Vilardaga Roger, Casellas-Pujol Elisabet, McClernon Joseph F, Garrison Kathleen A
Department of Psychiatry and Behavioral Sciences, Duke School of Medicine, Erwin Terrace Building II, 2812 Erwin Rd, Box 13, Durham, NC 27705, USA.
Department of Psychiatry, Hospital Santa Creu I Sant Pau, Carrer de Sant Quinti, 89, 08041 Barcelona, Spain.
Curr Addict Rep. 2019 Jun;6(2):86-97. doi: 10.1007/s40429-019-00248-0. Epub 2019 May 9.
Smoking remains a leading preventable cause of premature death in the world; thus, developing effective and scalable smoking cessation interventions is crucial. This review uses the Obesity-Related Behavioral Intervention Trials (ORBIT) model for early phase development of behavioral interventions to conceptually organize the state of research of mobile applications (apps) for smoking cessation, briefly highlight their technical and theory-based components, and describe available data on efficacy and effectiveness.
Our review suggests that there is a need for more programmatic efforts in the development of mobile applications for smoking cessation, though it is promising that more studies are reporting early phase research such as user-centered design. We identified and described the app features used to implement smoking cessation interventions, and found that the majority of the apps studied used a limited number of mechanisms of intervention delivery, though more effort is needed to link specific app features with clinical outcomes. Similar to earlier reviews, we found that few apps have yet been tested in large well-controlled clinical trials, although progress is being made in reporting transparency with protocol papers and clinical trial registration.
ORBIT is an effective model to summarize and guide research on smartphone apps for smoking cessation. Continued improvements in early phase research and app design should accelerate the progress of research in mobile apps for smoking cessation.
吸烟仍是全球主要的可预防过早死亡原因;因此,开发有效且可扩展的戒烟干预措施至关重要。本综述使用肥胖相关行为干预试验(ORBIT)模型进行行为干预的早期开发,从概念上梳理戒烟移动应用程序(应用)的研究现状,简要突出其技术和基于理论的组成部分,并描述有关疗效和有效性的现有数据。
我们的综述表明,在开发戒烟移动应用程序方面需要更多系统性的努力,不过令人鼓舞的是,越来越多的研究报告了以用户为中心设计等早期研究。我们识别并描述了用于实施戒烟干预的应用功能,发现大多数被研究的应用采用的干预实施机制数量有限,尽管还需要更多努力将特定的应用功能与临床结果联系起来。与早期综述类似,我们发现很少有应用在大型严格对照的临床试验中进行过测试,尽管在通过方案论文和临床试验注册提高报告透明度方面正在取得进展。
ORBIT是总结和指导戒烟智能手机应用研究的有效模型。早期研究和应用设计的持续改进应能加速戒烟移动应用的研究进展。