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Identifying Patterns of Smoking Cessation App Feature Use That Predict Successful Quitting: Secondary Analysis of Experimental Data Leveraging Machine Learning.

作者信息

Siegel Leeann Nicole, Wiseman Kara P, Budenz Alex, Prutzman Yvonne

机构信息

National Cancer Instiute, National Institutes of Health, Rockville, MD, United States.

University of Virginia School of Medicine, Charlottesville, VA, United States.

出版信息

JMIR AI. 2024 May 22;3:e51756. doi: 10.2196/51756.


DOI:10.2196/51756
PMID:38875564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11153975/
Abstract

BACKGROUND: Leveraging free smartphone apps can help expand the availability and use of evidence-based smoking cessation interventions. However, there is a need for additional research investigating how the use of different features within such apps impacts their effectiveness. OBJECTIVE: We used observational data collected from an experiment of a publicly available smoking cessation app to develop supervised machine learning (SML) algorithms intended to distinguish the app features that promote successful smoking cessation. We then assessed the extent to which patterns of app feature use accounted for variance in cessation that could not be explained by other known predictors of cessation (eg, tobacco use behaviors). METHODS: Data came from an experiment (ClinicalTrials.gov NCT04623736) testing the impacts of incentivizing ecological momentary assessments within the National Cancer Institute's quitSTART app. Participants' (N=133) app activity, including every action they took within the app and its corresponding time stamp, was recorded. Demographic and baseline tobacco use characteristics were measured at the start of the experiment, and short-term smoking cessation (7-day point prevalence abstinence) was measured at 4 weeks after baseline. Logistic regression SML modeling was used to estimate participants' probability of cessation from 28 variables reflecting participants' use of different app features, assigned experimental conditions, and phone type (iPhone [Apple Inc] or Android [Google]). The SML model was first fit in a training set (n=100) and then its accuracy was assessed in a held-aside test set (n=33). Within the test set, a likelihood ratio test (n=30) assessed whether adding individuals' SML-predicted probabilities of cessation to a logistic regression model that included demographic and tobacco use (eg, polyuse) variables explained additional variance in 4-week cessation. RESULTS: The SML model's sensitivity (0.67) and specificity (0.67) in the held-aside test set indicated that individuals' patterns of using different app features predicted cessation with reasonable accuracy. The likelihood ratio test showed that the logistic regression, which included the SML model-predicted probabilities, was statistically equivalent to the model that only included the demographic and tobacco use variables (P=.16). CONCLUSIONS: Harnessing user data through SML could help determine the features of smoking cessation apps that are most useful. This methodological approach could be applied in future research focusing on smoking cessation app features to inform the development and improvement of smoking cessation apps. TRIAL REGISTRATION: ClinicalTrials.gov NCT04623736; https://clinicaltrials.gov/study/NCT04623736.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70d9/11153975/7cb51138c07c/ai_v3i1e51756_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70d9/11153975/7cb51138c07c/ai_v3i1e51756_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70d9/11153975/7cb51138c07c/ai_v3i1e51756_fig1.jpg

相似文献

[1]
Identifying Patterns of Smoking Cessation App Feature Use That Predict Successful Quitting: Secondary Analysis of Experimental Data Leveraging Machine Learning.

JMIR AI. 2024-5-22

[2]
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[3]
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[4]
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[5]
Feature-Level Analysis of a Smoking Cessation Smartphone App Based on a Positive Psychology Approach: Prospective Observational Study.

JMIR Form Res. 2022-7-28

[6]
Engagement With Gamification Elements in a Smoking Cessation App and Short-term Smoking Abstinence: Quantitative Assessment.

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[7]
A Mobile Just-in-Time Adaptive Intervention for Smoking Cessation: Pilot Randomized Controlled Trial.

J Med Internet Res. 2020-3-9

[8]
Feasibility, Acceptability, and Potential Impact of a Novel mHealth App for Smokers Ambivalent About Quitting: Randomized Pilot Study.

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[9]
Usability and Acceptability of Two Smartphone Apps for Smoking Cessation Among Young Adults With Serious Mental Illness: Mixed Methods Study.

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[10]
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引用本文的文献

[1]
Impact of Ecological Momentary Assessment Participation on Short-Term Smoking Cessation: quitSTART Ecological Momentary Assessment Incentivization Randomized Trial.

J Med Internet Res. 2025-7-18

[2]
Association between mobile phone, self-efficacy and dependency among elderly people: a community-based study.

Mhealth. 2024-12-20

[3]
Harnessing machine learning in contemporary tobacco research.

Toxicol Rep. 2024-12-19

本文引用的文献

[1]
Feature-Level Analysis of a Smoking Cessation Smartphone App Based on a Positive Psychology Approach: Prospective Observational Study.

JMIR Form Res. 2022-7-28

[2]
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

[3]
User Engagement With Mood-Related Content on the National Cancer Institute Smokefree.Gov Initiative Cessation Resources.

Health Educ Behav. 2022-8

[4]
Smoking Cessation Apps: A Systematic Review of Format, Outcomes, and Features.

Int J Environ Res Public Health. 2021-11-6

[5]
What Do People Want in a Smoking Cessation App? An Analysis of User Reviews and App Quality.

Nicotine Tob Res. 2022-2-1

[6]
Engagement with a digital therapeutic for smoking cessation designed for persons with psychiatric illness fully mediates smoking outcomes in a pilot randomized controlled trial.

Transl Behav Med. 2021-9-15

[7]
Are Machine Learning Methods the Future for Smoking Cessation Apps?

Sensors (Basel). 2021-6-22

[8]
Impact of Gamification on the Self-Efficacy and Motivation to Quit of Smokers: Observational Study of Two Gamified Smoking Cessation Mobile Apps.

JMIR Serious Games. 2021-4-27

[9]
Using Digital Technologies to Reach Tobacco Users Who Want to Quit: Evidence From the National Cancer Institute's Smokefree.gov Initiative.

Am J Prev Med. 2021-3

[10]
Efficacy of Smartphone Applications for Smoking Cessation: A Randomized Clinical Trial.

JAMA Intern Med. 2020-11-1

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