scholarly journals Comparison of Developers’ and End-Users’ Perspectives About Smoking Cessation Support Through the Crush the Crave App (Preprint)

2018 ◽  
Author(s):  
Laura Louise Struik ◽  
Joan L Bottorff ◽  
N Bruce Baskerville ◽  
John Oliffe ◽  
Susan Crichton
Keyword(s):  
Smoking Cessation ◽  
Young Adult ◽  
Evidence Base ◽  
End Users ◽  
Multiple Perspectives ◽  
Overall Design ◽  
Quit Smoking ◽  
Negative Effect ◽  
Pros And Cons ◽  
Development Goals

BACKGROUND High smoking rates among end-users, combined with their high rates of app use, render this age group as a particularly captive audience for quit smoking apps. There is emerging evidence that apps are an effective way to support smoking cessation among end-users. How the expectations behind the design of apps align with the needs and preferences of end-users, and if this differs by gender, is poorly understood, limiting the ability to evaluate and scale these interventions. OBJECTIVE The objective of this qualitative case study was to detail how the overall design approach of Crush the Crave (CTC), a quit smoking app that targets end-users, compares with young adult women’s and men’s perspectives and experiences, with consideration for the influence of gender. METHODS Semistructured interviews were conducted with 15 developers involved in the development of CTC and 31 young adult CTC users. Data were analyzed inductively to derive thematic findings of the perceived pros and cons of CTC by both developers and end-users. Findings were grouped under 4 categories (1) technology and platforms utilized for the app, (2) foundation of app content, (3) underlying focus of the app, and (4) look, feel and functionality of the app. RESULTS Under the category, technology and platforms utilized for the app, it was found that both developers and end-users agreed that apps aligned with the needs and preferences of young adult smokers. Major limitations with the technology identified by end-users were the frequent “glitches” and requirement for internet or data. For the category, foundation of app content,developers agreed that the strength of CTC was in its strong evidence-base. What mattered to end-users, however, was that the content was packaged positively, focusing on the benefits of quitting versus the consequences of smoking. It was found under the category, underlying focus of the app, that the individually-led focus of the app resonated with both developers and end-users, especially young men. Under the final category, look, feel and functionality of the app, it was found that developers were very positive about the app's aesthetics but end-users thought that the aesthetics incited a negative effect. Also, while end-users found it easy to use, they did not find the app intuitive. Finally, end-users thought that, because the app functions were largely based on a user’s quit date versus their ongoing efforts, this often lent to unmeaningful data. CONCLUSIONS The current study findings highlight the importance of understanding multiple perspectives of stakeholders involved in a mobile-based intervention. By gathering the viewpoints of developers and end-users, both problematic and effective approaches that underlie development goals were revealed as a means of informing the development, implementation, and evaluation of future electronic health (eHealth) interventions.

scholarly journals The Crush the Crave Quit Smoking App and Young Adult Smokers: Qualitative Case Study of Affordances (Preprint)

2017 ◽  
Author(s):  
Laura L Struik ◽  
Joan L Bottorff ◽  
Neill Bruce Baskerville ◽  
John L Oliffe
Keyword(s):  
Social Support ◽  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Mobile Phone ◽  
Mobile Apps ◽  
End Users ◽  
Task Support ◽  
Quit Smoking ◽  
Quitting Smoking

