Comparative analysis of smoking cessation smartphone applications available in 2012 versus 2014

Background and aims Smartphone applications (apps) offer a potentially cost-effective and a wide-reach aid to smoking cessation. In 2012, a content analysis of smoking cessation apps suggested that most apps did not adopt behaviour change techniques (BCTs), which according to previous research had suggested would promote higher success rates in quitting smoking. This study examined whether or not, this situation had changed by 2014 for free smoking cessation apps available in the Apple App Store. It also compared the use of engagement and ease-of-use features between the two time points. Methods 137 free apps available in the Apple App Sore in 2014 were coded using an established framework for the presence or absence of evidence-based BCTs, and engagement and ease-of-use features. The results from the 2014 data were compared with a similar exercise conducted on 83 free apps available in 2012. Results BCTs supporting identity change, rewarding abstinence and advising on changing routines were less prevalent in 2014 as compared with 2012 (14.6% vs. 42.2%, 18.2% vs. 48.2%, and 17.5% vs. 24.1%, respectively). Advice on coping with cravings and advice on the use of stop-smoking medication were more prevalent in 2014 as compared with 2012 (27.7% vs. 20.5% and 14.6% vs 3.6%, respectively). The use of recognised engagement features was less common in 2014 than in 2012 (45.3% vs. 69.6%) while ease-of-use features remained very high (94.5% vs. 82.6%). Conclusion There was little evidence of improvement in the use of evidence-based BCTs in free smoking cessation iPhone-based apps between 2012 and 2014.

[1]  C. Abraham,et al.  The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions , 2013, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[2]  Lorien C Abroms,et al.  A content analysis of popular smartphone apps for smoking cessation. , 2013, American journal of preventive medicine.

[3]  James Sherwin-Smith,et al.  Medical Applications: The Future of Regulation , 2012 .

[4]  J. Carlin,et al.  Bias, prevalence and kappa. , 1993, Journal of clinical epidemiology.

[5]  Lennart E. Nacke,et al.  From game design elements to gamefulness: defining "gamification" , 2011, MindTrek.

[6]  Bettina B. Hoeppner,et al.  How Smart are Smartphone Apps for Smoking Cessation? A Content Analysis. , 2016, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[7]  Caroline O Cobb,et al.  Facebook Apps for Smoking Cessation: A Review of Content and Adherence to Evidence-Based Guidelines , 2014, Journal of medical Internet research.

[8]  Jounghwa Choi,et al.  Smoking Cessation Apps for Smartphones: Content Analysis With the Self-Determination Theory , 2014, Journal of medical Internet research.

[9]  Robert West,et al.  Characterising smoking cessation smartphone applications in terms of behaviour change techniques, engagement and ease-of-use features , 2015, Translational behavioral medicine.

[10]  Robert West,et al.  Behavior change techniques used by the English Stop Smoking Services and their associations with short-term quit outcomes. , 2010, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[11]  E. Tooley,et al.  Prevalence and Frequency of mHealth and eHealth Use Among US and UK Smokers and Differences by Motivation to Quit , 2015, Journal of medical Internet research.

[12]  M. Fiore,et al.  Treating tobacco use and dependence: 2008 update U.S. Public Health Service Clinical Practice Guideline executive summary. , 2008, Respiratory care.

[13]  Lorien C Abroms,et al.  iPhone apps for smoking cessation: a content analysis. , 2011, American journal of preventive medicine.

[14]  Tyler Sax,et al.  Just a Fad? Gamification in Health and Fitness Apps , 2014, JMIR serious games.

[15]  R. West,et al.  'Real-world' effectiveness of smoking cessation treatments: a population study. , 2014, Addiction.

[16]  P. Krebs,et al.  Health App Use Among US Mobile Phone Owners: A National Survey , 2015, JMIR mHealth and uHealth.

[17]  J. Brug,et al.  Apps to promote physical activity among adults: a review and content analysis , 2014, International Journal of Behavioral Nutrition and Physical Activity.