Smoking cessation app with real-time support nearly doubles quit rates in clinical trial

A smartphone app that delivers real-time, tailored messages may hold the key to helping them quit, according to University of Oklahoma clinical trial results published in JAMA Network Open.

The clinical trial compared two different smartphone tobacco cessation apps: Smart-T, which was developed by OU researchers, and QuitGuide, a product of the National Cancer Institute.

Smart-T is designed to gauge users’ risk of smoking throughout the day and to respond in real time with custom messages depending on what people are experiencing. QuitGuide is a static app that allows users to track their cravings and provides tips for resisting the urge to smoke. After six months of using the apps, those who used Smart-T were nearly twice as likely to have quit smoking than those who used the QuitGuide app.

“Smart-T is like having a tobacco cessation counselor in your pocket. While a combination of behavioral counseling and medication is the most effective way to quit smoking, in-person counseling may not be practical for everyone, especially those facing barriers like transportation or busy schedules. With Smart-T, our motivation is to make the app comparable to standard counseling treatments,” said the study’s lead author, Emily Hébert, DrPH, a member of the TSET Health Promotion Research Center (HPRC) at OU Health Stephenson Cancer Center and an assistant professor of family and preventive medicine in the OU College of Medicine.

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