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首页> 外文期刊>JMIR mHealth and uHealth >Evaluation of Two Mobile Health Apps in the Context of Smoking Cessation: Qualitative Study of Cognitive Behavioral Therapy (CBT) Versus Non-CBT-Based Digital Solutions
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Evaluation of Two Mobile Health Apps in the Context of Smoking Cessation: Qualitative Study of Cognitive Behavioral Therapy (CBT) Versus Non-CBT-Based Digital Solutions

机译：戒烟背景下两个移动医疗应用程序的评估：认知行为疗法（CBT）与基于非CBT的数字解决方案的定性研究

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Background Mobile health (mHealth) apps can offer users numerous benefits, representing a feasible and acceptable means of administering health interventions such as cognitive behavioral therapy (CBT). CBT is commonly used in the treatment of mental health conditions, where it has a strong evidence base, suggesting that it represents an effective method to elicit health behavior change. More importantly, CBT has proved to be effective in smoking cessation, in the context of smoking-related costs to the National Health Service (NHS) having been estimated to be as high as ￡2.6bn in 2015. Although the evidence base for computerized CBT in mental health is strong, there is limited literature on its use in smoking cessation. This, combined with the cost-effectiveness of mHealth interventions, advocates a need for research into the effectiveness of CBT-based smoking cessation apps. Objective The objective of this study was, first, to explore participants’ perceptions of 2 mHealth apps, a CBT-based app, Quit Genius, and a non-CBT-based app, NHS Smokefree, over a variety of themes. Second, the study aimed to investigate the perceptions and health behavior of users of each app with respect to smoking cessation. Methods A qualitative short-term longitudinal study was conducted, using a sample of 29 smokers allocated to one of the 2 apps, Quit Genius or Smokefree. Each user underwent 2 one-to-one semistructured interviews, 1 week apart. Thematic analysis was carried out, and important themes were identified. Descriptive statistics regarding participants’ perceptions and health behavior in relation to smoking cessation are also provided. Results The thematic analysis resulted in five higher themes and several subthemes. Participants were generally more positive about Quit Genius’s features, as well as about its design and information engagement and quality. Quit Genius users reported increased motivation to quit smoking, as well as greater willingness to continue using their allocated app after 1 week. Moreover, these participants demonstrated preliminary changes in their smoking behavior, although this was in the context of our limited sample, not yet allowing for the finding to be generalizable. Conclusions Our findings underscore the use of CBT in the context of mHealth apps as a feasible and potentially effective smoking cessation tool. mHealth apps must be well developed, preferably with an underlying behavioral change mechanism, to promote positive health behavior change. Digital CBT has the potential to become a powerful tool in overcoming current health care challenges. The present results should be replicated in a wider sample using the apps for a longer period so as to allow for generalizability. Further research is also needed to focus on the effect of greater personalization on behavioral change and on understanding the psychological barriers to the adoption of new mHealth solutions.
机译：背景技术移动健康（mHealth）应用程序可以为用户提供许多好处，代表了一种可行的，可接受的管理健康干预措施的方法，例如认知行为疗法（CBT）。 CBT通常用于治疗精神健康状况，因为它有很强的证据基础，表明它是引发健康行为改变的有效方法。更重要的是，事实证明，CBT在戒烟方面是有效的，因为据估计，2015年国家卫生局（NHS）的吸烟相关费用高达26亿英镑。尽管计算机化CBT的证据基础心理健康方面的知识很强，关于戒烟的用途的文献很少。结合移动医疗干预的成本效益，提倡需要研究基于CBT的戒烟应用程序的有效性。目的本研究的目的首先是探讨参与者对各种主题的2种mHealth应用程序，基于CBT的应用程序Quit Genius和基于非CBT的应用程序NHS Smokefree的看法。其次，该研究旨在调查每个应用程序用户在戒烟方面的看法和健康行为。方法采用定性的短期纵向研究，使用29名吸烟者的样本，分配给这两种应用程序Quit Genius或Smokefree中的一种。每个用户都进行2次一对一的半结构化访谈，相隔1周。进行了主题分析，并确定了重要主题。还提供了有关参与者对戒烟的看法和健康行为的描述性统计数据。结果主题分析得出五个更高的主题和几个子主题。总体上，与会人员对Quit Genius的功能及其设计，信息参与度和质量更加满意。戒烟天才的用户报告说，戒烟的动机增强了，并且更愿意在1周后继续使用他们分配的应用程序。而且，这些参与者展示了他们的吸烟行为的初步变化，尽管这是在我们有限的样本中，但尚不能使这一发现具有普遍性。结论我们的发现强调了在mHealth应用程序中使用CBT作为可行且潜在有效的戒烟工具。 mHealth应用必须经过良好开发，最好具有潜在的行为改变机制，以促进积极的健康行为改变。数字CBT有潜力成为克服当前医疗保健挑战的有力工具。应该使用这些应用程序在更长的时间内将当前结果复制到更广泛的示例中，以便于推广。还需要进行进一步的研究，以关注更大程度的个性化对行为改变的影响以及对采用新的mHealth解决方案的心理障碍的理解。

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