García-Pazo Patricia, Fornés-Vives Joana, Abad Albert Sesé
Department of Nursing and Physiotherapy University of the Balearic Islands (UBI), Ctra. Valldemossa, km 7.5, Palma E-07122, Spain.
Health Research Institute of the Balearic Islands (IdISBa), Ctra. Valldemossa, 79, Palma E-07120, Spain.
Nurs Res Pract. 2024 Sep 26;2024:8836672. doi: 10.1155/2024/8836672. eCollection 2024.
This paper describes the development and test of a smartphone application to quit smoking using cognitive behavioral therapy (CBT). The tool includes recommendations from US Clinical Practice Guidelines (USCPG), drawing on the potential of smartphones and complying with the health App (mHealth) assessment standards. The mHealth created, called NoFumo+, is structured by 4 weeks treatment, implements the USCPG 5A recommendations (ask, advise, assess, assist, and arrange) and incorporates a CBT. It also includes complementary information, monitoring of the smoking behavior, social support for users, proposals for alternative activities to smoking, and innovative gamification to encourage and reward adherence. To technical development, a multidisciplinary team was formed (healthcare, research, and software engineers) that made theoretical decisions on both technical issues and the incorporation of therapeutic techniques. The validation was carried out in two phases; the first in the laboratory by a group of experts in information and communication technologies and CBTs ( = 15) and the second, a field study with smokers ( = 10). The standards for the development of mHealth recommended by the Andalusian Healthcare Quality Agency and the App quality evaluation guidelines of the Catalonian ICT Foundation for Social Health were used as assessment protocols by the experts' panel and the smokers' group, respectively. Experts' assessment results were satisfactory and some improving changes were suggested, such as to add more gamification elements. The group of smokers rated the mHealth as 100% easy to use and effective for quit smoking and understandable by the 83.3%. They also found No Fumo + quite useful to have the information available at all times. The obtained evidence after a complete two-phased validation study, with experts and potential users, shows a mHealth with high quality and easy to use. Finally, investigation project registered in ClinicalTrials.gov with reference to this trial is registered with NCT045402004.
本文介绍了一款利用认知行为疗法（CBT）帮助戒烟的智能手机应用程序的开发与测试。该工具借鉴了美国临床实践指南（USCPG）的建议，借助智能手机的潜力并符合健康应用程序（移动健康，mHealth）评估标准。所创建的移动健康应用程序NoFumo+，采用为期4周的治疗结构，实施USCPG的5A建议（询问、建议、评估、协助和安排）并融入了认知行为疗法。它还包括补充信息、吸烟行为监测、对用户的社会支持、吸烟替代活动建议以及鼓励和奖励坚持的创新游戏化设计。在技术开发方面，组建了一个多学科团队（医疗保健、研究和软件工程师），该团队在技术问题和治疗技术融入方面都做出了理论决策。验证分两个阶段进行；第一阶段在实验室由一组信息与通信技术及认知行为疗法专家（n = 15）进行，第二阶段是对吸烟者进行实地研究（n = 10）。安达卢西亚医疗质量机构推荐的移动健康应用程序开发标准以及加泰罗尼亚社会健康信息通信技术基金会的应用程序质量评估指南，分别被专家小组和吸烟者群体用作评估方案。专家评估结果令人满意，并提出了一些改进建议，比如增加更多游戏化元素。吸烟者群体认为该移动健康应用程序100%易于使用且对戒烟有效，83.3%的人表示能够理解。他们还发现随时能获取信息让No Fumo +非常有用。在经过与专家和潜在用户的完整两阶段验证研究后获得的证据表明，该移动健康应用程序质量高且易于使用。最后，与该试验相关的研究项目已在ClinicalTrials.gov上注册，注册号为NCT045402004。
