Tobacco Control Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
ICF International, Rockville, MD, USA.
Transl Behav Med. 2020 Feb 3;10(1):302-309. doi: 10.1093/tbm/iby113.
Adolescent cigarette smokers have an increased risk of sustained smoking into adulthood. Smartphone applications (apps) for smoking cessation are a promising treatment resource. However, research on apps for adolescent smoking cessation is limited. This study compared smoking cessation mobile apps targeting an adolescent audience with popular cessation apps for a general audience. Adolescent and general-audience apps were identified by searching the Google Play and Apple App Stores (November 2016). Two coders assessed each app for adherence to clinical practice guidelines for tobacco and adolescent-specific content (2016-2017) and developed a summary score that summed all adherence and adolescent content criteria. Eight adolescent apps were identified and compared with the top 38 general apps (as ranked by Apple and Google). Both general and adolescent apps commonly had adherence content related to developing a quit plan (general: 73.68 per cent; adolescent: 87.50 per cent) and enhancing motivation by describing the rewards of not smoking (general: 76.32 per cent; adolescent: 62.50 per cent). Adolescent-specific content such as peer influence on smoking was common in adolescent apps but not in general apps (general: 5.26 per cent; adolescent: 62.50 per cent). Adolescent apps had a higher general adherence content summary score [t (44) = 2.55, p = .01] and a higher adolescent content summary score [t (7.81) = 2.47, p = .04] than the general apps. On average, adolescent cessation apps included more adherence content and adolescent-specific content than general apps. Future research is needed to determine the extent to which adolescents engage with the adherence content available in these apps.
青少年吸烟者成年后持续吸烟的风险增加。用于戒烟的智能手机应用程序（apps）是一种很有前途的治疗资源。然而，针对青少年戒烟的应用程序研究有限。本研究比较了针对青少年受众的戒烟移动应用程序和针对一般受众的流行戒烟应用程序。通过在 Google Play 和 Apple App Store 中搜索（2016 年 11 月），确定了青少年和一般受众的应用程序。两名编码员评估了每个应用程序对烟草和青少年特定内容的临床实践指南的遵守情况（2016-2017 年），并制定了一个总结分数，该分数汇总了所有的遵守和青少年内容标准。确定了 8 个针对青少年的应用程序，并与排名前 38 位的一般应用程序（按苹果和谷歌排名）进行了比较。一般和青少年应用程序通常都有与制定戒烟计划相关的依从性内容（一般：73.68%；青少年：87.50%），并通过描述不吸烟的奖励来增强戒烟动机（一般：76.32%；青少年：62.50%）。青少年应用程序中常见的青少年特定内容，如同伴对吸烟的影响，而一般应用程序中则没有（一般：5.26%；青少年：62.50%）。青少年应用程序的一般依从性内容总结分数较高[t(44)=2.55，p=0.01]，青少年内容总结分数也较高[t(7.81)=2.47，p=0.04]，高于一般应用程序。平均而言，青少年戒烟应用程序比一般应用程序包含更多的依从性内容和青少年特定内容。需要进一步研究以确定青少年对这些应用程序中可用的依从性内容的参与程度。
