NoFumo+: Mobile Health App to quit smoking using Cognitive-behavioral Therapy. (Preprint)

2020 ◽  
Author(s):  
Patricia García-Pazo ◽  
Joana Fornés-Vives ◽  
Albert Sesé Abad
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Scientific Community ◽  
Behavioral Therapy ◽  
Smoking Behavior ◽  
Healthcare Research ◽  
Cognitive Behavioral ◽  
Clinical Group ◽  
Quit Smoking ◽  
Mhealth Apps

BACKGROUND Despite the rapid growth of mobile health (mHealth) apps for smoking cessation, it is difficult to find any that integrate effective treatments such as those recommended in clinical practice guidelines (CPG) and cognitive behavioral therapy (CBT). OBJECTIVE This paper aims to describe the development of an mHealth app to quit smoking that implements CBT, drawing on the potential of smartphones and complying with the demands of the scientific community and the CPG recommendations. METHODS Creation of a mobile application to quit smoking based on the standards for the development of mHealth apps recommended by the Andalusian Healthcare Quality Agency and the Catalonian ICT Foundation for Social Health. To design the app, a multidisciplinary team was formed (healthcare, research, and IT) that made decisions about the scientific base to be incorporated in developing the techniques and the pilot program with two groups (experts and experimental) to test the app’s usability. RESULTS Pilot study of the app with a group of experts and a clinical group is described. The first group positively evaluates the application and identifies it as easy and intuitive to use. They suggest some changes to improve it, such as incorporating tutorial videos into the texts about the using the app and adding more gamification elements. The experimental group rates the app as easy to understand (100%) and finds it quite useful to have the information available at all times. The mobile health app, called NoFumo+, is available for both operating systems (Android and Apple). Its design includes icons with universal codes, it follows the CPG 5A recommendations, and it incorporates a multi-component CBT program to maintain abstinence from smoking. All of this is accompanied by complementary information, monitoring of the smoking behavior, social support for users, proposals for alternative activities to smoking, and gamification to encourage and reward adherence to the program. CONCLUSIONS No Fumo+ is easily an accessible and useful mHealth, meets the requirements of the scientific community, and implements a multi-component CBT program.

scholarly journals Assessing the Efficacy of Mobile Health Apps Using the Basic Principles of Cognitive Behavioral Therapy: Systematic Review (Preprint)

2017 ◽  
Author(s):  
Amy Leigh Rathbone ◽  
Laura Clarry ◽  
Julie Prescott
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Health Issues ◽  
Web Based ◽  
Mental Health Issues ◽  
Mhealth Apps

BACKGROUND Cognitive behavioral therapy (CBT) in its basic principle has developed itself as a stand-alone, substantial method of therapy. With effective application in therapy for a range of mental health issues, the spread of CBT methods to Web-based therapy sources is evident. The development of mobile phone apps using CBT principles is increasing within the research area. Despite the move to Web-based methods of therapy, it is argued that these methods lack the same efficacy of face-to-face therapy sessions. OBJECTIVE The aim of this review was to assess extent research findings with regard to the effectiveness of CBT-related mobile health (mHealth) apps. By assessing only studies employing a randomized controlled trial design, the review aimed to determine app efficacy within the highly regarded method of investigation. METHODS A comprehensive literature search was conducted across several databases. Search results were filtered, and results were subject to strict inclusion and exclusion criteria because of the nature of the review. Where possible, analysis of effect size was calculated and results reported. RESULTS A total of 8 studies investigating the effectiveness of mHealth CBT-related apps across a range of mental health issues were reviewed. Three studies used the app against a control group, and 5 studies used the app intervention against another form of treatment or intervention. A range of effect sizes were seen across all included studies (d=−0.13 to 1.83; 0.03-1.44), with the largest effects often being seen when comparing the data from pre- to posttest for the app engaged group. CONCLUSIONS The studies reviewed support the use of mHealth apps containing CBT principles for a range of mental health issues. However, the effectiveness over longer time periods should be assessed. Researchers and professionals should seek to collaborate effectively when creating new apps to enhance their effectiveness as a treatment for the general public.

