A Pilot Study and Ecological Model of Smoking Cues to Inform Mobile Health Strategies for Quitting Among Low-Income Smokers

Abstract

One crucial factor that leads to disparities in smoking cessation between groups with higher and lower socioeconomic status is more prevalent socioenvironmental smoking cues in low-income communities. Little is known about how these cues influence socioeconomically disadvantaged smokers in real-world scenarios and how to design interventions, especially mobile phone–based interventions, to counteract the impacts of various types of smoking cues. We interviewed 15 current smokers living in low-income communities and scanned their neighborhoods to explore smoking-related experiences and identify multilevel cues that may trigger them to smoke. Findings suggest four major types of smoking cues influence low-income smokers—internal, habitual, social, and environmental. We propose an ecological model of smoking cues to inform the design of mobile health (mHealth) interventions for smoking cessation. We suggest that user-triggered strategies will be most useful to address internal cues; server-triggered strategies will be most suitable in changing perceived social norms of smoking and routine smoking activities to address social and habitual cues; and context-triggered strategies will be most effective for counteracting environmental cues. The pros and cons of each approach are discussed regarding their cost-effectiveness, the potential to provide personalized assistance, and scale.

Pengaruh metode Brainstorming, Buzz Group, and Simulation (BBS) terhadap penurunan tindakan merokok pada remaja berbasis teori Health Promotion Model

“…Angka yang sangat fantastis terjadi pada anak usia 15-19 tahun yang mencapai 46% atau 1.423.252 dari total penduduk Jawa Timur di usia itu yang pada 2015 sebanyak 3.094.028 jiwa (Riskesdas, 2018). p-ISSN 2088-2173Mei 2022hal.20-30 e-ISSN 2580 Pendidikan kesehatan sejak dini sangat diperlukan untuk mengurangi kebiasaan merokok pada remaja (Zhou et al, 2020). Hasil penelitian terdahulu menunjukkan intervensi yang kurang efektif dalam meminimalisir kebiasaan merokok.…”