A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation

基于移动应用程序的戒烟认知失调干预

• 批准号: 10804722
• 负责人: DANA K SMITH
• 金额: $ 83.43万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10804722
• 关键词: Mobile; App; Based; Cognitive; Dissonance

Abstract Despite overall declines in the rate of tobacco use in the United States over the past 30 years, nearly 38 million Americans still smoke, posing extremely high risk for long-term health problems and death. Recent reviews note that there has been significant progress in the application of both clinical and public health interventions to help smokers quit; however, they have also concluded that the overall success rate of smokers quitting has not significantly improved. Individual, group and public health interventions – both with and without adjunctive aids such as nicotine replacement therapy – have generally used some combination of cognitive- behavioral interventions, but there remains a need for novel, theory-driven approaches to enhance quit rates. Innovative interventions such as those offered via computer or mobile app can increase reach and engagement. We propose to adapt and test the feasibility of a previously piloted cognitive dissonance intervention (CDI) for smoking cessation delivered via a mobile app. Cognitive dissonance interventions have been shown to be successful in treating health-related problems, as well as substance use, and preliminary findings support its use in smoking cessation. The program, entitled CoQuit, is based on cognitive dissonance and smoking cessation components tested in our Phase I prototype mobile app. This prototype app demonstrated efficacy and the results of our evaluation study met criteria for moving to Phase II. We will expand and revise the six module CoQuit program, which includes 12 video components (6 instructional components and 6 cognitive dissonance activities) to improve ease of use, increase interactivity with other smokers who are quitting, and improve social support elements in partnership with Emberex, who has extensive experience in the development and commercialization of mobile apps. This development will assess navigation and usability with adult daily smokers and conduct pilot testing to guide development of the CoQuit app for evaluation. Our research and development team has extensive experience developing and testing mobile apps and developing and testing cognitive dissonance and smoking cessation interventions. The evaluation study will include 500 adults recruited through social media and randomly assigned to either the Cognitive Dissonance mobile app or a comparable app without cognitive dissonance tasks; participants will be assessed at baseline, 1- and 3-month follow-up. Significant changes in quit attempts, number of days without smoking (smokefree days), point prevalence cessation, and changes in smoking attitudes will be used to determine the efficacy of the CoQuit app. Usability data, system log data on program use, and participant satisfaction data will also be analyzed.

抽象的 尽管过去 30 年美国的烟草使用率总体下降，但近 38 数百万美国人仍然吸烟，造成长期健康问题和死亡的风险极高。最近的 评论指出，在临床和公共卫生应用方面都取得了重大进展 帮助吸烟者戒烟的干预措施；然而，他们还得出结论，吸烟者的总体成功率 戒烟情况并没有明显改善。个人、团体和公共卫生干预——有或没有 辅助治疗，如尼古丁替代疗法——通常使用认知- 行为干预，但仍然需要新颖的、理论驱动的方法来提高戒烟率。 创新的干预措施，例如通过计算机或移动应用程序提供的干预措施，可以扩大影响范围和 订婚。我们建议调整并测试先前试点的认知失调的可行性 通过移动应用程序提供戒烟干预（CDI）。认知失调干预措施 已被证明可以成功治疗与健康相关的问题以及药物滥用，并且初步 研究结果支持其用于戒烟。该计划名为 CoQuit，基于认知失调 以及在我们的第一阶段原型移动应用程序中测试的戒烟组件。这个原型应用程序 证明了疗效，我们的评估研究结果符合进入第二阶段的标准。我们将 扩展和修改了 CoQuit 程序的六个模块，其中包括 12 个视频组件（6 个教学组件） 组件和 6 个认知失调活动），以提高易用性，增加与其他组件的交互性 与 Emberex 合作，帮助正在戒烟的吸烟者改善社会支持要素，Emberex 已 在移动应用程序的开发和商业化方面拥有丰富的经验。这一发展将评估 与每日吸烟的成年吸烟者进行导航和可用性，并进行试点测试以指导 CoQuit 的开发 用于评估的应用程序。我们的研发团队拥有丰富的开发和测试经验 移动应用程序以及开发和测试认知失调和戒烟干预措施。这 评估研究将包括通过社交媒体招募的 500 名成年人，并随机分配到 认知失调移动应用程序或没有认知失调任务的类似应用程序；参与者将是 在基线、1 个月和 3 个月随访时进行评估。戒烟尝试、没有戒烟的天数发生显着变化 吸烟（无烟日）、戒烟流行率和吸烟态度的改变将用于 确定 CoQuit 应用程序的功效。可用性数据、程序使用的系统日志数据和参与者 还将分析满意度数据。