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Smart-T smoking EMI app

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A tailored smartphone EMI for low-SES smokers was highly acceptable and achieved 20% CO-confirmed abstinence at 12 weeks in a small sample.

Source

An Ecological Momentary Intervention for Smoking Cessation: Evaluation of Feasibility and Effectiveness

Businelle MS, Ma P, Kendzor DE, et al. · Journal of medical Internet research · 2016

doi.org/10.2196/jmir.6058Read the full paper ↗107 citationscc by

Study at a glance

Design
Human experiment — Uncontrolled Smart-T ecological momentary messaging around a quit attempt
N
N=59 · Socioeconomically disadvantaged adult smokers
Population
Socioeconomically disadvantaged adult smokers using Smart-T during a quit attempt
Outcome
CO-confirmed point-prevalence abstinence at 12 weeks

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

59 socioeconomically disadvantaged adult smokers used Smart-T for tailored automated messages around a quit attempt, with CO-confirmed point-prevalence abstinence tracked to 12 weeks.

What they found

Mean ~102 tailored messages/3 weeks; 97% found messages helpful; 20% (12/59) were biochemically confirmed abstinent at 12 weeks.

The limits

What it doesn't show

Uncontrolled small sample cannot prove efficacy versus standard care alone.

Key terms

EMI
Ecological momentary intervention delivering support in real time/context.
Smart-T
Smartphone smoking-cessation adjunct app evaluated here.
CO confirmation
Expired carbon monoxide verifying abstinence claims.
Point-prevalence abstinence
Not smoking over a defined recent window at a follow-up visit.
Low SES
Socioeconomically disadvantaged safety-net clinic population.
On-demand tips
User-initiated Quit Tips and Medication Tips features.

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12-week CO-confirmed abstinence?

Common questions

Sample?

N=59 after excluding 2 non-EMA users.

12-week abstinence?

20% (12/59) CO-confirmed.

Message load?

About 102 automated messages over 3 weeks.

Acceptability?

97% rated messages helpful.

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