Lin, H., Lin, Y., Zheng, Y., Liu, Z., & Chang, C. (2019). Design, development and randomised controlled trial of a smartphone application, ‘QinTB’, for smoking cessation in tuberculosis patients: Study protocol. BMJ Open, 9(12), 1-13. https://doi.org/10.1136/bmjopen-2019-031204.  

Abstract:

Introduction: Providing smoking cessation treatment is an important intervention for tuberculosis (TB) patients. Mobile technologies, such as smartphone applications, have shown promising potential. However, there are few effective applications that could support TB patients in their efforts to quit smoking. To address this problem, we will develop a smartphone application 'QinTB' to help TB patients quit smoking, and we will evaluate the clinical efficacy of this application by using a randomised controlled trial (RCT). Methods and analysis: This is a two-step study. In the first step, we will develop a smartphone application based on an interactive application of the transtheoretical model and protection motivation theory. Then, we will perform an RCT using a two-arm design; a total of 400 patients will be randomly assigned to the application group or the doctors' advice group; both treatments will be 6 months and follow-up will be 12 months; the primary outcome is the biochemically verified 6 month sustained abstinence rate; data will be analysed on an intention-to-treat basis. Ethics and dissemination: This study was approved by the Ethics Committee of Beijing Research Institute for Tuberculosis Control and Prevention. We will disseminate the findings of this study through peer-reviewed publications and conference presentations.

Additional Materials

  • Quit

  • Abstinence

  • Ancillary

    • Quit Date

Behavior Change Techniques

  • 1.2 Problem Solving

  • 1.3 Goal Setting (Outcome)

  • 1.4 Action Planning

  • 1.5 Review Behavior Goal(s)

  • 1.7 Review Outcome Goal(s)

  • 1.9 Commitment

  • 2.2 Feedback on Behavior

  • 2.3 Self-Monitoring of Behavior

  • 2.4 Self-Monitoring of Outcomes of Behaviors

  • 2.6 Biofeedback

  • 3.1 Social Support

  • 3.2 Practical Social Support

  • 4.1 Instruction on How to Perform a Behavior

  • 5.1 Information about Health Consequences

  • 5.2 Salience of Consequences

  • 5.3 Information About Social & Environmental Consequences

  • 6.2 Social Comparison

  • 6.3 Information about Others’ Approval

  • 7.1 Prompts/Cues

  • 7.3 Reduce Prompts / Cues

  • 8.1 Behavioral Practice / Rehersal

  • 8.2 Behavioral Substitution

  • 8.7 Graded Tasks

  • 9.1 Credible Source

  • 9.2 Pros and Cons

  • 9.3 Comparative Imagining of Future Outcomes

  • 11.2 Reduce Negative Emotions

  • 12.1 Restructuring the Physical Environment

  • 12.2 Restructuring the Social Environment

  • 12.3 Avoiding / Reducing Exposure to Cues for Behavior

  • 12.4 Distraction

  • 12.5 Adding Objects to the Environments

  • 12.6 Body Changes

  • 13.1 Identification of Self as Role Model

  • 13.2 Framing/Reframing

  • 13.3 Incompatible beliefs

  • 13.4 Valued Self-Identity

  • 13.5 Identity Associated with Changed Behavior

  • 15.1 Verbal Persuasion About Capability

  • 15.2 Mental Rehearsal of Successful Performance

  • 15.3 Focus on Past Success

  • 15.4 Self-Talk

Materials