The Experts below are selected from a list of 16605 Experts worldwide ranked by ideXlab platform
Jonathan B Bricker - One of the best experts on this subject based on the ideXlab platform.
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a Smartphone App designed to help cancer patients stop smoking results from a pilot randomized trial on feasibility acceptability and effectiveness
JMIR Formative Research, 2020Co-Authors: Jaimee L Heffner, Kristin E Mull, Jonathan B Bricker, Noreen L Watson, Brianna Sullivan, Diana Kwon, Johann Lee Westmaas, Jamie S OstroffAbstract:Background Persistent smoking after a cancer diagnosis predicts worse treatment outcomes and mortality, but access to effective smoking cessation interventions is limited. Smartphone Apps can address this problem by providing a highly accessible, low-cost smoking cessation intervention designed for patients with a recent cancer diagnosis. Objective This study aimed to summarize our development process and report the trial design, feasibility, participant acceptability, preliminary effectiveness, and impact on processes of change (eg, cancer stigma) of the first-known smoking cessation Smartphone App targeted for cancer patients. Methods We used an agile, user-centered design framework to develop a fully automated Smartphone App called Quit2Heal that provided skills training and stories from cancer survivors focusing on coping with internalized shame, cancer stigma, depression, and anxiety as core triggers of smoking. Quit2Heal was compared with the National Cancer Institute's QuitGuide, a widely used stop smoking App for the general population, in a pilot double-blinded randomized trial with a 2-month follow-up period. Participants were 59 adult smokers diagnosed with cancer within the past 12 months and recruited through 2 cancer center care networks and social media over a 12-month period. The most common types of cancer diagnosed were lung (21/59, 36%) and breast (10/59, 17%) cancers. The 2-month follow-up survey retention rate was 92% (54/59) and did not differ by study arm (P=.15). Results Compared with QuitGuide participants, Quit2Heal participants were more satisfied with their assigned App (90% [19/21] for Quit2Heal vs 65% [17/26] for QuitGuide; P=.047) and were more likely to report that the App assigned to them was made for someone like them (86% [18/21] for Quit2Heal vs 62% [16/26] for QuitGuide; P=.04). Quit2Heal participants opened their App a greater number of times during the 2-month trial period, although this difference was not statistically significant (mean 10.0, SD 14.40 for Quit2Heal vs mean 6.1, SD 5.3 for QuitGuide; P=.33). Self-reported 30-day point prevalence quit rates at the 2-month follow-up were 20% (5/25) for Quit2Heal versus 7% (2/29) for QuitGuide (odds ratio 5.16, 95% CI 0.71-37.29; P=.10). Quit2Heal participants also showed greater improvement in internalized shame, cancer stigma, depression, and anxiety, although these were not statistically significant (all P>.05). Conclusions In a pilot randomized trial with a high short-term retention rate, Quit2Heal showed promising acceptability and effectiveness for helping cancer patients stop smoking. Testing in a full-scale randomized controlled trial with a longer follow-up period and a larger sample size is required to test the effectiveness, mediators, and moderators of this promising digital cessation intervention. Trial registration ClinicalTrials.gov NCT03600038; https://clinicaltrials.gov/ct2/show/NCT03600038.
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a pilot randomized controlled trial of a web based growth mindset intervention to enhance the effectiveness of a Smartphone App for smoking cessation
Jmir mhealth and uhealth, 2019Co-Authors: Jaimee L Heffner, Jonathan B Bricker, Vasundhara Sridharan, Yuichi ShodaAbstract:Background Although Smartphone Apps have shown promise for smoking cessation, there is a need to enhance their low engagement rates. This study evaluated the Application of the growth mindset theory, which has demonstrated the potential to improve persistence in behavior change in other domains, as a means to improve engagement and cessation. Objective This study aimed to explore the feasibility, utility, and efficacy of a Web-based growth mindset intervention for addiction when used alongside a smoking cessation App. Methods Daily smokers (N=398) were all recruited on the Web and randomly assigned to receive either a cessation App alone or the App plus a Web-delivered growth mindset intervention. The primary outcome was engagement, that is, the number of log-ins to the smoking cessation App. The secondary outcome was 30-day point prevalence abstinence at 2-month follow-up collected through a Web-based survey. Results The 2-month outcome data retention rate was 91.5% (364/398). In addition, 77.9% (310/398) of the participants in the experimental arm viewed at least 1 page of their growth mindset intervention, and 21.1% (84/398) of the group viewed all the growth mindset intervention. The intention-to-treat analysis did not show statistically significant differences between the experimental and comparison arms on log-ins to the App (19.46 vs 21.61; P=.38). The experimental arm had cessation rates, which trended higher than the comparison arm (17% vs 13%; P=.10). The modified intent-to-treat analysis, including only participants who used their assigned intervention at least once (n=115 in experimental group and n=151 in the control group), showed that the experimental arm had a similar number of log-ins (32.31 vs 28.48; P=.55) but significantly higher cessation rates (21% vs 13%; P=.03) than the comparison arm. Conclusions A growth mindset intervention for addiction did not increase engagement rates, although it may increase cessation rates when used alongside a Smartphone App for smoking cessation. Future research is required to refine the intervention and assess efficacy with long-term follow-up to evaluate the efficacy of the mindset intervention. Trial registration ClinicalTrials.gov NCT03174730; https://clinicaltrials.gov/ct2/show/NCT03174730.
