Acceptability and compliance with a remote monitoring system to track smoking and abstinence among young smokers.

Acceptability and compliance with a remote monitoring system to track smoking and abstinence among young smokers.
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DOI:
10.1080/00952990.2018.1467431
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发表时间:
2018
期刊:
The American journal of drug and alcohol abuse
影响因子:
--
通讯作者:
Gray KM
Gray KM
中科院分区:
其他
文献类型:
--
作者:
McClure EA;Tomko RL;Carpenter MJ;Treiber FA;Gray KM

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与成年吸烟者类似,年轻吸烟者的戒烟尝试几乎不可避免地导致复发。与成年人不同,对这一较年轻年龄组的复发过程知之甚少。一个基于技术的远程监测系统可以详细和准确地描述吸烟和戒烟的特征,并有助于改进戒烟策略。本研究描述了一种移动的系统,该系统使用呼吸一氧化碳(CO)和吸烟行为的实时自我报告来捕获吸烟。在戒烟尝试和随后的监测期间测量系统的依从性、可行性、可接受性和准确性。移动的应用程序(My移动的监护仪; M3)将呼吸CO与通过智能手机提供的生态瞬时评估相结合。受试者(N=16; 75%的女性)是19-25岁之间的每日吸烟者,他们使用该应用程序11天,在此期间他们同意尝试戒烟。测量可接受性、依从性和禁欲。参与者平均年龄为22.3 ± 2.0岁,平均每天吸烟13.0 ± 6.1支。总体会话依从性为69%,在戒烟尝试期间,56%的参与者戒烟至少24小时。当可用于比较时,自我报告的吸烟与呼吸CO之间的一致性通常较高,尽管可能会漏报香烟。这项研究证明了远程监控应用程序对年轻吸烟者的可行性,但需要改进以促进依从性。远程监控检测吸烟和戒烟是改进戒烟策略的一个进步,但用户体验和个性化至关重要。
Similar to adult smokers, quit attempts among younger smokers almost inevitably result in relapse. Unlike adults, less is known about the process of relapse in this younger age group. A technology-based remote monitoring system may allow for detailed and accurate characterization of smoking and abstinence and would help to improve cessation strategies. This study describes a mobile system that captures smoking using breath carbon monoxide (CO) and real-time self-reports of smoking behavior. Compliance, feasibility, acceptability, and accuracy of the system were measured during a quit attempt and subsequent monitoring period. The mobile application (My Mobile Monitor; M3) combined breath CO with ecological momentary assessment, delivered via smartphone. Participants (N=16; 75% female) were daily smokers between the ages of 19-25, who used the app for 11 days during which they agreed to make a quit attempt. Acceptability, compliance, and abstinence were measured. Participants averaged 22.3 ± 2.0 years old and smoked an average of 13.0 ± 6.1 cigarettes per day. Overall session compliance was 69% and during the quit attempt, 56% of participants abstained from smoking for at least 24 hours. Agreement between self-reported smoking compared to breath CO was generally high, when available for comparison, though underreporting of cigarettes was likely. This study demonstrates feasibility of a remote monitoring app with younger smokers, though improvements to promote compliance are needed. Remote monitoring to detect smoking and abstinence represents a step forward in the improvement of cessation strategies, but user experience and personalization are vital.
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