Delivering Cognitive Behavioral Therapy for Post–Intensive Care Syndrome–Family via a Mobile Health App

2021 ◽  
Vol 30 (6) ◽  
pp. 451-458
Author(s):  
Amy Petrinec ◽  
Cindy Wilk ◽  
Joel W. Hughes ◽  
Melissa D. Zullo ◽  
Yea-Jyh Chen ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Behavioral Therapy ◽  
Family Members ◽  
Intervention Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Icu Patients ◽  
Post Intensive Care Syndrome

Background Family members of intensive care unit (ICU) patients are at risk for post–intensive care syndrome– family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological symptoms and has been successfully delivered by use of mobile technology for symptom self-management. Objectives To determine the feasibility of delivering cognitive behavioral therapy through a smartphone app to family members of critically ill patients. Methods This was a prospective longitudinal cohort study with a consecutive sample of patients admitted to 2 adult ICUs and their family members. The control group period was followed by the intervention group period. The intervention consisted of a mobile health app preloaded on a smartphone provided to family members. The study time points were enrollment (within 5 days of ICU admission), 30 days after admission, and 60 days after admission. Study measures included demographic data, app use, satisfaction with the app, mental health self-efficacy, and measures of PICS-F symptoms. Results The study sample consisted of 49 predominantly White (92%) and female (82%) family members (24 intervention, 25 control). Smartphone ownership was 88%. Completion rates for study measures were 92% in the control group and 79% in the intervention group. Family members logged in to the app a mean of 18.58 times (range 2-89) and spent a mean of 81.29 minutes (range 4.93-426.63 minutes) using the app. Conclusions The study results confirm the feasibility of implementing app-based delivery of cognitive behavioral therapy to family members of ICU patients.

THE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKE

2018 ◽  
Vol 21 (2) ◽  
pp. 117-126
Author(s):  
Giur Hargiana ◽  
Budi Anna Keliat ◽  
Mustikasari Mustikasari
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Behavioral Therapy ◽  
Intervention Group ◽  
Smoking Behavior ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Cognitive Behavior ◽  
Equivalent Control

Indonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety. Keyword: anxiety, smoking behavior, cognitive behavioral therapy Abstrak Pengaruh Cognitive Behavior Therapy Terhadap Perilaku Merokok dan Ansietas pada Kepala Keluarga dengan Perilaku Merokok. Indonesia sebagai penghasil rokok terbesar ke-5 dan memiliki jumlah perokok terbanyak ke-3 di  Dunia, hal tersebut memunculkan masalah secara biologis, psikologis maupun sosial. Tujuan penelitian ini untuk mengetahui pengaruh dari cognitive behavior therapy terhadap perubahan perilaku merokok dan ansietas. Metode penelitian menggunakan desain quasi experiment non-equivalent control group pre-test-post test. Sampel pengambilan secara proporsional random dengan jumlah 80 responden. Pengumpulan data dengan menggunakan kuesioner kemudian responden dilakukan tindakan cognitive behavior therapy dengan lima kali pertemuan.  Hasil penelitian menunjukkan penurunan perilaku merokok dan ansietas secara bermakna (p< 0,05) pada kelompok intervensi. Penurunan perilaku merokok, tingkat ketergantungan nikotin dan ansietas kepala keluarga dengan perilaku merokok yang mendapatkan cognitive behavior therapy lebih besar secara bermakna (p< 0,05) dibandingkan dengan yang tidak mendapatkan cognitive behavior therapy. Penurunan perilaku merokok dan ansietas berhubungan secara bermakna (p< 0,05). Direkomendasikan untuk menerapkan cognitive behavior therapy perokok oleh perawat yang mempunyai kompetensi. Kata Kunci: ansietas, perilaku merokok,cognitive behavior therapy

scholarly journals Pengaruh Therapi Kognitif Behavior Terhadap Perilaku Merokok

2019 ◽  
Vol 19 (2) ◽  
pp. 357
Author(s):  
Wittin Khairani
Keyword(s):  
High School ◽  
Cognitive Behavioral Therapy ◽  
Junior High School ◽  
Junior High ◽  
Behavioral Therapy ◽  
Smoking Behavior ◽  
T Test ◽  
Cognitive Behavioral ◽  
School Level ◽  
The Impact

