title: Development of a Just-in-Time Adaptive Intervention for Smoking Cessation Among Korean American Emerging Adults.
abstract: Cigarette smoking is a preventable risk factor that contributes to unnecessary lung cancer burden among Korean Americans and there is limited research on effective smoking cessation strategies for this population. Smartphone-based smoking cessation apps that leverage just-in-time adaptive interventions (JITAIs) hold promise for smokers attempting to quit. However, little is known about how to develop and tailor a smoking cessation JITAI for Korean American emerging adult (KAEA) smokers.
  
  
  
  This paper documents the development process of MyQuit USC according to design guidelines for JITAI. Our development process builds on findings from a prior ecological momentary assessment study by using qualitative research methods. Semi-structured interviews and a focus group were conducted to inform which intervention options to offer and the decision rules that dictate their delivery.
  
  
  
  Qualitative findings highlighted that (1) smoking episodes are highly context-driven and that (2) KAEA smokers believe they need personalized cessation strategies tailored to different contexts. Thus, MyQuit USC operates via decision rules that guide the delivery of personalized implementation intentions, which are contingent on dynamic factors, to be delivered "just in time" at user-scheduled, high-risk smoking situations.
  
  
  
  Through an iterative design process, informed by quantitative and qualitative formative research, we developed a smoking cessation JITAI tailored specifically for KAEA smokers. Further testing is under way to optimize future versions of the app with the most effective intervention strategies and decision rules. MyQuit USC has the potential to provide cessation support in real-world settings, when KAEAs need them the most.
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 3rd Floor, Los Angeles, CA, 90032, USA. Cerrada@usc.edu.
authors.forename: Christian Jules
authors.initials: CJ
authors.lastname: Cerrada
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 3rd Floor, Los Angeles, CA, 90032, USA.
authors.forename: Eldin
authors.initials: E
authors.lastname: Dzubur
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 3rd Floor, Los Angeles, CA, 90032, USA.
authors.forename: Kacie C A
authors.initials: KCA
authors.lastname: Blackman
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Vickie
authors.initials: V
authors.lastname: Mays
authors.affiliation: University of California, Los Angeles, CA, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Shoptaw
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, 3rd Floor, Los Angeles, CA, 90032, USA.
authors.forename: Jimi
authors.initials: J
authors.lastname: Huh
mesh_terms: D000328:Adult; D001213:Asian; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D012307:Risk Factors; D000068997:Smartphone; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000379:methods*; D055815:Young Adult
keywords: Just-in-time adaptive intervention; Mobile health; Smoking cessation