Clickotine, A Personalized Smartphone App for Smoking Cessation: Initial Evaluation

作者：Brian M. Iacoviello, Joshua R. Steinerman, David B Klein, Theodore L Silver, Adam G. Berger, Sean X. Luo, Nicholas J. Schork · 发表于：JMIR mhealth and uhealth · 年份：2017 · DOI：10.2196/mhealth.7226 · 被引用次数：141 · 研究领域：Smoking Behavior and Cessation、Mobile Health and mHealth Applications、Digital Mental Health Interventions

BACKGROUND: Tobacco smoking is the leading cause of preventable death in the United States, and the annual economic burden attributable to smoking exceeds US $300 billion. Obstacles to smoking cessation include limited access and adherence to effective cessation interventions. Technology can help overcome these obstacles; many smartphone apps have been developed to aid smoking cessation, but few that conform to the US clinical practice guideline (USCPG) have been rigorously tested and reported in the literature. Clickotine is a novel smartphone app for smoking cessation, designed to deliver the essential features of the USCPG and engineered to engage smokers by personalizing intervention components. OBJECTIVE: Our objective was to assess the engagement, efficacy, and safety of Clickotine in an initial, single-arm study. Outcomes measured were indicators of engagement with the smartphone app (number of app opens, number of interactions with the Clickotine program, and weeks active with Clickotine), cessation outcomes of 7- and 30-day self-reported abstinence from smoking, and negative health events. METHODS: We recruited US residents between 18 and 65 years of age who owned an iPhone and smoked 5 or more cigarettes daily for the study via online advertising. Respondents were prescreened for eligibility by telephone and, if appropriate, directed to a Web portal to provide informed consent, confirm eligibility, and download the Clickotine app. Participants completed study assess...