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predictors of utilization of a novel smoking cessation Smartphone App
Telemedicine Journal and E-health, 2015Co-Authors: Emily Y Zeng, Roger Vilardaga, Jaimee L Heffner, Kristin E Mull, Jonathan B BrickerAbstract:Abstract Background: Understanding the characteristics of high and low utilizers of Smartphone Applications (Apps) for smoking cessation would inform development of more engaging and effective Apps, yet no studies to date have addressed this critical question. Informed by prior research on predictors of cessation Web site utilization, this study examines the degree to which baseline demographic factors (gender, age, and education), smoking-related factors (smoking level and friends' smoking), and psychological factors (depression and anxiety) are predictive of utilization of a Smartphone App for smoking cessation called SmartQuit. Materials and Methods: Data came from 98 participants randomized to SmartQuit as part of a pilot trial from March to May 2013. We used negative binomial count regressions to examine the relationship between user characteristics and utilization of the App over an 8-week treatment period. Results: Lower education (risk ratio [RR]=0.492; p=0.021), heavier smoking (RR=0.613; p=0.033...
Emily Y Zeng - One of the best experts on this subject based on the ideXlab platform.
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predictors of utilization of a novel smoking cessation Smartphone App
Telemedicine Journal and E-health, 2015Co-Authors: Emily Y Zeng, Roger Vilardaga, Jaimee L Heffner, Kristin E Mull, Jonathan B BrickerAbstract:Abstract Background: Understanding the characteristics of high and low utilizers of Smartphone Applications (Apps) for smoking cessation would inform development of more engaging and effective Apps, yet no studies to date have addressed this critical question. Informed by prior research on predictors of cessation Web site utilization, this study examines the degree to which baseline demographic factors (gender, age, and education), smoking-related factors (smoking level and friends' smoking), and psychological factors (depression and anxiety) are predictive of utilization of a Smartphone App for smoking cessation called SmartQuit. Materials and Methods: Data came from 98 participants randomized to SmartQuit as part of a pilot trial from March to May 2013. We used negative binomial count regressions to examine the relationship between user characteristics and utilization of the App over an 8-week treatment period. Results: Lower education (risk ratio [RR]=0.492; p=0.021), heavier smoking (RR=0.613; p=0.033...
Judson A Brewer - One of the best experts on this subject based on the ideXlab platform.
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craving to quit a randomized controlled trial of Smartphone App based mindfulness training for smoking cessation
Nicotine & Tobacco Research, 2020Co-Authors: Kathleen A Garrison, Prasanta Pal, Stephanie S Omalley, Brian Pittman, Ralitza Gueorguieva, Rahil Rojiani, Dustin Scheinost, Jesse Dallery, Judson A BrewerAbstract:INTRODUCTION Mindfulness training may reduce smoking rates and lessen the association between craving and smoking. This trial tested the efficacy of mindfulness training via Smartphone App to reduce smoking. Experience sampling (ES) was used to measure real-time craving, smoking, and mindfulness. METHODS A researcher-blind, parallel randomized controlled trial compared the efficacy of mobile mindfulness training with experience sampling (MMT-ES; Craving to Quit) versus experience sampling only (ES) to (1) increase 1-week point-prevalence abstinence rates at 6 months, and (2) lessen the association between craving and smoking. A modified intent-to-treat Approach was used for treatment starters (MMT-ES n = 143; ES n = 182; 72% female, 81% white, age 41 ± 12 year). RESULTS No group difference was found in smoking abstinence at 6 months (overall, 11.1%; MMT-ES, 9.8%; ES, 12.1%; χ2(1) = 0.43, p = .51). From baseline to 6 months, both groups showed a reduction in cigarettes per day (p < .0001), craving strength (p < .0001) and frequency (p < .0001), and an increase in mindfulness (p < .05). Using ES data, a craving by group interaction was observed (F(1,3785) = 3.71, p = .05) driven by a stronger positive association between craving and cigarettes per day for ES (t = 4.96, p < .0001) versus MMT-ES (t = 2.03, p = .04). Within MMT-ES, the relationship between craving and cigarettes per day decreased as treatment completion increased (F(1,104) = 4.44, p = .04). CONCLUSIONS Although mindfulness training via Smartphone App did not lead to reduced smoking rates compared with control, our findings provide preliminary evidence that mindfulness training via Smartphone App may help lessen the association between craving and smoking, an effect that may be meaningful to support quitting in the longer term. IMPLICATIONS This is the first reported full-scale randomized controlled trial of any Smartphone App for smoking cessation. Findings provide preliminary evidence that Smartphone App-based MMT-ES may lessen the association between craving and smoking. TRIAL REGISTRATION Clinicaltrials.gov NCT02134509.
Roger Vilardaga - One of the best experts on this subject based on the ideXlab platform.
