title: Development of a Multi-Behavioral mHealth App for Women Smokers.
abstract: This article describes the development of the See Me Smoke-Free™ (SMSF) mobile health application, which uses guided imagery to support women in smoking cessation, eating a healthy diet, and increasing physical activity. Focus group discussions, with member checks, were conducted to refine the intervention content and app user interface. Data related to the context of app deployment were collected via user testing sessions and internal quality control testing, which identified and addressed functionality issues, content problems, and bugs. Interactive app features include playback of guided imagery audio files, notification pop-ups, award-sharing on social media, a tracking calendar, content resources, and direct call to the local tobacco quitline. Focus groups helped design the user interface and identified several themes for incorporation into app content, including positivity, the rewards of smoking cessation, and the integrated benefits of maintaining a healthy lifestyle. User testing improved app functionality and usability on many Android phone models. Changes to the app content and function were made iteratively by the development team as a result of focus group and user testing. Despite extensive internal and user testing, unanticipated data collection and reporting issues emerged during deployment due not only to the variety of Android software and hardware but also to individual phone settings and use.
authors.affiliation: a Department of Family & Community Medicine , University of Arizona , Tucson , Arizona , USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Armin
authors.affiliation: b Department of Computer Science , University of Arizona , Tucson , Arizona , USA.
authors.forename: Thienne
authors.initials: T
authors.lastname: Johnson
authors.affiliation: c Department of Nutritional Sciences , University of Arizona , Tucson , Arizona , USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Hingle
authors.affiliation: d Department of Sports Sciences , West Virginia University , Morgantown , West Virginia , USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Giacobbi
authors.affiliation: a Department of Family & Community Medicine , University of Arizona , Tucson , Arizona , USA.
authors.forename: Judith S
authors.initials: JS
authors.lastname: Gordon
mesh_terms: D000293:Adolescent; D000328:Adult; D000072001:Diet, Healthy / Q000523:psychology; D015444:Exercise / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D063731:Mobile Applications; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology; D017216:Telemedicine; D055815:Young Adult