Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers

Gordon, Judith S.; Armin, Julie; Hingle, Melanie; Giacobbi, Peter R.; Cunningham, James K.; Johnson, Thienne; Abbate, Kristopher J.; Howe, Carol; Roe, Denise J.

doi:10.1007/s13142-017-0463-7

Cited by 37 publications

(46 citation statements)

References 108 publications

(109 reference statements)

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“…The gender-transformative program See Me Smoke-Free addresses smoking, diet and physical activity among women who smoke. Findings showed significant increases in healthy eating and physical activity, as well as higher rates of smoking cessation [51]. However, for men, similar to other technology-based programming, mobile health apps did not appear to be as successful.…”

Section: Mobile Health Applications (Mhealth Apps)mentioning

confidence: 75%

Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion

Stinson

Wolfson

Poole

2020

IJERPH

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Drawing on data from a scoping review on sex, gender and substance use, this narrative review explores the use of gender-informed and technology-based approaches in substance use prevention and health promotion interventions. With an ever-changing landscape of new technological developments, an understanding of how technology-based interventions can address sex, gender, and intersecting equity considerations related to substance use is warranted. Current technology-based approaches to substance use prevention and health promotion are described and assessed for gender-specific and gender transformative outcomes, and limitations are discussed related to inclusivity, access, confidentiality, and a dearth of research on technological approaches that integrate gender-based analysis. A call for action designed to advance technology-based health promotion, prevention and brief interventions that address gender equity simultaneously with substance use is proposed.

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Section: Mobile Health Applications (Mhealth Apps)mentioning

confidence: 75%

Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion

Stinson

Wolfson

Poole

2020

IJERPH

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“…The development of SMSF has been reported elsewhere [ 8 ]. Gordon et al [ 9 ] assessed and presented feasibility outcomes and exploratory analyses of program impact and identified possible associations between app usage and both smoking and dietary behavioral change. As program use was associated with positive treatment outcomes in the pilot study [ 9 ], further exploration of app use data was warranted.…”

Section: Introductionmentioning

confidence: 99%

“…Gordon et al [ 9 ] assessed and presented feasibility outcomes and exploratory analyses of program impact and identified possible associations between app usage and both smoking and dietary behavioral change. As program use was associated with positive treatment outcomes in the pilot study [ 9 ], further exploration of app use data was warranted. This study expands our understanding of feasibility outcomes of SMSF by exploring the representativeness of our sample versus all users of the app.…”

Section: Introductionmentioning

confidence: 99%

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User Participation and Engagement With the See Me Smoke-Free mHealth App: Prospective Feasibility Trial

Schmidt¹,

Romine²,

Bell³

et al. 2017

JMIR Mhealth Uhealth

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BackgroundThe See Me Smoke-Free (SMSF) mobile health (mHealth) app was developed to help women quit smoking by targeting concerns about body weight, body image, and self-efficacy through cognitive behavioral techniques and guided imagery audio files addressing smoking, diet, and physical activity. A feasibility trial found associations between SMSF usage and positive treatment outcomes. This paper reports a detailed exploration of program use among eligible individuals consenting to study participation and completing the baseline survey (participants) and ineligible or nonconsenting app installers (nonparticipants), as well as the relationship between program use and treatment outcomes.ObjectiveThe aim of this study was to determine whether (1) participants were more likely to set quit dates, be current smokers, and report higher levels of smoking at baseline than nonparticipants; (2) participants opened the app and listened to audio files more frequently than nonparticipants; and (3) participants with more app usage had a higher likelihood of self-reported smoking abstinence at follow up.MethodsThe SMSF feasibility trial was a single arm, within-subjects, prospective cohort study with assessments at baseline and 30 and 90 days post enrollment. The SMSF app was deployed on the Google Play Store for download, and basic profile characteristics were obtained for all app installers. Additional variables were assessed for study participants. Participants were prompted to use the app daily during study participation. Crude differences in baseline characteristics between trial participants and nonparticipants were evaluated using t tests (continuous variables) and Fisher exact tests (categorical variables). Exact Poisson tests were used to assess group-level differences in mean usage rates over the full study period using aggregate Google Analytics data on participation and usage. Negative binomial regression models were used to estimate associations of app usage with participant baseline characteristics after adjustment for putative confounders. Associations between app usage and self-reported smoking abstinence were assessed using separate logistic regression models for each outcome measure.ResultsParticipants (n=151) were more likely than nonparticipants (n=96) to report female gender (P<.02) and smoking in the 30 days before enrollment (P<.001). Participants and nonparticipants opened the app and updated quit dates at the same average rate (rate ratio [RR] 0.98; 95% CI 0.92-1.04; P=.43), but participants started audio files (RR 1.07; 95% CI 1.00-1.13; P<.04) and completed audio files (RR 1.11; 95% CI 1.03-1.18; P<.003) at significantly higher rates than nonparticipants. Higher app usage among participants was positively associated with some smoking cessation outcomes.ConclusionsThis study suggests potential efficacy of the SMSF app, as increased usage was generally associated with higher self-reported smoking abstinence. A planned randomized controlled trial will assess the SMSF app’s efficacy as an intervention too...

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“…The major disadvantage of this methodological choice is the high attrition rate we observed. Although a high rate of attrition is quite common in investigations of mHealth tools, 26 27 ours is particularly high.…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of the e-Tabac Info Service application for smoking cessation: a pragmatic randomised controlled trial

Affret

Luc²,

Baumann³

et al. 2020

BMJ Open

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ObjectiveTo compare the effectiveness of the mobile e-Tabac Info Service (e-TIS) application (app) for helping adult smokers quit smoking with current practices.DesignPragmatic randomised controlled trial with a 1-year follow-up (2017–2018).SettingFrance, population-wide level.Participants2806 adult smokers who wished to quit smoking were recruited via the website of the French National Mandatory Health Insurance fund. Of them, 1400 were randomised to the e-TIS app arm and 1406 were randomised to the current practices arm (control).InterventionThe app involved personalised interactive contacts that included questionnaires, advice, activities and text messages. All contacts were individually tailored and based on each smoker’s progress.In the control group, recommended practices for quitting smoking were described on a non-interactive website.Primary and secondary outcomes measuresThe primary outcome was 7-day point prevalence abstinence (PPA) at 6 months. The secondary outcomes included continuous abstinence rates at 6 and 12 months, minimum 24-hour point abstinence at 3 months, minimum 30-day point abstinence at 12 months and number and duration of quit attempts.ResultsThere was no difference between the e-TIS and control arms for the primary outcome (12.6% vs 13.7% for 7-day PPA at 6 months, p=0.3949, intention-to-treat analysis). However, e-TIS participants with high levels of exposure to the app, which was defined by the completion of at least eight activities or questionnaires, showed higher rates of smoking cessation than the control participants (17.6% vs 12.9% for 7-day PPA at 6 months, p=0.0169, per-protocol analysis).ConclusionUse of the e-TIS app was not associated with a higher rate of smoking cessation. However, high level of exposure to the e-TIS app may have been more effective than current practices.Trial registration numberNCT02841683.

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Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers

Cited by 37 publications

References 108 publications

Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion

Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion

User Participation and Engagement With the See Me Smoke-Free mHealth App: Prospective Feasibility Trial

Effectiveness of the e-Tabac Info Service application for smoking cessation: a pragmatic randomised controlled trial

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