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predictors of utilization of a novel smoking cessation Smartphone App
Telemedicine Journal and E-health, 2015Co-Authors: Emily Y Zeng, Roger Vilardaga, Jaimee L Heffner, Kristin E Mull, Jonathan B BrickerAbstract:Abstract Background: Understanding the characteristics of high and low utilizers of Smartphone Applications (Apps) for smoking cessation would inform development of more engaging and effective Apps, yet no studies to date have addressed this critical question. Informed by prior research on predictors of cessation Web site utilization, this study examines the degree to which baseline demographic factors (gender, age, and education), smoking-related factors (smoking level and friends' smoking), and psychological factors (depression and anxiety) are predictive of utilization of a Smartphone App for smoking cessation called SmartQuit. Materials and Methods: Data came from 98 participants randomized to SmartQuit as part of a pilot trial from March to May 2013. We used negative binomial count regressions to examine the relationship between user characteristics and utilization of the App over an 8-week treatment period. Results: Lower education (risk ratio [RR]=0.492; p=0.021), heavier smoking (RR=0.613; p=0.033...
Francesco Pagnini - One of the best experts on this subject based on the ideXlab platform.
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mindful age and technology a qualitative analysis of a tablet Smartphone App intervention designed for older adults
Integrative Psychological and Behavioral Science, 2020Co-Authors: Francesco Vailati Riboni, Benedetta Comazzi, Francesco Pagnini, Isabel SadowskiAbstract:The global population is aging while modern healthcare systems are responding with limited success to the growing care demands of the senior population. Capitalizing on recent technological advancements, new ways to improve older adults' quality of life have recently been implemented. The current study investigated, from a qualitative point of view, the utility of a mindfulness-based Smartphone Application for older adults. A description of the older adults' experience with the Smartphone Application designed to enhance well-being and mindfulness will be presented. Participants'general beliefs about the benefits of technology for personal well-being will also be discussed. 68 older adults were recruited from different education centers for seniors. Participants were randomly assigned to two groups: a) a treatment group, which received the Smartphone Application intervention (n = 34), or b) a waitlist control group (n = 34). The experimental intervention included the utilization of a Smartphone App designed specifically for improving older adult well-being and mindfulness levels. Participants completed semi-structured interviews evaluating participants' treatment experience and technology-acceptance at recruitment (T0, baseline) and post-intervention (T1, post-intervention). Through thematic analysis, four themes were identified from verbatim responses of both interviews: Utility of technology for health, Impressions of technology, Mindful-benefits of Smartphone Application usage, and Smartphone Application usage as a means to improve interpersonal relationships. Participants showed a positive experience of the App intervention. Qualitative analysis underlined the main Mindfulness-benefits reported by participants and the potentially crucial role of "Langerian" mindfulness in the relationship between older adults and health technology.
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Mindful Age and Technology: a Qualitative Analysis of a Tablet/Smartphone App Intervention Designed for Older Adults
Integrative Psychological and Behavioral Science, 2020Co-Authors: Francesco Vailati Riboni, Benedetta Comazzi, Isabel Sadowski, Francesco PagniniAbstract:The global population is aging while modern healthcare systems are responding with limited success to the growing care demands of the senior population. Capitalizing on recent technological advancements, new ways to improve older adults’ quality of life have recently been implemented. The current study investigated, from a qualitative point of view, the utility of a mindfulness-based Smartphone Application for older adults. A description of the older adults’ experience with the Smartphone Application designed to enhance well-being and mindfulness will be presented. Participants’general beliefs about the benefits of technology for personal well-being will also be discussed. 68 older adults were recruited from different education centers for seniors. Participants were randomly assigned to two groups: a) a treatment group, which received the Smartphone Application intervention ( n = 34), or b) a waitlist control group (n = 34). The experimental intervention included the utilization of a Smartphone App designed specifically for improving older adult well-being and mindfulness levels. Participants completed semi-structured interviews evaluating participants’ treatment experience and technology-acceptance at recruitment (T0, baseline) and post-intervention (T1, post-intervention). Through thematic analysis, four themes were identified from verbatim responses of both interviews: Utility of technology for health, Impressions of technology, Mindful-benefits of Smartphone Application usage, and Smartphone Application usage as a means to improve interpersonal relationships. Participants showed a positive experience of the App intervention. Qualitative analysis underlined the main Mindfulness-benefits reported by participants and the potentially crucial role of “Langerian” mindfulness in the relationship between older adults and health technology.
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mindful age and technology promoting quality of life in older adults with a tablet Smartphone App
International Conference on Pervasive Computing, 2018Co-Authors: Francesco Vailati Riboni, Benedetta Comazzi, Gianluca Castelnuovo, Enrico Molinari, Francesco PagniniAbstract:Based on the Langerian definition of mindfulness, we created a Smartphone App to promote cognitive flexibility, curiosity, novelty seeking, and creativity in a population of older adults. So far, we have tested it on 68 participants, randomly assigned to the experimental group or to a wait-list control group. Between group comparisons failed to detect a significant effect on quality of life, though qualitative analysis report a positive impact of the App over participants’ lives.