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评估电子烟戒烟应用程序的质量和行为改变潜力:系统搜索和评估。

Assessing the Quality and Behavior Change Potential of Vaping Cessation Apps: Systematic Search and Assessment.

机构信息

Instutite for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia.

The School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Victoria, Australia.

出版信息

JMIR Mhealth Uhealth. 2024 Mar 15;12:e55177. doi: 10.2196/55177.


DOI:10.2196/55177
PMID:38532616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11004626/
Abstract

BACKGROUND: An increasing number of people are using vapes (e-cigarettes), and with growing evidence of associated harms, there is a need for acceptable cessation support and interventions. Smartphone apps for health and well-being have increased in popularity and use. Limited published literature assesses the potential of apps to support vaping cessation. OBJECTIVE: A systematic search of vaping cessation apps currently available in Australia for iOS and Android platforms was conducted. Apps were assessed against established health app assessment tools for quality and behavior change potential. METHODS: A systematic search through the Australian Apple iTunes and Google Play stores was conducted using the search terms "vape"; "vaping"; "e-cigarette"; and "cessation," "quit," or "quitting" in May 2023. Only apps that encouraged the cessation of vaping were included. App descriptions were reviewed to determine if they were relevant for inclusion in this study, and relevant apps were downloaded onto the appropriate mobile device for review. The Mobile App Rating Scale (MARS) was used to rate the quality (engagement, functionality, aesthetics, and information) of the apps using an overall score out of 5. The App Behavior Change Scale (ABACUS) was used to assess the behavior change potential of each app using a score out of 21. RESULTS: An initial search of the app stores yielded 220 Android apps and 124 iOS apps. Screening against the inclusion criteria left 20 iOS apps and 10 Android apps for review. Six apps were available on both operating systems, and these were downloaded, reviewed, and reported separately for each operating system. The average MARS score for all apps assessed in this review was 3.1 (SD 0.41) out of 5. The reviewed apps overall performed well for the MARS elements relating to functionality, such as ease of use and navigation, but had the lowest scores for information-related elements, such as credibility. The number of ABACUS behavior change features per app ranged from 0 to 19 out of 21, with a mean of 8.9 (SD 4.51). The apps commonly included information-related features, such as requesting baseline information. The least common behavior change features were those relating to goal-setting, such as asking about the user's willingness for behavior change and providing feedback on current actions in comparison to future goals. CONCLUSIONS: The identified vaping cessation apps had moderate levels of quality and some behavior change components. Future vaping cessation apps could benefit from including more features that are known to support behavior change, such as goal-setting, to improve the potential benefit of these apps to support people to stop vaping. As guidelines for vaping cessation continue to be established, future apps need to reference these in their development.

摘要

背景:越来越多的人开始使用电子烟,且电子烟的相关危害证据也在不断增加,因此,需要为人们提供可接受的戒烟支持和干预措施。用于促进健康和幸福感的智能手机应用程序的使用和普及度也在不断增加。目前,发表的相关文献评估了应用程序在支持电子烟戒烟方面的潜力。 目的:对澳大利亚 iOS 和 Android 平台上目前可用的电子烟戒烟应用程序进行了系统检索。根据既定的健康应用程序评估工具,对应用程序进行了质量和行为改变潜力的评估。 方法:于 2023 年 5 月,通过澳大利亚苹果应用商店(Apple iTunes)和谷歌应用商店(Google Play),以“vape”“vaping”“e-cigarette”以及“cessation”“quit”或“quitting”为搜索词,对电子烟戒烟应用程序进行了系统检索。仅纳入鼓励戒烟的应用程序。对应用程序的描述进行了回顾,以确定其是否与本研究相关,然后将相关应用程序下载到相应的移动设备上进行评估。采用“移动应用程序评级量表(MARS)”评估应用程序的质量(参与度、功能性、美观性和信息性),总分为 5 分。采用“应用程序行为改变量表(ABACUS)”评估每个应用程序的行为改变潜力,总分为 21 分。 结果:对应用程序商店的初步检索产生了 220 个 Android 应用程序和 124 个 iOS 应用程序。根据纳入标准进行筛选后,有 20 个 iOS 应用程序和 10 个 Android 应用程序符合条件,可进行评估。其中 6 个应用程序可在两种操作系统上使用,且对其分别进行了下载、评估和报告。本研究中评估的所有应用程序的平均 MARS 评分为 3.1(SD 0.41)。整体来看,这些应用程序在与功能相关的 MARS 元素方面表现良好,例如易用性和导航,但在与信息相关的元素方面得分较低,例如可信度。每个应用程序的 ABACUS 行为改变特征数量从 0 到 21 个不等,平均为 8.9(SD 4.51)。应用程序中常见的信息相关特征包括请求基线信息。最不常见的行为改变特征是与目标设定相关的特征,例如询问用户是否愿意改变行为,并提供当前行为与未来目标的对比反馈。 结论:已确定的电子烟戒烟应用程序具有中等水平的质量和一些行为改变功能。未来的电子烟戒烟应用程序可以从包括更多已知的行为改变功能中受益,例如目标设定,以提高这些应用程序对支持人们戒烟的潜在益处。随着电子烟戒烟指南的不断建立,未来的应用程序需要在开发时参考这些指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1284/11004626/cbcf6eb83f0a/mhealth-v12-e55177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1284/11004626/cbcf6eb83f0a/mhealth-v12-e55177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1284/11004626/cbcf6eb83f0a/mhealth-v12-e55177-g001.jpg

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本文引用的文献

[1]
Adoption of Vaping Cessation Methods by US Adolescent E-Cigarette Users.

Pediatrics. 2023-11-1

[2]
Clinical guidance for e-cigarette (vaping) cessation: Results from a modified Delphi panel approach.

Prev Med Rep. 2023-8-19

[3]
Scoping review of guidance on cessation interventions for electronic cigarettes and dual electronic and combustible cigarettes use.

CMAJ Open. 2023

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Med J Aust. 2023-4-3

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Smoking Cessation Smartphone App Use Over Time: Predicting 12-Month Cessation Outcomes in a 2-Arm Randomized Trial.

J Med Internet Res. 2022-8-18

[6]
Evaluating the Efficacy of the Drinks:Ration Mobile App to Reduce Alcohol Consumption in a Help-Seeking Military Veteran Population: Randomized Controlled Trial.

JMIR Mhealth Uhealth. 2022-6-20

[7]
German Mobile Apps for Patients With Psoriasis: Systematic Search and Evaluation.

JMIR Mhealth Uhealth. 2022-5-26

[8]
Nicotine vaping for relaxation and coping: Race/ethnicity differences and social connectedness mechanisms.

Addict Behav. 2022-9

[9]
Preferences for Mobile-Supported e-Cigarette Cessation Interventions Among Young Adults: Qualitative Descriptive Study.

JMIR Form Res. 2022-4-1

[10]
Smartphone Apps for Vaping Cessation: Quality Assessment and Content Analysis.

JMIR Mhealth Uhealth. 2022-3-28

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