This paper explores the integration of persuasive technology into smoking cessation efforts through the development and evaluation of a mobile app, “No-Smoke.” Leveraging compelling features like social support, tracking, planning, and motivation, the app aims to augment user engagement and support the process of quitting smoking. The efficacy of these features has been substantiated through both automated testing and user feedback, highlighting their potential to enhance awareness, motivation, and behavior modification. Despite notable successes, limitations, including a limited user base and uncertainties regarding long-term efficacy, have been acknowledged, stemming from the inherent complexities of smoking cessation. Nevertheless, based on user experiences and feedback, “No-Smoke” represents a promising advancement in the use of technology for public health interventions, particularly in the realm of smoking cessation. To address existing challenges, future research is recommended to encompass a comprehensive, long-term study involving a larger and more diverse user base. Additionally, further investigation should focus on personalization enhancements and the integration of machine learning algorithms to better understand and respond to user behavior.
References
[1]
Van Mierlo, T., Fournier, R., Jean-Charles, A., Hovington, J., Ethier, I. and Selby, P. (2014) I’ll Txt U If I Have a Problem: How the Société Canadienne du Cancer in Quebec Applied Behavior-Change Theory, Data Mining and Agile Software Development to Help Young Adults Quit Smoking. PLOS ONE, 9, e91832. https://doi.org/10.1371/journal.pone.0091832
[2]
Barroso-Hurtado, M., Suárez-Castro, D., Martinez-Vispo, C., Becoña, E. and López-Durán, A. (2021) Smoking Cessation Apps: A Systematic Review of Format, Outcomes, and Features. International Journal of Environmental Research and Public Health, 18, Article 11664. https://doi.org/10.3390/ijerph182111664
[3]
Bilano, V., Gilmour, S., Moffiet, T., d’Espaignet, E.T., Stevens, G.A., Commar, A., Shibuya, K., et al. (2015) Global Trends and Projections for Tobacco Use, 1990-2025: An Analysis of Smoking Indicators from the WHO Comprehensive Information Systems for Tobacco Control. The Lancet, 385, 966-976. https://doi.org/10.1016/S0140-6736(15)60264-1
[4]
Hart, J., Sutcliffe, A. and De Angeli, A. (2012) Using Affect to Evaluate User Engagement. CHI’12 Extended Abstracts on Human Factors in Computing Systems, Austin, 5-10 May 2012, 1811-1834. https://doi.org/10.1145/2212776.2223714
[5]
Bustamante, L.A., Ménard, C.G., Julien, S. and Romo, L. (2021) Behavior Change Techniques in Popular Mobile Apps for Smoking Cessation in France: Content Analysis. JMIR mHealth and uHealth, 9, Article e26082. https://doi.org/10.2196/26082
[6]
Bendotti, H., Lawler, S., Ireland, D., Gartner, C., Hides, L. and Marshall, H.M. (2022) What Do People Want in a Smoking Cessation App? An Analysis of User Reviews and App Quality. Nicotine and Tobacco Research, 24, 169-177. https://doi.org/10.1093/ntr/ntab174
[7]
Fritz, T., Huang, E.M., Murphy, G.C. and Zimmermann, T. (2014) Persuasive Technology in the Real World: A Study of Long-Term Use of Activity Sensing Devices for Fitness. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, Toronto, 26 April-1 May 2014, 87-496. https://doi.org/10.1145/2556288.2557383
[8]
BinDhim, N.F., McGeechan, K. and Trevena, L. (2014) Who Uses Smoking Cessation Apps? A Feasibility Study across Three Countries via Smartphones. JMIR mHealthand uHealth, 2, Article e2841. https://doi.org/10.2196/mhealth.2841
[9]
Fogg, B.J. (2009) A Behavior Model for Persuasive Design. Proceedings of the 4th International Conference on Persuasive Technology, Claremont, 26-29 April 2009, 1-7. https://doi.org/10.1145/1541948.1541999
[10]
Wipfli, H. and Samet, J.M. (2016) One Hundred Years in the Making: The Global Tobacco Epidemic. Annual Review of Public Health, 37, 149-166. https://doi.org/10.1146/annurev-publhealth-032315-021850
[11]
Masthoff, J. and Vassileva, J. (2023) 9 Personalized Persuasion for Behavior Change. In: Augstein, M., Herder, E. and Wörndl, W., Eds., Personalized Human-Computer Interaction, De Gruyter Oldenbourg, Berlin, 205-236. https://doi.org/10.1515/9783110988567-009
[12]
Almutairi, N., Vlahu-Gjorgievska, E. and Win, K.T. (2023) Persuasive Features for Patient Engagement through mHealth Applications in Managing Chronic Conditions: A Systematic Literature Review and Meta-Analysis. Informatics for Health and Social Care, 48, 267-291. https://doi.org/10.1080/17538157.2023.2165083
[13]
Halbert, R.J., Natoli, J.L., Gano, A., Badamgarav, E., Buist, A.S. and Mannino, D.M. (2006) Global Burden of COPD: Systematic Review and Meta-Analysis. European Respiratory Journal, 28, 523-532. https://doi.org/10.1183/09031936.06.00124605
[14]
Hartmann-Boyce, J., Chepkin, S.C., Ye, W., Bullen, C. and Lancaster, T. (2018) Nicotine Replacement Therapy versus Control for Smoking Cessation. Cochrane Database of Systematic Reviews, No. 5, Article No: CD000146. https://doi.org/10.1002/14651858.CD000146.pub5
[15]
Hoeppner, B.B., Hoeppner, S.S. and Abroms, L.C. (2017) How Do Text-Messaging Smoking Cessation Interventions Confer Benefit? A Multiple Mediation Analysis of Text2Quit. Addiction, 112, 673-682. https://doi.org/10.1111/add.13685
[16]
Chatterjee, S. and Price, A. (2009) Healthy Living with Persuasive Technologies: Framework, Issues, and Challenges. Journal of the American Medical Informatics Association, 16, 171-178. https://doi.org/10.1197/jamia.M2859
[17]
Jha, P. and Peto, R. (2014) Global Effects of Smoking, of Quitting, and of Taxing Tobacco. The New England Journal of Medicine, 370, 60-68.