Indonesia is the country with the largest number of young smokers in Asia. At the age of adolescents (aged 12-18 years) or at the age of the Junior High School level, it is very potential to become a new smoker. This phenomenon of new smokers often occurs among adolescent children due to the association and environmental influences. Therefore there must be an early effort to provide an understanding of the dangers of smoking and the impact on health. This study aims to determine the effect of cognitive therapy behavior on smoking behavior. The research method used a quasi-experimental design with one group design with pretest and posttest. Sampling was 30 people by purposive sampling. Data analysis using paired t-test (p-value 0.05) to see the effect of cognitive behavioral therapy on knowledge, attitudes and behavioral tendencies. Furthermore, using the independent t-test statistical test to see the difference in cognitive behavioral therapy to knowledge, the tendency of behavior (intention) to smoke. The results of the study are the influence of cognitive behavior therapy on knowledge, attitudes, and tendencies of smoking behavior in junior high school students. It is expected that the results of this study can contribute to the mind in choosing an effective therapeutic method in carrying out the duties and responsibilities of health promotion practitioners to maintain, prevent, treat, recover and improve the health status of the community.

scholarly journals Using Mobile Health Gamification to Facilitate Cognitive Behavioral Therapy Skills Practice in Child Anxiety Treatment: Open Clinical Trial (Preprint)

2017 ◽  
Author(s):  
Gede Pramana ◽  
Bambang Parmanto ◽  
James Lomas ◽  
Oliver Lindhiem ◽  
Philip C Kendall ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Behavioral Therapy ◽  
Child Anxiety ◽  
Cognitive Behavioral ◽  
User Engagement ◽  
Significance Level ◽  
Anxiety Treatment

BACKGROUND Cognitive behavioral therapy is an efficacious treatment for child anxiety disorders. Although efficacious, many children (40%-50%) do not show a significant reduction in symptoms or full recovery from primary anxiety diagnoses. One possibility is that they are unwilling to learn and practice cognitive behavioral therapy skills beyond therapy sessions. This can occur for a variety of reasons, including a lack of motivation, forgetfulness, and a lack of cognitive behavioral therapy skills understanding. Mobile health (mHealth) gamification provides a potential solution to improve cognitive behavioral therapy efficacy by delivering more engaging and interactive strategies to facilitate cognitive behavioral therapy skills practice in everyday lives (in vivo). OBJECTIVE The goal of this project was to redesign an existing mHealth system called SmartCAT (Smartphone-enhanced Child Anxiety Treatment) so as to increase user engagement, retention, and learning facilitation by integrating gamification techniques and interactive features. Furthermore, this project assessed the effectiveness of gamification in improving user engagement and retention throughout posttreatment. METHODS We redesigned and implemented the SmartCAT system consisting of a smartphone app for children and an integrated clinician portal. The gamified app contains (1) a series of interactive games and activities to reinforce skill understanding, (2) an in vivo skills coach that cues the participant to use cognitive behavioral therapy skills during real-world emotional experiences, (3) a home challenge module to encourage home-based exposure tasks, (4) a digital reward system that contains digital points and trophies, and (5) a therapist-patient messaging interface. Therapists used a secure Web-based portal connected to the app to set up required activities for each session, receive or send messages, manage participant rewards and challenges, and view data and figures summarizing the app usage. The system was implemented as an adjunctive component to brief cognitive behavioral therapy in an open clinical trial. To evaluate the effectiveness of gamification, we compared the app usage data at posttreatment with the earlier version of SmartCAT without gamification. RESULTS Gamified SmartCAT was used frequently throughout treatment. On average, patients spent 35.59 min on the app (SD 64.18) completing 13.00 activities between each therapy session (SD 12.61). At the 0.10 significance level, the app usage of the gamified system (median 68.00) was higher than that of the earlier, nongamified SmartCAT version (median 37.00, U=76.00, P<.01). The amount of time spent on the gamified system (median 173.15) was significantly different from that of the earlier version (median 120.73, U=173.00, P=.06). CONCLUSIONS The gamified system showed good acceptability, usefulness, and engagement among anxious children receiving brief cognitive behavioral therapy treatment. Integrating an mHealth gamification platform within treatment for anxious children seems to increase involvement in shorter treatment. Further study is needed to evaluate increase in involvement in full-length treatment.

scholarly journals Using Mobile Health Gamification to Facilitate Cognitive Behavioral Therapy Skills Practice in Child Anxiety Treatment: Open Clinical Trial

2018 ◽  
Vol 6 (2) ◽  
pp. e9 ◽  
Author(s):  
Gede Pramana ◽  
Bambang Parmanto ◽  
James Lomas ◽  
Oliver Lindhiem ◽  
Philip C Kendall ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Behavioral Therapy ◽  
Child Anxiety ◽  
Cognitive Behavioral ◽  
Anxiety Treatment
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