Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation

ObjectiveTo develop a theoretical framework for stage-based, individualized mobile smoking cessation interventions to guide the design of smoking cessation applications (APPs). MethodsA systematic literature review of studies of smoking cessation APPs was conducted from December 2023 to January 2024...

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Main Authors: Shuilian CHU, Hang JING, Lirong LIANG, Jun LI
Format: Article
Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2024-10-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1144459
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author Shuilian CHU
Hang JING
Lirong LIANG
Jun LI
author_facet Shuilian CHU
Hang JING
Lirong LIANG
Jun LI
author_sort Shuilian CHU
collection DOAJ
description ObjectiveTo develop a theoretical framework for stage-based, individualized mobile smoking cessation interventions to guide the design of smoking cessation applications (APPs). MethodsA systematic literature review of studies of smoking cessation APPs was conducted from December 2023 to January 2024. Classic behavior change theories applied in existing smoking cessation APPs were adapted through literature review and expert consultation to establish a motivation-ability-prompt-reflect/reward (MAPR) model. Based on the established MAPR model, theoretical framework for a stage-based, individualized mobile smoking cessation interventions was constructed. Using the constructed theoretical framework, two experts classified intervention strategies within the functional modules of two smoking cessation APPs, and a consistency ratio was calculated to assess the reliability of the framework. ResultsThe theoretical framework constructed is divided into three layers. The first layer includes five core intervention elements: motivation, capability, prompting, reflection, and reward. The second layer defines five stages of cessation experienced by smokers: contemplation, preparation, action, maintenance, and relapse. The third layer consists of nine intervention strategies that can induce behavioral change in smoking cessation: empathy, education, training, incentives, environmental restructuring, modeling, reminders, feedback, and resources and tools that can be used interchangeably across the five stages of smoking cessation. The agreement rates of the intervention strategy classification for two smoking cessation APPs were 88% and 90%, respectively. ConclusionThe stage-based, individualized mobile smoking cessation intervention framework developed in this study provides a concise theoretical framework for the development of professional smoking cessation APPs.
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language zho
publishDate 2024-10-01
publisher Editorial Office of Chinese Journal of Public Health
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spelling doaj-art-6c5b9fa641a2445a9050a336c1cbc2292025-01-23T05:11:54ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-10-0140101249125310.11847/zgggws11444591144459Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultationShuilian CHU0Hang JING1Lirong LIANG2Jun LI3Beijing Institute of Respiratory Diseases, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaBeijing Institute of Respiratory Diseases, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaBeijing Institute of Respiratory Diseases, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing 100875, ChinaObjectiveTo develop a theoretical framework for stage-based, individualized mobile smoking cessation interventions to guide the design of smoking cessation applications (APPs). MethodsA systematic literature review of studies of smoking cessation APPs was conducted from December 2023 to January 2024. Classic behavior change theories applied in existing smoking cessation APPs were adapted through literature review and expert consultation to establish a motivation-ability-prompt-reflect/reward (MAPR) model. Based on the established MAPR model, theoretical framework for a stage-based, individualized mobile smoking cessation interventions was constructed. Using the constructed theoretical framework, two experts classified intervention strategies within the functional modules of two smoking cessation APPs, and a consistency ratio was calculated to assess the reliability of the framework. ResultsThe theoretical framework constructed is divided into three layers. The first layer includes five core intervention elements: motivation, capability, prompting, reflection, and reward. The second layer defines five stages of cessation experienced by smokers: contemplation, preparation, action, maintenance, and relapse. The third layer consists of nine intervention strategies that can induce behavioral change in smoking cessation: empathy, education, training, incentives, environmental restructuring, modeling, reminders, feedback, and resources and tools that can be used interchangeably across the five stages of smoking cessation. The agreement rates of the intervention strategy classification for two smoking cessation APPs were 88% and 90%, respectively. ConclusionThe stage-based, individualized mobile smoking cessation intervention framework developed in this study provides a concise theoretical framework for the development of professional smoking cessation APPs.https://www.zgggws.com/article/doi/10.11847/zgggws1144459mobile healthstagingindividualizationsmoking cessation interventionbehavior change theorytheoretical framework
spellingShingle Shuilian CHU
Hang JING
Lirong LIANG
Jun LI
Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
Zhongguo gonggong weisheng
mobile health
staging
individualization
smoking cessation intervention
behavior change theory
theoretical framework
title Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
title_full Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
title_fullStr Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
title_full_unstemmed Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
title_short Development of a theoretical framework based on the MAPR model for stage-based, individualized mobile smoking cessation interventions through systematic literature review and expert consultation
title_sort development of a theoretical framework based on the mapr model for stage based individualized mobile smoking cessation interventions through systematic literature review and expert consultation
topic mobile health
staging
individualization
smoking cessation intervention
behavior change theory
theoretical framework
url https://www.zgggws.com/article/doi/10.11847/zgggws1144459
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