Delivering 'Just-In-Time' smoking cessation support via mobile phones: Current knowledge and future directions
Nicotine & Tobacco Research
Oxford University Press
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Naughton, F. (2016). Delivering 'Just-In-Time' smoking cessation support via mobile phones: Current knowledge and future directions. Nicotine & Tobacco Research https://doi.org/10.1093/ntr/ntw143
Smoking lapses early on during a quit attempt are highly predictive of failing to quit. A large proportion of these lapses are driven by cravings brought about by situational and environmental cues. Use of cognitive-behavioural lapse prevention strategies to combat cue-induced cravings is associated with a reduced risk of lapse, but evidence is lacking in how these strategies can be effectively promoted. Unlike most traditional methods of delivering behavioural support, mobile phones can in principle deliver automated support, including lapse prevention strategy recommendations, Just-In-Time (JIT) for when a smoker is most vulnerable, and prevent early lapse. JIT support can be activated by smokers themselves (user-triggered), by pre-specified rules (server-triggered) or through sensors that dynamically monitor a smoker’s context and trigger support when a high risk environment is sensed (context-triggered), also known as a Just-In-Time Adaptive Intervention (JITAI). However, research suggests that user-triggered JIT cessation support is seldom used and existing server-triggered JIT support is likely to lack sufficient accuracy to effectively target high-risk situations in real time. Evaluations of mobile phone cessation interventions that include user and/or server-triggered JIT support have yet to adequately assess whether this improves management of high risk situations. While context-triggered systems have the greatest potential to deliver JIT support, there are, as yet, no impact evaluations of such systems. Although it may soon be feasible to learn about and monitor a smoker’s context unobtrusively using their smartphone without burdensome data entry, there are several potential advantages to involving the smoker in data collection.
External DOI: https://doi.org/10.1093/ntr/ntw143
This record's URL: https://www.repository.cam.ac.uk/handle/1810/256357