A Mobile App Offering Distractions and Tips to Cope With Cigarette Craving: A Qualitative Study
A Mobile App Offering Distractions and Tips to Cope With Cigarette Craving: A Qualitative Study
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DOI：
10.2196/mhealth.3209
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发表时间：
2014-04-01
影响因子：
5
通讯作者：
Borland, Ron
中科院分区：
文献类型：
--
作者：
Ploderer, Bernd;Smith, Wally;Borland, Ron
背景：尽管付出了相当大的努力，但大多数吸烟者在戒烟后的几个月内由于对香烟的渴望而复发。移动的电话的广泛采用提出了新的机会，在试图戒烟期间提供支持。目的：设计和试点的移动的应用程序“DistractMe”，使戒烟者访问和分享分心和技巧，以科普香烟的渴望。方法：与14吸烟者谁使用DistractMe在他们的手机上的第一个星期，他们的戒烟尝试的定性研究。基于访谈，日记，和日志数据，我们研究了应用程序如何支持戒烟strategies.Results：三种不同的应对技术时，使用DistractMe被确定为：分流，避免，和位移。我们进一步确定了三种形式的参与与应对技巧：准备，强化和对抗。总的来说，预防渴望及其影响的策略（回避，转移，准备和强化）比直接应对策略（转移和对抗）更常见。应对技巧比分心更常用于科普渴望，因为它们有助于加强戒烟尝试，并提供与应用程序其他用户联系的机会。然而，分心是很重要的，以吸引新用户，并促进内容sharing.Conclusions：基于定性结果，我们建议，移动的电话为基础的干预措施，重点是同行和频繁的内容更新共享的提示。应用程序还需要在更大的用户群中进行测试，以评估它们是否能够自我维持。
Background: Despite considerable effort, most smokers relapse within a few months after quitting due to cigarette craving. The widespread adoption of mobile phones presents new opportunities to provide support during attempts to quit.Objective: To design and pilot a mobile app "DistractMe" to enable quitters to access and share distractions and tips to cope with cigarette cravings.Methods: A qualitative study with 14 smokers who used DistractMe on their mobiles during the first weeks of their quit attempt. Based on interviews, diaries, and log data, we examined how the app supported quitting strategies.Results: Three distinct techniques of coping when using DistractMe were identified: diversion, avoidance, and displacement. We further identified three forms of engagement with tips for coping: preparation, fortification, and confrontation. Overall, strategies to prevent cravings and their effects (avoidance, displacement, preparation, and fortification) were more common than immediate coping strategies (diversion and confrontation). Tips for coping were more commonly used than distractions to cope with cravings, because they helped to fortify the quit attempt and provided opportunities to connect with other users of the application. However, distractions were important to attract new users and to facilitate content sharing.Conclusions: Based on the qualitative results, we recommend that mobile phone-based interventions focus on tips shared by peers and frequent content updates. Apps also require testing with larger groups of users to assess whether they can be self- sustaining.