Apps for smoking cessation through Cognitive Behavioural Therapy. A review
DOI:
https://doi.org/10.20882/adicciones.1431Keywords:
Smoking cessation, Cognitive Behavioural Therapy, mobile applications.Abstract
Smoking is a health and economic problem that is difficult to eradicate. Nicotine addicts also often suffer from psychological problems such as depression and anxiety. The recommended treatment according to clinical practice guidelines (CPG) is Cognitive Behavioural therapy (CBT), alone or combined with medication. Currently, health-related apps (m Health) enable wider availability and access to this treatment. The objectives of this study are to carry out a review of the smoking cessation apps that apply CBT and to describe the techniques used by them. Following the PRISMA framework, the databases EBSCOhost, Cochrane, Web of Science and Scopus were searched for publications between 2010-2019. Four hundred fifteen studies were found and, after applying the inclusion and exclusion criteria, only five articles were eligible for systematic review. Only three apps were identified as using CBT, and the techniques most commonly used were the recording of smoking history, progress visualised through graphics, psycho-educational videos, motivation, social support through social media, and elements of gamification to reinforce adherence and abstinence behaviour. The results recommend the inclusion of smoking behaviour analysis in these types of apps, as not all of them do so, as well as an interface between the health professionals and the users to provide a personalised treatment.References
Abroms, L. C., Lee Westmaas, J., Bontemps-Jones, J., Ramani, R. y Mellerson, J. (2013). A content analysis of popular smartphone apps for smoking cessation. American Journal of Preventive Medicine, 45, 732-736. doi:10.1016/j.amepre.2013.07.008.
Alonso-Pérez, F., Alonso-Cardeñoso, C., García-González, J. V., Fraile-Cobos, J. M., Lobo-Llorente, N. y Secades-Villa, R. (2014). Efectividad de un programa multicomponente para dejar de fumar aplicado en atención primaria. Gaceta Sanitaria, 28, 222-224. doi:10.1016/j.gaceta.2013.11.002.
Alsharif, A. H. y Philip, N. (2015a). Cognitive behavioural therapy embedding smoking cessation program using smartphone Technologies. En: Libro de actas 5th World Congress on Information and Communication Technologies (WICT 2015) (pp. 134-139), Marrakech. doi:10.1109/WICT.2015.7489660.
Alsharif, A. H. y Philip, N. Y. (2015b). A framework for smoking cessation in the Kingdom Of Saudi Arabia using smart mobile phone technologies (Smoke Mind). En: Libro de Actas 2nd International Conference on Computer Science, Computer Engineering, and Social Media (CSCESM 2015) (pp. 96-102), Polonia. doi:10.1109/CSCESM.2015.7331875.
Andújar-Espinosa, R., Salinero-González, L., Castilla-Martínez, M., Castillo-Quintanilla, C., Ibañez-Meléndez, R. y Hu-Yang, C. (2018). Evaluación de aplicaciones para la deshabituación tabáquica con elementos de gamificación: elaboración y aplicación de un check-list. Revista Española de Comunicación en Salud, 9, 152-162. doi:10.20318/recs.2018.4493.
Becoña, E., Fernández, E., López-Durán, A., Martínez, Ú., Martínez, C. y Rodriguez, R. A. (2014). El tratamiento psicológico de la dependencia del tabaco. Eficacia, barreras y retos para el futuro. Papeles Del Psicólogo, 35, 161-168.
Becoña, E., Míguez, M. C., Fernandez del Río, E. y López, A. (2010). El tratamiento psicológico de los fumadores. En E. Becoña (Ed.), Dependencia del tabaco. Manual de casos clínicos (pp. 43-60). Madrid, España: Sociedad Española de Psicología Clínica, Legal y Forense.
Camarelles, F., Salvador, T., Ramón, J. M., Córdoba, R., Jiménez, C., López, V.,… López, A. (2009). Consenso sobre la atención sanitaria del tabaquismo en España. Revista Española de Salud Pública, 83, 175-200. doi:10.1590/S1135-57272009000200004.
Deiches, J. F., Baker, T. B., Lanza, S. y Piper, M. E. (2013). Early lapses in a cessation attempt: Lapse contexts, cessation success, and predictors of early lapse. Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco, 15, 1883-1891. doi:10.1093/ntr/ntt074.