BACKGROUND Mobile phone apps have emerged as a promising way to reach young adult smokers, given their high mobile phone ownership rates and openness to receiving cessation support via digital technologies. Although emerging evidence indicates that quit smoking apps are an effective way to reduce smoking among young adults, lacking is formative evaluative research that captures the perspectives of end-users. OBJECTIVE The objective of this study was to contribute insights toward understanding how young adults interact with the Crush the Crave (CTC) app, and how this interaction shapes young adults’ smoking cessation experiences and practices, with consideration of the influence of gender. METHODS Semistructured interviews were conducted with 31 young adult CTC end-users. Guided by sociomateriality theory and an affordances approach, data were inductively analyzed to derive thematic findings in relation to the impacts of CTC on quit efforts, and to expose the underlying affordances (mechanisms) that lend to these outcomes. Findings were grouped according to the 4 design components of CTC: credibility, social support, task support, and dialogue support. RESULTS The credibility component of CTC played an important role in harnessing the trust of young adults because it afforded them promise in relation to its potential effectiveness in assisting them with quitting smoking. The social support component lent to various end-user practices and experiences that rendered this aspect as the weakest component in supporting quit efforts. Although most functions situated in the task and dialogue support components were found to be helpful, there were a few affordances in CTC that resulted in negative experiences, notably weaning from smoking. Gender-related influences were also evident. For example, young men preferred to control and self-manage their quitting and, therefore, did not engage with functions that afforded journaling or reminding to stay on track. Women, in contrast, were more likely to benefit from these affordances. CONCLUSIONS An affordances approach is productive for gaining an in-depth understanding of how mobile apps interact with end-users to lend to particular outcomes. The study findings have implications for developing and improving apps for helping young adults quit smoking, as well as apps that target other health behaviors. Productive affordances may also serve as a framework for leveraging apps for smoking cessation.

scholarly journals Informed Decision Making on the Uptake of Evidence-Based Smoking Cessation Assistance by Individuals Motivated to Quit Smoking

2022 ◽  
Vol 3 (1) ◽  
pp. 1-30
Author(s):  
Thomas Gültzow ◽  
Eline S. Smit ◽  
Raesita Hudales ◽  
Carmen D. Dirksen ◽  
Ciska Hoving
Keyword(s):  
Decision Making ◽  
Smoking Cessation ◽  
Decision Aids ◽  
End Users ◽  
Evidence Based ◽  
Informed Decision Making ◽  
Structured Interviews ◽  
Quit Smoking ◽  
Scientific Experts ◽  
Delphi Studies

Evidence-based cessation assistance increases cessation rates. Activating preferences during decision making could improve effectiveness further. Decision aids (DAs) facilitate deciding by taking preferences into account. To develop effective DAs, potential end users' (i.e., individuals motivated to quit) needs and experts' viewpoints should be considered. Therefore, the aim of this needs assessment was: (1) To explore end users' needs and (2) to obtain consensus among smoking cessation counsellors and scientific experts to develop a self-administered DA to support end users in choosing cessation assistance. Data was gathered via two approaches: (1) twenty semi-structured interviews with potential end users and (2) two three-round Delphi studies with 61 counsellors and 44 scientific experts. Interview data and the first Delphi rounds were analysed qualitatively, the other Delphi rounds were analysed quantitatively. Potential end users acquired information in different ways, e.g., via own experiences. Important characteristics to decide between tools varied, however effectiveness and costs were commonly reported. Experts reached consensus on 38 and 40 statements, e.g., tools should be appropriate for users' addiction level. Although some trends emerged, due to the variation among stakeholders, a 'one size fits all'-approach is undesirable. This heterogeneity should be considered, e.g., by enabling users to customise the DA.

Association of BMI Changes Between Adolescence and Young Adulthood With Smoking Cessation

2018 ◽  
Vol 33 (3) ◽  
pp. 358-362
Author(s):  
Jerome F. Walker ◽  
Paul D. Loprinzi
Keyword(s):  
High School ◽  
Smoking Cessation ◽  
Young Adults ◽  
Weight Gain ◽  
Young Adult ◽  
Young Adulthood ◽  
Smoking Status ◽  
High School Education ◽  
Quit Smoking ◽  
Bmi Trajectories

