Table 3.
Compliance with clinical practice guidelines on smoking cessation
| Sections | Component | Criteria Y = criteria met, N = criteria not met, NC = not enough information to judge the criteria, Yes = 18(50%), No = 10 (27.8%.2), NC = 8(22.2%) | Observation | |
|---|---|---|---|---|
| Level 1 Intervention ABC Approach | Ask | Status of tobacco use for every app user, based on do you smoke or use any form of tobacco | NC | 40% |
| Classify the users as current, former, never, or passive smokers | NC | |||
| Brief advice | Stop-tobacco-use advice to smokers regardless of intention to quit | Y | ||
| Triggering message that links to smokers existing tobacco related medical condition | NC | |||
| Cessation referral | Do app features contain or provide information on cessation referral (smoking cessation counselling, pharmacotherapy or smoking cessation clinic or all) | Y | ||
| Level 2 Intensive Intervention 5A approach | Ask | Smoking cessation status/classify smoking status | N | 53% |
| Numbers of cigarettes smoked per day | Y | |||
| Duration of smoking | Y | |||
| Previous quit attempts (method, duration, what helped and what did not help) | N | |||
| Reasons for relapse | N | |||
| Medical conditions such as high blood pressure, heart attack, stroke, DM, hypercholesterolemia, chronic lungs disease | N | |||
| Family history of high blood pressure, heart attack, stroke, diabetes, lung cancer, other cancer | N | |||
| Contains positive reinforcement for non-smokers | Y | |||
| Assess | The smokers degree of nicotine addiction (Fagerstrom score ) | Y | ||
| Advice | Information on harmful effects of tobacco | Y | ||
| Information on relapse | Y | |||
| Common fears and concerns about quitting | Y | |||
| Tailored messages according to users medical conditions | N | |||
| Patient readiness to stop smoking | NC | |||
| Assist | Contains features to set quit date | N | ||
| Sharing or getting help from friends, family, app community | Y | |||
| Message and technique on problem solving | NC | |||
| Arrange | Have features to set follow up session or hotline or online help | Y | ||
| Have information on behavioural technique (delay /escape/ avoid/distract technique) | Y | |||
| Motivational Intervention The 5R approach | Relevance | Does the app have features or information that encourage the users to indicate why quitting is personally relevant | Y | 57% |
| Risk | Does the app information demonstrate short term/long term or environmental risk of smoking? | Y | ||
| Enables or provides potential negative consequences of tobacco | Y | |||
| Reward | Does the app information demonstrate potential benefits of quitting? | Y | ||
| Is the information tailored? | N | |||
| Roadblocks | Enables smokers to identify barriers to quitting and suggests solution to those barriers? | NC | ||
| Repetition | App has features of reminder of quit date | NC | ||
| Pharmacotherapy | NRT/Varenicline | Availability | Y | 40% |
| Remind patient to stop smoking with the use | Y | |||
| Strategies to address withdrawal and relapses | NC | |||
| Information on duration of use, dose, adverse reaction and contraindication for use | N | |||
| Mechanism of action, dose, side effects and warning and contraindication | NC | |||
| Compliance Inter-Rater reliability | 50% 85% |
NRT- Nicotine Replacement Therapy