Do, H. P., Tran, B. X., Le Pham, Q., Nguyen, L. H., Tran, T. T., Latkin, C. A.,… Baker, P. R. (2018). Which eHealth interventions are most effective for smoking cessation? A systematic review. Patient Preference and Adherence, 12, 2065-2084. doi:10.2147/PPA.S169397.
ENSE. (2017). Encuesta Nacional De Salud. ESPAÑA 2017 (ENSE 2017). Recuperado de http://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2017/ENSE17_MOD3_REL.pdf.
Edwards, E. A., Lumsden, J., Rivas, C., Steed, L., Edwards, L. A., Thiyagarajan, A.,… Walton, R. T. (2016). Gamification for health promotion: Systematic review of behaviour change techniques in smartphone apps. BMJ open, 6, e012447. doi:10.1136/bmjopen-2016-012447.
Fiore, M. C., Jaén, C. R., Baker, T. B., Bailey, W., Benowitz, N., Curry, S.,... Leitzke, C. (2008). Treating tobacco use and dependence: 2008 update. Public Health service clinical practice guideline executive summary. Respiratory Care, 53, 1217-1222.
Goodchild, M., Nargis, N. y Tursan d’Espaignet, E. (2018). Global economic cost of smoking-attributable diseases. Tobacco Control, 27, 58-64. doi:10.1136/tobaccocontrol-2016-053305.
Gulati, G. y Hinds, B. (2018). Smoking cessation potential of smartphone-assisted behabioral therapy coupled to programmable carbon nanotuve membrane nicotine delivery device. Critical Reviews in Therapeutic Drug Carrier Systems, 35, 495-520. doi:10.1615/CritRevTherDrugCarrierSyst.2018020331.
Hartmann-boyce, J., Stead, L. F., Cahill, K. y Lancaster, T. (2013). Efficacy of interventions to combat tobacco addiction : Cochrane update of 2012 reviews. Addiction,108, 1711-1721. doi:10.1111/add.12291.
Haskins, B. L., Lesperance, D., Gibbons, P. y Boudreaux, E. D. (2017). A systematic review of smartphone applications for smoking cessation. Translational Behavioral Medicine, 7, 292-299. doi:10.1007/s13142-017-0492-2.
Heather, N., Haffe, J. H., Peele, S. y Rho-, T. (2016). La adicción “no” es una enfermedad cerebral. Papeles del Psicólogo, 37, 118-125.
Heffner, J. L., Vilardaga, R., Mercer, L. D., Kientz, J. A. y Bricker, J. B. (2015). Feature-level analysis of a novel smartphone application for smoking cessation. The American Journal of Drug and Alcohol Abuse, 41, 68-73. doi:10.3109/00952990.2014.977486.
Jiménez-Treviño, L., Velasco, Á., Rodríguez-Revuelta, J., Abad, I., De La Fuente-Tomas, L., González-Blanco, L.,… Sáiz, P. A. (2019). Factors associated with tobacco consumption in patients with depression. Adicciones, 31, 298-308. doi:10.20882/adicciones.1191.
Kazdin, A. E. (2015). Technology-based interventions and reducing the burdens of mental illness: Perspectives and comments on the special series. Cognitive and Behavioral Practice, 22, 359-366. doi:10.1016/j.cbpra.2015.04.004.
Kreps, G. L. y Neuhauser, L. (2010). Patient education and counseling new directions in eHealth communication: Opportunities and challenges. Patient Education and Counseling, 78, 329-336. doi:10.1016/j.pec.2010.01.013.
Leal-López, E., Sánchez-Queija, I. y Moreno, C. (2019). Trend in tobacco use among adolescents in Spain (2002-2018). Adicciones, 31, 289-297. doi:10.20882/adicciones.1111.
Liberati, A., Altman, D. G., Tetzlaff, J. y Al, E. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal Clinic Epidemiologic, 62, e1-34.
Lin, Y., Tudor-Sfetea, C., Siddiqui, S., Sherwani, Y., Ahmed, M. y Eisingerich, A. B. (2018). Effective behavioral changes through a digital mHealth app: Exploring the impact of hedonic well-being, psychological empowerment and inspiration. Journal of Medical Internet Research, 20. doi:10.2196/10024.
