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. 2014 Feb 12;16(2):e44.
doi: 10.2196/jmir.3061.

Smoking cessation apps for smartphones: content analysis with the self-determination theory

Jounghwa Choi  1 , Ghee-Young Noh, Dong-Jin Park
Affiliations

Smoking cessation apps for smartphones: content analysis with the self-determination theory

Jounghwa Choi et al. J Med Internet Res. .

Abstract

Background: Smartphones are increasingly receiving attention from public health scholars and practitioners as a means to assist individuals' health management. A number of smartphone apps for smoking cessation are also available; however, little effort has been made to evaluate the content and functions of these apps employing a theoretical framework.

Objective: The present study aims to analyze and evaluate the contents of smoking cessation apps available in South Korea employing the self-determination theory (SDT) as a theoretical framework for analysis. This study analyzes the extent to which smoking cessation apps have features that satisfy the basic needs identified in the SDT, which stimulate autonomous motivation. The type of motivational goal content manifested in the apps and how the goal content was framed are also explored. By assessing the features of smoking cessation apps based on the SDT, this study aims to offer direction for improvement for these apps.

Methods: Out of 309 apps identified from the iTunes store and Google Play (excluding 27 duplications), 175 apps were randomly drawn and analyzed. The coding scheme was drafted by the authors based on the SDT and gain/loss framing theory and was further finely tuned through the process of coder training and by establishing intercoder reliability. Once the intercoder reliability was established, the coders divided up the rest of the sample and coded them independently.

Results: The analysis revealed that most apps (94.3%, 165/175) had at least one feature that tapped at least 1 of the 3 basic needs. Only 18 of 175 apps (10.3%) addressed all 3 basic needs. For goal content, money (53.7%, 94/175) showed the highest frequency, followed by health (32.0%, 56/175), time (7.4%, 13/175), and appearance (1.1%, 2/175), suggesting that extrinsic goals are more dominantly presented in smoking cessation apps. For the framing of goal content, gain framing appeared more frequently (41.7%, 73/175).

Conclusions: The results suggest that these smoking cessation apps may not sufficiently stimulate autonomous motivation; a small number of apps addressed all 3 basic needs suggested by the SDT (ie, autonomy, competence, and relatedness). The apps also tended to present extrinsic goal content (primarily in terms of money) over intrinsic ones (ie, health) by primarily adopting gain framing. Implications of these findings for public health practitioners and consumers are discussed.

Keywords: communication media; medical informatics applications; smoking cessation.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Screenshot of the HPB I Quit app by the Singapore Health Promotion Board.
Figure 2
Figure 2
Screenshot of the QuitSTART app by the US Tobacco Control Research Branch at the National Cancer Institute.
Figure 3
Figure 3
Screenshot of the FCB/Exsmokers iCoach app by the European Commission.
Figure 4
Figure 4
Screenshot of the [No Smoke Guide] app by the Korean Ministry of Health and Welfare.
See this image and copyright information in PMC

Comment in

References

    1. Franklin VL, Greene A, Waller A, Greene SA, Pagliari C. Patients' engagement with "Sweet Talk" - a text messaging support system for young people with diabetes. J Med Internet Res. 2008;10(2):e20. doi: 10.2196/jmir.962. http://www.jmir.org/2008/2/e20/ - DOI - PMC - PubMed
    1. Bock B, Heron K, Jennings E, Morrow K, Cobb V, Magee J, Fava J, Deutsch C, Foster R. A text message delivered smoking cessation intervention: the initial trial of TXT-2-Quit: randomized controlled trial. JMIR Mhealth Uhealth. 2013 Jul 30;1(2):e17. doi: 10.2196/mhealth.2522. - DOI - PMC - PubMed
    1. Ryu I. Kyunghyang Newspaper. 2012. Feb 12, [2014-01-29]. [Using apps for depression for fun potentially poster depression] http://news.khan.co.kr/kh_news/khan_art_view.html?artid=201202122141395&....
    1. Abroms LC, Padmanabhan N, Thaweethai L, Phillips T. iPhone apps for smoking cessation: a content analysis. Am J Prev Med. 2011 Mar;40(3):279–85. doi: 10.1016/j.amepre.2010.10.032. http://europepmc.org/abstract/MED/21335258 - DOI - PMC - PubMed
    1. Abroms LC, Lee Westmaas J, Bontemps-Jones J, Ramani R, Mellerson J. A content analysis of popular smartphone apps for smoking cessation. Am J Prev Med. 2013 Dec;45(6):732–6. doi: 10.1016/j.amepre.2013.07.008. - DOI - PMC - PubMed

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