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Translational Behavioral Medicine

, Volume 6, Issue 4, pp 533–545

First Online: 03 October 2016DOI: 10.1007-s13142-016-0438-0

Cite this article as: Tombor, I., Shahab, L., Brown, J. et al. Behav. Med. Pract. Policy Res. 2016 6: 533. doi:10.1007-s13142-016-0438-0


Pregnant smokers may benefit from digital smoking cessation interventions, but few have been designed for this population. The aim was to transparently report the development of a smartphone app designed to aid smoking cessation during pregnancy. The development of a smartphone app ‘SmokeFree Baby’ to help pregnant women stop smoking was guided by frameworks for developing complex interventions, including the Medical Research Council MRC, Multiphase Optimization Strategy MOST and Behaviour Change Wheel BCW. Two integrative behaviour change theories provided the theoretical base. Evidence from the scientific literature and behaviour change techniques BCTs from the BCT Taxonomy v1 informed the intervention content. The app was developed around five core modules, each with a distinct intervention target identity change, stress management, health information, promoting use of face-to-face support and behavioural substitution and available in a ‘control’ or ‘full’ version. SmokeFree Baby has been developed as part of a multiphase intervention optimization to identify the optimum combination of intervention components to include in smartphone apps to help pregnant smokers stop smoking.

KeywordsDigital interventions Smartphone application Behaviour change interventions Smoking cessation Pregnant smokers Incremental development Implications

Practice: The intervention development process of the SmokeFree Baby app can be adapted to develop future digital behaviour change interventions.

Policy: The development and content of digital smoking cessation interventions should be transparently reported.

Research: Developing a modular smoking cessation smartphone app can provide a basis for evaluating the effects of individual intervention components.

Electronic supplementary materialThe online version of this article doi:10.1007-s13142-016-0438-0 contains supplementary material, which is available to authorized users.

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Autor: Ildiko Tombor - Lion Shahab - Jamie Brown - David Crane - Susan Michie - Robert West


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