An ecological momentary intervention for smoking cessation: The associations of just-in-time, tailored messages with lapse risk factors.

Abstract:

BACKGROUND:Smartphone apps can provide real-time, tailored interventions for smoking cessation. The current study examines the effectiveness of a smartphone-based smoking cessation application that assessed risk for imminent smoking lapse multiple times per day and provided messages tailored to current smoking lapse risk and specific lapse triggers. METHODS:Participants (N=59) recruited from a safety-net hospital smoking cessation clinic completed phone-based ecological momentary assessments (EMAs) 5 times/day for 3 consecutive weeks (1week pre-quit, 2weeks post-quit). Risk for smoking lapse was estimated in real-time using a novel weighted lapse risk estimator. With each EMA, participants received messages tailored to current level of risk for imminent smoking lapse and self-reported presence of smoking urge, stress, cigarette availability, and motivation to quit. Generalized linear mixed model analyses determined whether messages tailored to specific lapse risk factors were associated with greater reductions in these triggers than messages not tailored to specific triggers. RESULTS:Overall, messages tailored to smoking urge, cigarette availability, or stress corresponded with greater reductions in those triggers than messages that were not tailored to specific triggers (p's=0.02 to <0.001). Although messages tailored to stress were associated with greater reductions in stress than messages not tailored to stress, the association was non-significant (p=0.892) when only moments of high stress were included in the analysis. CONCLUSIONS:Mobile technology can be used to conduct real-time smoking lapse risk assessment and provide tailored treatment content. Findings provide initial evidence that tailored content may impact users' urge to smoke, stress, and cigarette availability.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Hébert ET,Stevens EM,Frank SG,Kendzor DE,Wetter DW,Zvolensky MJ,Buckner JD,Businelle MS

doi

10.1016/j.addbeh.2017.10.026

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

30-35

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(17)30397-0

journal_volume

78

pub_type

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