Purpose: Weight gain frequently accompanies smoking cessation. This study examined if increasing body mass index (BMI) during the early years of smoking influences quitting by young adulthood. Design: Longitudinal, observational study using in-home interview data. Setting: National Longitudinal Study of Adolescent and Adult Health (Add Health) 1994 to 2008. Subjects: Nine hundred forty-nine adolescent smokers (12-19 years) followed into young adulthood (20-32 years) through 4 waves of in-home interviews. Measures: Outcome variable: Young adult smoking status (yes or no) reported at in-home interviews. Factors: Gender and 4 longitudinal adolescent/young adult BMI trajectories—normal/normal, normal/overweight, normal/obese, and overweight/obese. Covariates: Race-ethnicity, education, household income, and recent quit attempt in adolescence. Analysis: Binary logistic regression analysis. Results: Overall, the rate at which young adults quit smoking was not significantly different based on gender. However, longitudinal changes in BMI trajectory and gender interact to influence young adult smoking status. Women having normal/overweight and normal/obese BMI trajectories were less likely to quit smoking than men. Odds that young adults having some college or post-high school education quit smoking were greater than those with high school education or less. Conclusion: At a minimum, providing direct information regarding anticipated weight changes after quitting is indicated in smoking cessation intervention, in addition to strategies to mitigate postcessation weight gain. Faced with weight gain, younger smokers, particularly women, may be more resistant to quitting smoking.

scholarly journals Effect of a Mobile Phone Intervention on Quitting Smoking in a Young Adult Population of Smokers: Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Neill Bruce Baskerville ◽  
Laura Louise Struik ◽  
Godefroy Emmanuel Guindon ◽  
Cameron D Norman ◽  
Robyn Whittaker ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Mobile Technology ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Quit Smoking ◽  
Self Help ◽  
Continuous Abstinence

BACKGROUND Digital mobile technology presents a promising medium for reaching young adults with smoking cessation interventions because they are the heaviest users of this technology. OBJECTIVE The aim of this study was to determine the efficacy of an evidence-informed smartphone app for smoking cessation, Crush the Crave (CTC), on reducing smoking prevalence among young adult smokers in comparison with an evidence-informed self-help guide, On the Road to Quitting (OnRQ). METHODS A parallel, double-blind, randomized controlled trial with 2 arms was conducted in Canada to evaluate CTC. In total, 1599 young adult smokers (aged 19 to 29 years) intending to quit smoking in the next 30 days were recruited online and randomized to receive CTC or the control condition OnRQ for a period of 6 months. The primary outcome measure was self-reported continuous abstinence at the 6-month follow-up. RESULTS Overall follow-up rates were 57.41% (918/1599) and 60.48% (967/1599) at 3 and 6 months, respectively. Moreover, 45.34% (725/1599) of participants completed baseline, 3-, and 6-month follow-up. Intention-to-treat analysis (last observation carried forward) showed that continuous abstinence (N=1599) at 6 months was not significantly different at 7.8% (64/820) for CTC versus 9.2% (72/779) for OnRQ (odds ratio; OR 0.83, 95% CI 0.59-1.18). Similarly, 30-day point prevalence abstinence at 6 months was not significantly different at 14.4% (118/820) and 16.9% (132/779) for CTC and OnRQ, respectively (OR 0.82, 95% CI 0.63-1.08). However, these rates of abstinence were favorable compared with unassisted 30-day quit rates of 11.5% among young adults. Secondary measures of quit attempts and the number of cigarettes smoked per day at 6-month follow-up did not reveal any significant differences between groups. For those who completed the 6-month follow-up, 85.1% (359/422) of young adult smokers downloaded CTC as compared with 81.8% (346/423) of OnRQ, χ21(N=845)=1.6, P=.23. Furthermore, OnRQ participants reported significantly higher levels of overall satisfaction (mean 3.3 [SD 1.1] vs mean 2.6 [SD 1.3]; t644=6.87, P<.001), perceived helpfulness (mean 5.8 [SD 2.4] vs mean 4.3 [SD 2.6], t657=8.0, P<.001), and frequency of use (mean 3.6 [SD 1.2] vs mean 3.2 [SD 1.1], t683=5.7, P<.001) compared with CTC participants. CONCLUSIONS CTC was feasible for delivering cessation support but was not superior to a self-help guide in helping motivated young adults to quit smoking. CTC will benefit from further formative research to address satisfaction and usage. As smartphone apps may not serve as useful alternatives to printed self-help guides, there is a need to conduct further research to understand how digital mobile technology smoking cessation interventions for smoking cessation can be improved. CLINICALTRIAL ClinicalTrials.gov NCT01983150; http://clinicaltrials.gov/ct2/show/NCT01983150 (Archived by WebCite at http://www.webcitation.org/6VGyc0W0i)

scholarly journals Why It Is Difficult for Military Personnel to Quit Smoking: From the Perspective of Compensatory Health Beliefs

