Cited by 340Smoking Behavior and CessationMindfulness and Compassion InterventionsMobile Health and mHealth Applications

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Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy

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Bricker, Jonathan B., Mull, Kristin E., Kientz, Julie A., Vilardaga, Roger, Mercer, Laina D., Akioka, Katrina J., Heffner, Jaimee L.·2014·Drug and Alcohol Dependence

DOI 10.1016/j.drugalcdep.2014.07.006PMC PMC4201179

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Abstract

Background There is a dual need for (1) innovative theory-based smartphone applications for smoking cessation and (2) controlled trials to evaluate their efficacy. Accordingly, this study tested the feasibility, acceptability, preliminary efficacy, and mechanism of behavioral change of an innovative smartphone-delivered acceptance and commitment therapy (ACT) application for smoking cessation vs. an application following US Clinical Practice Guidelines.Method Adult participants were recruited nationally into the double-blind randomized controlled pilot trial (n=196) that compared smartphone-delivered ACT for smoking cessation application (SmartQuit) with the National Cancer Institute's application for smoking cessation (QuitGuide).Results We recruited 196 participants in two months. SmartQuit participants opened their application an average of 37.2 times, as compared to 15.2 times for QuitGuide participants (p<0001). The overall quit rates were 13% in SmartQuit vs. 8% in QuitGuide (OR=2.7; 95% CI=0.8-10.3). Consistent with ACT's theory of change, among those scoring low (below the median) on acceptance of cravings at baseline (n=88), the quit rates were 15% in SmartQuit vs. 8% in QuitGuide (OR=2.9; 95% CI=0.6-20.7).Conclusions ACT is feasible to deliver by smartphone application and shows higher engagement and promising quit rates compared to an application that follows US Clinical Practice Guidelines. As results were limited by the pilot design (e.g., small sample), a full-scale efficacy trial is now needed.

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Heffner, J.L., Mull, K., Kientz, J.L., Vilardaga, R., Bricker, J.B. (in review). What is popular is not always right: feature-level analysis of the first acceptance and commitment therapy smartphone application for smoking cessation.

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Authors: Bricker, J. B., Mull, K. E., Kientz, J. A., Vilardaga, R., Mercer, L. D., Akioka, K. J., & Heffner, J. L.
Affiliations: University of Washington (US)
Fred Hutch Cancer Center (US)
Corresponding author: Bricker, Jonathan B.
ORCID: Bricker, Jonathan B.
Mull, Kristin E.
Kientz, Julie A.
Vilardaga, Roger
Mercer, Laina D.
Heffner, Jaimee L.
Venue: Drug and Alcohol Dependence
Publisher: Elsevier BV
Published: 2014-10
Volume: 143
Pages: 87-94
ISSN: 0376-8716 (ISSN-L)
DOI: 10.1016/j.drugalcdep.2014.07.006
PMC: PMC4201179
OpenAlex: W2089288064
Cited by: 340
References: 43
Citations by year: 2026: 7 · 2025: 15 · 2024: 22 · 2023: 25 · 2022: 34 · 2021: 35 · 2020: 33 · 2019: 34 · 2018: 40 · 2017: 36 · 2016: 34 · 2015: 21 · 2014: 3
FWCI: 20.83
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Drug and Alcohol Dependence (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Fred Hutchinson Cancer Research Center
Centers for Disease Control and Prevention
National Institute of Mental Health (T32MH082709)
National Institute on Drug Abuse (K99DA037276, K23DA026517)
National Cancer Institute (R01CA151251, R01CA166646)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: smoking cessation, acceptance and commitment therapy, mobile application, mobile health, quit rates, app engagement, feasibility and acceptability
MeSH terms: Adult, Double-Blind Method, Female, Humans, Male, Pilot Projects, Therapy, Computer-Assisted, Smoking Cessation, Behavior, Addictive, Treatment Outcome, Cell Phone, Mobile Applications, Acceptance and Commitment Therapy

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Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy

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