Senior Research Associate, Behavioural Science Group, University of Cambridge
Mobile phone behavior change interventions and smoking cessation
I am a health psychologist and addiction researcher with a primary research interest in investigating how new technologies, particularly mobile phones, can support smoking-related behaviour change. Mobile phone behaviour change interventions have real potential to make a significant public health impact given their wide-reach, low-cost and potential to intervene in real-time; our mobiles are rarely more than an arm’s reach away from us. The fellowship I have received from the SSA will enable me continue my work, with the help of colleagues and collaborators, to investigate the potential to address important gaps in NHS smoking cessation support with mobile phone-based smoking cessation interventions: https://vimeo.com/194363311
Support gap 1 – pregnant smokers have a narrow range of cessation support options
Most pregnant smokers are interested in receiving support to help them quit. However, only a small proportion engage with the NHS Stop Smoking Services. Mobile phone-based self-help support could bypass many of the barriers to accessing these services. During my PhD I developed and evaluated an automated SMS text message programme to help pregnant smokers quit smoking (MiQuit), which tailors self-help support to the individual’s characteristics. During the fellowship I will explore, with colleagues, who and how many pregnant smokers would make use of this type of support programme when made available in different real-world settings (antenatal, retail and online). Using data from a randomised controlled trial, I will also assess whether the MiQuit programme influences smoking behaviour in the way we expect e.g. via changing smoking-related beliefs. This will help us refine it to increase its effectiveness.
Support gap 2 – pregnant smokers have low adherence to Nicotine Replacement Therapy
While self-help can be effective for some pregnant smokers, for others nicotine withdrawal can significantly hamper their efforts to quit. Nicotine Replacement Therapy (NRT) is recommended for use in pregnancy by the National Institute for Health and Care Excellence (NICE) for those failing to quit using other methods. However, clinical trials have found that NRT without significant adherence support results in less than 20% of pregnant smokers using it continuously. I will explore why pregnant smokers discontinue using NRT by analysing one-to-one qualitative interview data and assess what types of adherence interventions might be effective by reviewing the literature. I will then design a prototype intervention for promoting adherence to NRT using tailored text messaging, which could be used independently or in combination with other support (e.g. MiQuit).
Support gap 3 – lack of support for smokers to manage cues to smoke from their environment
Most smoking cessation support available to smokers is not synchronised with when a smoker most needs advice or support. This is an important gap as triggers or cues to smoke from a smoker’s environment are implicated in almost half of all smoking lapses. With computer science colleagues, I have designed a smartphone app (Q Sense) which combines location sensor data from the phone with a smoking logging system to learn about the locations and context of individuals’ smoking behaviour. Q Sense then delivers real-time behavioural support triggered by a smoker’s proximity to a location the app has learned is high risk for smoking for that individual. During the fellowship I will coordinate studies exploring the feasibility and acceptability of Q Sense to inform its continued development and will analyse Q Sense data to expand on what little we know about the micro-environmental triggers of smoking.