2021 ◽  
Vol 18 (22) ◽  
pp. 12261
Author(s):  
Chor-Sum Au-Yeung ◽  
Ren-Fang Chao ◽  
Li-Yun Hsu
Keyword(s):  
Smoking Cessation ◽  
Health Beliefs ◽  
Military Personnel ◽  
Structural Equation ◽  
Eating Habits ◽  
Negative Effects ◽  
Negative Attitudes ◽  
Quit Smoking ◽  
Positive Attitudes ◽  
Negative Effect

Compensatory health beliefs are barriers to healthy behavior. In an effort to understand how the prevalence of these beliefs can be reduced in individuals, 376 valid questionnaires were collected from combat troops in Taiwan. The collected data were analyzed using partial least squares structural equation modelling. It was found that positive attitudes towards smoking cessation had significant negative effects on compensatory health beliefs, while negative attitudes towards smoking cessation significantly enhanced the level of compensatory health beliefs. The motivation for smoking cessation was also found to reinforce the negative effect of positive attitudes towards compensatory health beliefs, while it did not have any significant effect on the relationship between negative attitudes and compensatory health beliefs. Three subconstructs of compensatory health beliefs (exercise, eating habits, and amount of smoking) were found to have simultaneous effects for military personnel. Finally, this study explored the causes of the above-mentioned phenomena, and measures that could reduce the prevalence of compensatory health beliefs were suggested.

scholarly journals Flavor and Nicotine Effects on E-cigarette Appeal in Young Adults: Moderation by Reason for Vaping

2020 ◽  
Vol 44 (5) ◽  
pp. 732-743
Author(s):  
Adam M. Leventhal ◽  
Tyler B. Mason ◽  
Sam N. Cwalina ◽  
Lauren Whitted ◽  
Marissa Anderson ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Young Adult ◽  
Laboratory Experiment ◽  
Significant Trend ◽  
Quit Smoking ◽  
Main Effect ◽  
Quitting Smoking ◽  
Product Appeal ◽  
Smoking Interaction

Objectives: Effective regulations that reduce nicotine vaping among young adult dual (combustible and e-cigarette) users may differ depending on whether e-cigarettes are used for helping with smoking cessation. This laboratory experiment examined flavor and nicotine effects on e-cigarette product appeal among young adult dual users, stratified by reported use of e-cigarettes to quit smoking. Methods: Dual users aged 18-35 years that did (N = 31) or did not (N = 22) report vaping for the purpose of quitting smoking puffed e-cigarette solutions varied by a flavor (fruit, menthol, tobacco) and nicotine (nicotine-containing [6 mg/mL], nicotine-free) with-in-participant design. After puffing each solution, participants rated appeal. Results: In main effect analyses, non-tobacco (vs tobacco) flavors increased appeal and nicotine-containing (vs nicotine free) solutions reduced appeal similarly in dual users who did and did not vape to quit smoking. Interaction analyses found non-significant trend evidence that fruit and menthol flavors suppressed nicotine's appeal-reducing effects more powerfully in those that did not vape to quit smoking (flavor × nicotine × vape to quit smoking, ps = .05-.06). Conclusions: Non-tobacco flavors might increase e-cigarette product appeal in young adult dual users overall and disproportionately suppress nicotine's appeal-reducing effects in those that vape for purposes other than assisting with smoking cessation.

scholarly journals Smoking cessation, metabolic risk behaviors, and stress management over time in a sample of young adult smokers

