PHARMQUIT: AN INTERACTIVE COMMUNITY PHARMACIST-ASSISTED SMARTPHONE APPLICATION FOR SMOKING CESSATION
Smoking is a major cause of worldwide morbidity and mortality. This study describes the development of an interactive app, PharmQuit, based on a user experience framework in collaboration with pharmacist counseling. There were three phases in the development process. First, clinical practice guidelines were researched together with discussions with experienced counsellors. Second, a diagram was developed to support two-way communication between smokers and pharmacists. Third, user testing was done by conducting a satisfaction survey and a one-month trial. The development of PharmQuit was based on five elements: strategy, scope, structure, skeleton, and surface. The first element was strategy. The aim of the app was to encourage smokers to quit smoking, stay with the program, and stay in contact with a community pharmacist. The second element, scope, included the features of daily encouragement, health status tracking, and community connection. The third element, structure, explained the connections between features. The fourth element, skeleton, showed the arrangement of buttons and fields that made up seven pages of the app. The last element, surface, covered color and cartoon figures. PharmQuit was linked to the web system for clinical information. The highest satisfaction scores were Design (4.3+0.9), Beauty (4.1+1.0), and Objective (4.1+0.9). The one-month trial for PharmQuit showed an average access of 21 times with a continuous abstinence rate of 31 percent. In conclusion, PharmQuit was developed with the needs of smokers and pharmacists in mind. The features and users’ testing showed that the app was able to properly function corresponding to its objectives and design.
Taylor AL, Bettcher DW. WHO Framework Conventional on Tobacco Control: a global “good” for public health. Bull World Health Organ 2000; 78:920-9.
Jha P, Ramasundarahettige C, Landsman V, et al. 21st-Century Hazards of Smoking and Benefits of Cessation in the United States. N Engl J Med 2013; 368:341-350.
Thun MJ, Carter BD, Feskanich D, et al. 50-Year Trends in Smoking-Related Mortality in the United States. N Engl J Med 2013; 368:351–364.
Saba M, Diep J, Saini B, et al. Meta-analysis of the effectiveness of smoking cessation interventions in community pharmacy. J Clin Pharm Ther 2014; 39:240-247.
Brown TJ, Todd A, O'Malley C, et al. Community pharmacy-delivered interventions for public health priorities: A systematic review of interventions for alcohol reduction, smoking cessation and weight management, including meta-analysis for smoking cessation. BMJ open 2016; 6:e009828.
Brett K, Yenug SST, Ford C. Pharmacist-led interventions for tobacco smoking cessation: a review of clinical effectiveness and cost-effectiveness. https://europepmc.org/article/NBK/NBK549529 (accessed 13 April 2021).
O’Reilly E, Frederick E, Palmer E. Models for pharmacist-delivered tobacco cessation services: a systematic review. Journal of the American Pharmacists Association 2019; 59:42-752.
Cantor SB, Deshmukh AA, Luca NS, et al. Cost-effectiveness analysis of smoking-cessation counseling training for physicians and pharmacists. Addict Behav 2015; 45:79-86.
Mdege ND, Chindove S. Effectiveness of tobacco use cessation interventions delivered by pharmacy personnel: a systematic review. Res Social Adm Pharm 2014; 10:21-44.
Rosen LJ, Galili T, Kott J, et al. Diminishing benefit of smoking cessation medications during the first year: a meta-analysis of randomized controlled trials. Addiction 2018; 113:805-816.
Bussaratid S, Siripaiboonkij A. Study of Smoking Cessation Rate at Smoking Cessation Clinic, Siriraj Hospital, Thailand. J Psychiatr Assoc Thailand 2012; 57:305-312.
Bunditanukul K, Bunditanukul W, Chalongsuk, R. Effectiveness of smoking cessation program by the community pharmacist in BANGKOK. Thai Bull of Pharm Sci 2014; 9:1-17.
Shen X, Bachyrycz A, Anderson JR, et al. Improving the effectiveness of pharmacist-assisted tobacco cessation: a study of participant- and pharmacy-specific differences in quit rates. Ann Phar 2015; 49:303-310.
Whittaker R, McRobbie H, Bullen C, et al. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev 2012;11: CD006611. doi: 10.1002/14651858.CD006611.pub3.
Hoeppner BB, Hoeppner SS, Seaboyer L, et al. How smart are smartphone apps for smoking cessation? A content analysis. Nicotine Tob Res 2015; 18:1025-1031.
Haskins BL, Lesperance D, Gibbons P, et al. A systematic review of smartphone applications for smoking cessation. TBM 2017; 7:292-299.
Abroms LC, Westmaas JL, Bontemps-Joanes J, et al. A content analysis of popular smartphone apps for smoking cessation. AM J Prev Med 2013; 45:732-736.
Ubhi HK, Michie S, Kotz D, et al. Characterising smoking cessation smartphone applications in terms of behavior change techniques, engagement and ease-of-use features. TBM 2016; 6:410-417.
Godon JS, Armin J, Hingle MD, et al. Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers. TBM 2017; 7:172-184.
Abroms LC, Padmanabhan N, Thaweethai L, et al. iPhone apps for smoking cessation: a content analysis. Am J Prev Med 2011; 40:279-285.
Jacobs MA, Cobb CO, Abroms L, et al. Facebook apps for smoking cessation: a review of content and adherence to evidence-based guidelines. JMIR 2014; 16:e205.
Hassenzahl M, Tractinsky N. User experience - a research agenda. Behav Inf Technol 2006; 25:91-97.
Rungruanghiranya S, Suntorntham S. Clinical Practice Guideline for smoking cessation in Thailand (Revised edition 2012). Bangkok: Health Professional Alliance for Smoke-Free Thai Society, 2012.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997;12(1):38-48.
Tombor I, Shahab L, Brown J, et al. Development of SmokeFree Baby: a smoking cessation smartphone app for pregnant smokers. TBM 2016; 6:533-545.
Heffner JL, Vilardaga R, Mercer LD, et al. Feature-level analysis of a novel smartphone application for smoking cessation. Am J Drug Alcohol Abuse 2015; 41:68-73.
Masaki K, Tateno H, Nomura A, et al. A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker. Npj Digital Medicine 2020;3 :35.
Lemon C, Huckvale K, Carswell K, et al. A narrative review of methods for applying user experience in the design and assessment of mental health smartphone interventions. In J of Tech Assessment in Health Care. 2020;36: 64-70.
Herbec A, Brown J, Shahab L, et al. Pragmatic randomized trial of a smartphone app (NRT2Quit) to improve effectiveness of nicotine replacement therapy in a quit attempt by improving medication adherence: results of a prematurely terminated study. Trials. 2019; 20:547.