Smoking cessation apps for smartphones: content analysis with the self-determination theory.

Smoking cessation apps for smartphones: content analysis with the self-determination theory.
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DOI:
10.2196/jmir.3061
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发表时间:
2014-02-12
影响因子:
7.4
通讯作者:
Park DJ
Park DJ
中科院分区:
医学2区
文献类型:
--
作者:
Choi J;Noh GY;Park DJ

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智能手机作为一种辅助个人健康管理的手段,越来越受到公共卫生学者和从业人员的关注。也有一些戒烟的智能手机应用程序;然而,很少有人采用理论框架来评估这些应用程序的内容和功能。本研究旨在分析和评估韩国可用的戒烟应用程序的内容,采用自我决定理论(SDT)作为分析的理论框架。这项研究分析了戒烟应用程序具有满足SDT中确定的基本需求的功能的程度,这些功能可以激发自主动机。应用程序中表现出的激励目标内容的类型以及目标内容的框架也进行了探索。通过基于SDT评估戒烟应用程序的特征,本研究旨在为这些应用程序提供改进方向。从iTunes商店和Google Play中识别出的309个应用程序(不包括27个重复的应用程序)中,随机抽取了175个应用程序进行分析。该编码方案是由作者起草的SDT和增益/损失成帧理论的基础上,并通过编码器的训练过程和建立编码器间的可靠性进一步微调。一旦建立了编码器间的可靠性,编码器就将剩余的样本分开,并独立编码。分析显示,大多数应用程序(94.3%,165/175)至少有一个功能满足了3个基本需求中的至少一个。175个应用程序中只有18个(10.3%)满足了所有3个基本需求。对于目标内容,金钱(53.7%,94/175)显示的频率最高,其次是健康(32.0%,56/175),时间(7.4%,13/175)和外观(1.1%,2/175),表明戒烟应用程序中的外在目标更占主导地位。在目标内容的框架中,获得框架出现的频率最高(41.7%,73/175)。结果表明,这些戒烟应用程序可能无法充分激发自主动机;少数应用程序满足了SDT提出的所有3个基本需求(即自主性,能力和相关性)。这些应用程序还倾向于通过主要采用增益框架来呈现外在目标内容(主要是金钱)而不是内在目标内容(即健康)。讨论了这些发现对公共卫生从业者和消费者的影响。
Smartphones are increasingly receiving attention from public health scholars and practitioners as a means to assist individuals’ health management. A number of smartphone apps for smoking cessation are also available; however, little effort has been made to evaluate the content and functions of these apps employing a theoretical framework. The present study aims to analyze and evaluate the contents of smoking cessation apps available in South Korea employing the self-determination theory (SDT) as a theoretical framework for analysis. This study analyzes the extent to which smoking cessation apps have features that satisfy the basic needs identified in the SDT, which stimulate autonomous motivation. The type of motivational goal content manifested in the apps and how the goal content was framed are also explored. By assessing the features of smoking cessation apps based on the SDT, this study aims to offer direction for improvement for these apps. Out of 309 apps identified from the iTunes store and Google Play (excluding 27 duplications), 175 apps were randomly drawn and analyzed. The coding scheme was drafted by the authors based on the SDT and gain/loss framing theory and was further finely tuned through the process of coder training and by establishing intercoder reliability. Once the intercoder reliability was established, the coders divided up the rest of the sample and coded them independently. The analysis revealed that most apps (94.3%, 165/175) had at least one feature that tapped at least 1 of the 3 basic needs. Only 18 of 175 apps (10.3%) addressed all 3 basic needs. For goal content, money (53.7%, 94/175) showed the highest frequency, followed by health (32.0%, 56/175), time (7.4%, 13/175), and appearance (1.1%, 2/175), suggesting that extrinsic goals are more dominantly presented in smoking cessation apps. For the framing of goal content, gain framing appeared more frequently (41.7%, 73/175). The results suggest that these smoking cessation apps may not sufficiently stimulate autonomous motivation; a small number of apps addressed all 3 basic needs suggested by the SDT (ie, autonomy, competence, and relatedness). The apps also tended to present extrinsic goal content (primarily in terms of money) over intrinsic ones (ie, health) by primarily adopting gain framing. Implications of these findings for public health practitioners and consumers are discussed.
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发表时间: 1996-02-01
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