[18]
Yahaya, W.A., Din, R.C. and Hashim, M. (2014) A Future Strategy towards Smoking Cessation: Persuasive Multimedia Application (PMA) in Strengthening Motivation towards Smoking Prevention and Cessation. 3rd International Conference on Global Health Challenges, Rome, 24-28 August 2014, 37-41.
[19]
Khaled, R., Fischer, R., Noble, J. and Biddle, R. (2008) A Qualitative Study of Culture and Persuasion in a Smoking Cessation Game. Third International Conference on Persuasive Technology2008, Oulu, 4-6 June 2008, 224-236. https://doi.org/10.1007/978-3-540-68504-3_20
[20]
Mendiola, M.F., Kalnicki, M. and Lindenauer, S. (2015) Valuable Features in Mobile Health Apps for Patients and Consumers: Content Analysis of Apps and User Ratings. JMIR mHealth and uHealth, 3, Article e40. https://doi.org/10.2196/mhealth.4283
[21]
Meyer, J. and Eslambolchilar, P. (2017) Research Challenges of Emerging Technologies Supporting Life-Long Health and Wellbeing. Proceedings of the 2nd International Workshop on Multimedia for Personal Health and Health Care, Mountain View, 23 October 2017, 27-34. https://doi.org/10.1145/3132635.3132639
[22]
Septiyana, S.M., Aji, A.S., Nuryandini, E., Penggalih, M.H.S.T. and Nurwanti, E. (2022) The Smartphone App (MyFitnessPal) Reduce Sugar-Sweetened Beverages Intake among Overweight and Obese College Students. JurnalGizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 9, 130-138. https://doi.org/10.21927/ijnd.2021.9(3).130-138
[23]
Murphy-Hoefer, R., Davis, K.C., King, B.A., Beistle, D., Rodes, R. and Graffunder, C. (2020) Peer Reviewed: Association between the Tips from Former Smokers Campaign and Smoking Cessation among Adults, United States, 2012-2018. Preventing Chronic Disease, 17, E97. https://doi.org/10.5888/pcd17.200052
[24]
Naslund, J.A., Kim, S.J., Aschbrenner, K.A., McCulloch, L.J., Brunette, M.F., Dallery, J., Marsch, L.A., et al. (2017) Systematic Review of Social Media Interventions for Smoking Cessation. Addictive Behaviors, 73, 81-93. https://doi.org/10.1016/j.addbeh.2017.05.002
[25]
Ng, M., Freeman, M.K., Fleming, T.D., Robinson, M., Dwyer-Lindgren, L., Thomson, B., Gakidou, E., et al. (2014) Smoking Prevalence and Cigarette Consumption in 187 Countries, 1980-2012. JAMA, 311, 183-192. https://doi.org/10.1001/jama.2013.284692
[26]
Oinas-Kukkonen, H. and Harjumaa, M. (2018) Key Issues, Process Model and System Features1. In: Howlett, M. and Mukherjee, I.,Eds., Routledge Handbook of Policy Design, Routledge, Abingdon.
[27]
Piano, M.R., Benowitz, N.L., FitzGerald, G.A., Corbridge, S., Heath, J., Hahn, E., Pechacek, T.F., Howard, G. and American Heart Association Council on Cardiovascular Nursing. (2010) Impact of Smokeless Tobacco Products on Cardiovascular Disease: Implications for Policy, Prevention, and Treatment: A Policy Statement from the American Heart Association. Circulation, 122, 1520-1544. https://doi.org/10.1161/CIR.0b013e3181f432c3
[28]
Ubhi, H.K., Kotz, D., Michie, S., Van Schayck, O.C. and West, R. (2017) A Comparison of the Characteristics of iOS and android Users of a Smoking Cessation App. Translational Behavioral Medicine, 7, 166-171. https://doi.org/10.1007/s13142-016-0455-z
[29]
Shalini, Rashid, S., Srivastava, R. and Jyoti, B. (2020) Overcoming the Cravings Using Smoking Cessation Apps: A Review. International Journal of Contemporary Medicine Surgery and Radiology, 5, C30-C37.
