Vilardaga Roger, Stoute Charlotte, Rubenstein Dana, Akingbule Oluwatosin, Gray Madeline
Department of Implementation Science, Wake Forest School of Medicine, 525 Vine Street, Winston Salem, NC NC 27101, USA.
Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Curr Addict Rep. 2024 Dec;11(6):1025-1035. doi: 10.1007/s40429-024-00607-6. Epub 2024 Nov 6.
The Hispanosphere is a vast region of the world that has received little attention in the digital health literature. No study to date has examined the availability and quality of publicly available mobile applications (apps) for cigarette smoking cessation in this region. Three coders utilized the American Psychiatry Association (APA)'s Brief App Evaluation Model Screener (Brief-AEM Screener) to evaluate the quality of the label and public-facing screens of smoking cessation apps in Spanish. Availability of apps in the Hispanosphere was compared to availability of apps in the Anglosphere.
We identified and reviewed 19 apps in Spanish in Google Play. The median score using the Brief-AEM Screener was 63 out of 100 suggesting generally acceptable app quality and features according to the quality standards for digital health tools proposed by the APA. However, we found (1) notable inaccurate and misleading labelling claims, (2) poor grammar or incomplete translations, and (3) a lack of cultural and linguistic adaptation to countries in the Hispanosphere. Our comparison of smoking cessation apps between the Hispanosphere and the Anglosphere suggested that there is a large digital equity gap between these two regions, with a four to sevenfold gap in app availability.
There is a relative shortage of quality and quantity of digital health apps for smoking cessation in the Hispanosphere. To ensure the cultural appropriateness of those digital interventions, it is essential that developers of digital health tools establish community partners in the region prior to developing apps for smoking cessation.
西班牙语文化圈是世界上一个广大的地区，但在数字健康文献中很少受到关注。迄今为止，尚无研究考察该地区公开可用的戒烟移动应用程序（应用）的可用性和质量。三名编码员利用美国精神病学协会（APA）的简短应用程序评估模型筛选器（Brief-AEM筛选器）来评估西班牙语戒烟应用程序的标签和面向公众屏幕的质量。将西班牙语文化圈中应用的可用性与英语文化圈中应用的可用性进行了比较。
我们在谷歌应用商店中识别并审查了19款西班牙语应用。使用Brief-AEM筛选器的中位数分数为63分（满分100分），这表明根据APA提出的数字健康工具质量标准，应用质量和功能总体上是可以接受的。然而，我们发现：（1）存在明显不准确和误导性的标签声明；（2）语法不佳或翻译不完整；（3）缺乏针对西班牙语文化圈国家的文化和语言适应性调整。我们对西班牙语文化圈和英语文化圈之间戒烟应用的比较表明，这两个地区之间存在很大的数字公平差距，应用可用性差距为四到七倍。
西班牙语文化圈中用于戒烟的数字健康应用在质量和数量上相对短缺。为确保这些数字干预措施在文化上的适宜性，数字健康工具的开发者在开发戒烟应用之前，在该地区建立社区合作伙伴至关重要。
