Adapting a Mobile Health App for Smoking Cessation in Black Adults With Anxiety Through an Analysis of the Mobile Anxiety Sensitivity Program Proof-of-Concept Trial: Qualitative Study

作者：Marshall K. Cheney, Adam C. Alexander, Lorra Garey, Matthew W. Gallagher, Emily T. Hébert, Anka A. Vujanovic, Krista Kezbers, Cameron T. Matoska, Michael J. Zvolensky, Michael S. Businelle · 发表于：JMIR Formative Research · 年份：2025 · DOI：10.2196/53566 · 被引用次数：3 · 研究领域：Smoking Behavior and Cessation、Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes、Digital Mental Health Interventions

BACKGROUND: At least half of smokers make a serious quit attempt each year, but Black adults who smoke are less likely than White adults who smoke to quit smoking successfully. Black adults who smoke and have high anxiety sensitivity (an individual difference factor implicated in smoking relapse and culturally relevant to Black adults) are even less successful. The Mobile Anxiety Sensitivity Program for Smoking (MASP) is a smoking cessation smartphone app culturally tailored to Black adults who smoke to increase smoking cessation rates by targeting anxiety sensitivity. OBJECTIVE: This study examined the acceptability and feasibility of the MASP smartphone app following a 6-week pilot test through postintervention qualitative interviews. METHODS: The MASP smoking cessation app was adapted from an evidence-based app by adding culturally tailored narration and images specific to the Black community, educational content on tobacco use in the Black community and the role of menthol, culturally tailored messages, and addressing tobacco use and racial discrimination. The MASP app was piloted with 24 adults with high anxiety sensitivity who identified as Black, smoked daily, and were not currently using medications or psychotherapy for smoking cessation. At the end of the 6-week pilot test, 21/24 participants (67% female; 95.2% non-Hispanic; mean age=47.3 years; 43% college educated; 86% single or separated) completed an audio-recorded semistructured interview assessing the acceptabi...