A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation

摘要 尽管在过去的30年里，美国的烟草使用率总体下降，但近38 仍有100万美国人吸烟，这对长期健康问题和死亡构成了极高的风险。最近 回顾指出，在临床和公共卫生的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，他们也得出结论，吸烟者的总体成功率 戒烟没有明显改善。个人、群体和公共卫生干预措施-有无 尼古丁替代疗法等预防性辅助手段通常结合使用认知疗法， 行为干预，但仍然需要新的，理论驱动的方法来提高戒烟率。 创新干预措施，例如通过计算机或移动的应用程序提供的干预措施，可以扩大影响范围并 订婚我们建议调整和测试以前试点认知失调的可行性 通过移动的应用程序提供的戒烟干预（CDI）。认知失调干预 已被证明是成功的治疗与健康有关的问题，以及物质的使用，并初步 研究结果支持其用于戒烟。这个名为CoQuit的项目是基于认知失调 在我们的第一阶段原型移动的应用程序中测试的戒烟成分。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II期的标准。我们将 扩展和修订了六个模块的CoQuit程序，其中包括12个视频组件（6个教学 组件和6个认知失调活动），以提高易用性，增加与其他 正在戒烟的吸烟者，并与Emberex合作改善社会支持要素， 在移动的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 导航和可用性与成人每日吸烟者，并进行试点测试，以指导开发CoQuit App进行评估。我们的研发团队拥有丰富的开发和测试经验 移动的应用程序和开发和测试认知失调和戒烟干预。的 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 认知失调移动的应用程序或没有认知失调任务的类似应用程序;参与者将 在基线、1个月和3个月随访时进行评估。尝试戒烟的显著变化，没有尝试的天数 吸烟（无烟日）、点患病率戒烟和吸烟态度的变化将用于 确定CoQuit应用程序的有效性。可用性数据、程序使用的系统日志数据和参与者 满意度数据也将进行分析。

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.