2019 ◽  
Author(s):  
Erin A Vogel ◽  
Danielle E Ramo
Keyword(s):  
Smoking Cessation ◽  
Young Adult ◽  
Stress Management ◽  
Risk Behavior ◽  
Risk Behaviors ◽  
Readiness To Change ◽  
Poor Sleep ◽  
Metabolic Risk ◽  
Quit Smoking ◽  
Lower Likelihood

Abstract Smoking cessation may support changes in metabolic risk behaviors (e.g., high-fat diet, physical inactivity, poor sleep, low fruit and vegetable consumption [FVC]). We examined the association between smoking cessation and metabolic risk behavior profiles, mediated by readiness to change risk behaviors and moderated by stress management. Participants were young adult smokers in a randomized controlled trial of a Facebook smoking cessation intervention. Measures included stage of change for five metabolic risk behaviors: FVC, diet, physical activity, sleep hygiene, and stress management. Moderated mediation was used to examine relationships between smoking cessation at T1 (predictor), readiness to change metabolic risk behaviors at T2 (mediators), stress management at T3 (moderator), and metabolic risk behavior profile at T3 (outcome) over 9 months. T1 smoking abstinence was associated with greater readiness to increase FVC at T2, which predicted lower likelihood of T3 metabolic risk (β = −0.22, 95% confidence interval [CI] [−0.53, −0.03]). This indirect effect was moderated by stress management such that greater readiness to increase FVC at T2 was associated with lower T3 metabolic risk for participants with unmanaged stress (β = −0.90, 95% CI [−1.32, −0.49], p < .001), but not for participants with well-managed stress (β = −.22, 95% CI [−0.48, 0.04], p = .096). Young adults who quit smoking subsequently had lower metabolic risk behaviors. Among participants with unmanaged stress, those who quit smoking had greater readiness to increase FVC and lower likelihood of subsequent metabolic risk. Smoking cessation interventions could aim to teach broadly applicable behavior change skills and build confidence for decreasing metabolic risk.

Does parental smoking cessation encourage their young adult children to quit smoking? A prospective study

Addiction ◽  
2005 ◽  
Vol 100 (3) ◽  
pp. 379-386 ◽  
Author(s):  
Jonathan B. Bricker ◽  
K. Bharat Rajan ◽  
M. Robyn Andersen ◽  
Arthur V. Peterson
Keyword(s):  
Smoking Cessation ◽  
Young Adult ◽  
Prospective Study ◽  
Adult Children ◽  
Parental Smoking ◽  
Quit Smoking ◽  
A Prospective Study

Public Facilities Design in Sustainable Ways for Reconstruction Work of Yushu Area

2014 ◽  
Vol 672-674 ◽  
pp. 2195-2210
Author(s):  
Ang Li ◽  
Shu Bin Kan ◽  
Xin Zhang ◽  
Xin Yu Song ◽  
Shi Long Zhang
Keyword(s):  
Design Theory ◽  
Physical Models ◽  
Overall Design ◽  
Public Facilities ◽  
Local Characteristics ◽  
Current State ◽  
Environmental Friendly ◽  
The World ◽  
Facilities Design ◽  
Pros And Cons

The region of Yushu has fragile natural environment. In 2010, it suffered severe damages caused by earthquakes. This paper subject, on the basis of status research of natural and cultural environment in Yushu area and urban public facilities across the world, is aiming at a design attempt of public facilities suitable for Yushu area under the guidance of sustainable-development design theory. After constructing computer models, we made physical models to further test the reliability of our scheme. The overall design acts according to circumstances, and makes it environmental friendly, developmental sustainable, economical, aesthetic, practical and reliable. We also added to our design some local characteristics to make it better integrate into the local natural environmental features so that it could be widely used. In the end, we summarized the pros and cons of the scheme through theoretical analysis of our design process, despite that, in June 2014, we had an on-the-spot investigation in Yushu, and according to its current state of development, we made outlooks of our further scheme practice.

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