动技术在支持戒烟方面的效用已得到证实，但对于如何最佳利用智能手机应用程序却知之甚少。本文旨在描述一项研究计划，该计划促成了一款针对非每日吸烟者的戒烟应用程序的创建，以激发更多关于创建“智能”智能手机应用程序以支持健康行为改变的想法。
进行文献综述以评估拟议应用程序的适用性，对现有应用程序进行内容分析，并与非每日吸烟者（n = 38）进行戒烟会话，以为应用程序的设计提供信息。
文献综述表明：（1）吸烟者对戒烟应用程序有需求；（2）积极情绪在戒烟中起重要作用；（3）简短的自我管理练习能持续带来持久的积极情绪提升；（4）非每日吸烟者尽管戒烟动机高但寻求治疗的比率较低，这表明需要新颖的戒烟支持。对现有应用程序的定向内容分析表明，尽管这些功能很受欢迎，但定制、双向交互和主动功能在现有应用程序中未得到充分利用。对录音会话磁带的常规内容分析表明，戒烟困难通常与特定的、易于识别的场合有关，并且社会支持被认为很重要，但并非一直被寻求。
“用微笑代替吸烟”（SIS）应用程序是一款安卓应用程序，旨在充当行为口袋教练，以提高非每日吸烟者的戒烟成功率。它提供主动的、量身定制的行为指导、交互式工具（如争取社会支持）、每日积极心理学练习和吸烟自我监测。
