A Pilot Study and Ecological Model of Smoking Cues to Inform Mobile Health Strategies for Quitting A
Friday, August 14, 2020
Posted by: Natalia Gromov
Zhou S, Levinson AH, Zhang
X, et al.
A Pilot Study and
Ecological Model of Smoking Cues to Inform Mobile Health Strategies for
Quitting Among Low-Income Smokers.
[published online ahead of print, 2020 Jul 23]. Health Promot Pract.
2020;1524839920942214. doi:10.1177/1524839920942214
One crucial factor that leads to disparities in smoking cessation between groups
with higher and lower socioeconomic status is more prevalent socioenvironmental
smoking cues in low-income communities. Little is known about how these cues
influence socioeconomically disadvantaged smokers in real-world scenarios and
how to design interventions, especially mobile phone-based interventions, to
counteract the impacts of various types of smoking cues. We interviewed 15
current smokers living in low-income communities and scanned their
neighborhoods to explore smoking-related experiences and identify multilevel
cues that may trigger them to smoke. Findings suggest four major types of
smoking cues influence low-income smokers-internal, habitual, social, and
environmental. We propose an ecological model of smoking cues to inform the
design of mobile health (mHealth) interventions for smoking cessation. We
suggest that user-triggered strategies will be most useful to address internal
cues; server-triggered strategies will be most suitable in changing perceived
social norms of smoking and routine smoking activities to address social and
habitual cues; and context-triggered strategies will be most effective for
counteracting environmental cues. The pros and cons of each approach are
discussed regarding their cost-effectiveness, the potential to provide
personalized assistance, and scale.
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