Luxton, D. D., Mccann, R. A., Bush, N. E., Mishkind, M. C. y Reger, G. M. (2011). mHealth for Mental Health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice, 42, 505-512. doi:10.1037/a0024485.
Martínez-Vispo, C., Rodríguez-Cano, R., López-Durán, A., Senra, C., Fernández del Río, E. y Becoña, E. (2019). Cognitive-behavioral treatment with behavioral activation for smoking cessation: Randomized controlled trial. PLoS One, 14, e0214252. doi:10.1371/journal.pone.0214252.
Minami, H., Brinkman, H. R., Nahvi, S., Arnsten, J. H., Rivera-Mindt, M., Wetter, D.,… Brown, R. A. (2018). Rationale, design and pilot feasibility results of a smartphone-assisted, mindfulness-based intervention for smokers with mood disorders: Project mSMART MIND. Contemporary Clinical Trials, 66, 36-44. doi:10.1016/j.cct.2017.12.014.
Naughton, F. (2016). Delivering “Just-In-Time” smoking cessation support via mobile phones: Current knowledge and future directions. Nicotine & Tobacco Research, 19, 379-383. doi:10.1093/ntr/ntw143.
NICE. (2018). Stop smoking interventions and services. Recuperado de https://www.nice.org.uk/guidance/ng92/resources/stop-smoking-interventions-and-services-pdf-1837751801029.
Nijhof, S. L., Bleijenberg, G., Uiterwaal, C. S. P. M., Kimpen, J. L. L. y Putte, E. M. Van De. (2012). Effectiveness of internet-based cognitive behavioural treatment for adolescents with chronic fatigue syndrome (FITNET): A randomised controlled trial. The Lancet, 379, 1412-1418. doi:10.1016/S0140-6736(12)60025-7.
Öberg, M., Jaakkola, M. S., Woodward, A., Peruga, A. y Prüss-Ustün, A. (2011). Worldwide burden of disease from exposure to second-hand smoke: A retrospective analysis of data from 192 countries. The Lancet, 377, 139-146. doi:10.1016/S0140-6736(10)61388-8.
OMS (2019). La OMS destaca la enorme magnitud de la mortalidad por enfermedades pulmonares relacionadas con el tabaco. Recuperado de https://www.who.int/es/news-room/detail/29-05-2019-who-highlights-huge-scale-of-tobacco-related-lung-disease-deaths.
Raich, A., Martínez-Sánchez, J., Marquilles, E., Rubio, L., Fu, M. y Fernández, E. (2015). Smoking cessation after 12 months with multi-component therapy. Adicciones, 27. doi:10.20882/adicciones.27.1.
Regmi, K., Kassim, N., Ahmad, N. y Tuah, N. A. (2017). Effectiveness of Mobile Apps for Smoking Cessation: A Review. Tobacco Prevention & Cessation, 3. doi:10.18332/tpc/70088.
Stead, L. F., Koilpillai, P. y Lancaster, T. (2015). Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation. Cochrane Database of Systematic Reviews, 10. doi:10.1002/14651858.CD009670.pub3.www.cochranelibrary.com.
Thomas, D., Abramson, M. J., Bonevski, B. y George, J. (2017). System change interventions for smoking cessation. Cochrane Database of Systematic Reviews, 2. doi:10.1002/14651858.CD010742.pub2.
Tudor-Sfetea, C., Rabee, R., Najim, M., Amin, N., Chadha, M., Jain, M.,… Eisingerich, A. B. (2018). Evaluation of two mobile health apps in the context of smoking cessation: Qualitative study of cognitive behavioral therapy (CBT) versus Non-CBT-based digital solutions. Journal of Medical Internet Research
Mhealth Uhealth, 6, e98. doi:10.2196/mhealth.9405.
UK Government. (2017). Cost of smoking to the NHS in England: 2015. Recuperado de https://www.gov.uk/government/publications/cost-of-smoking-to-the-nhs-in-england-2015/cost-of-smoking-to-the-nhs-in-england-2015.
Whittaker, R., McRobbie, H., Bullen, C., Rodgers, A. y Gu, Y. (2016). Mobile phone-based interventions for smoking cessation. The Cochrane Database of Systematic Reviews, 4, CD006611. doi:10.1002/14651858.CD006611.pub4.


