Use of a Smartphone Self-assessment App for a Tobacco-Induced Disease (COPD, Cardiovascular Diseases, Cancer) Screening Strategy and to Encourage Smoking Cessation: Observational Study
| Autor: | François Goupil, Norbert Padilla, Thierry Urban, Armelle Foulet, Fabrice Denis, Anne Lise Septans, Bertrand Dauzenberg, Guillaume Barreau, Edouard Stavaux |
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| Rok vydání: | 2020 |
| Předmět: |
Self-assessment
medicine.medical_specialty COPD Self-Assessment Lung Neoplasms business.industry medicine.medical_treatment Public Health Environmental and Occupational Health Health Informatics medicine.disease Mobile Applications Pulmonary Disease Chronic Obstructive Cardiovascular Diseases Cancer screening Tobacco Medicine Smoking cessation Humans Smoking Cessation Smartphone business Intensive care medicine Early Detection of Cancer |
| Zdroj: | JMIR public health and surveillance. 8(2) |
| ISSN: | 2369-2960 0404-8954 |
| Popis: | Background Patient self-assessment via a mobile app detects actionable symptoms and has been shown to detect lung cancer relapses early, thereby lengthening survival. Objective The purpose of this study was to assess the incidence of chief symptoms associated with the main tobacco-induced pathologies in both current and ex-smokers through a self-assessment smartphone app and to evaluate the app’s capacity to encourage users to quit smoking or reduce consumption, as well as its impact on early lung cancer stages at the time of diagnosis. Methods Current and ex-smokers were recruited through an advertising campaign in Sarthe county (France) proposing the free download of a smartphone app. App users were asked to answer 13 questions related to symptoms associated with tobacco-induced diseases (chronic obstructive pulmonary disease [COPD], cardiovascular diseases, cancer). In the event of any positive answer, a message was displayed recommending the user to consult a physician. In addition, they were asked about smoking cessation intention before and after answering these 13 questions. Finally, incidence of stage 1 or 2 lung cancers diagnosed during the launch period of our application was evaluated by comparing data from various sources to those from the same period during the previous year. Results Of the 5671 users who were eligible for evaluation, an alert was sent to the majority (4118/5671, 72.6%), with a higher incidence for current smokers (2833/3679, 77.0% vs 1298/1992, 65.2%; P Conclusions A majority of current and ex-smokers showed worrying symptoms, and the use of a self-assessment smartphone app may drive a majority of smokers toward the intention of smoking cessation or decreasing consumption. A randomized study should be performed to confirm this intention and to support the potential increase of symptomatic lung cancer detection at early, surgery-accessible stages. Trial Registration ClinicalTrials.gov NCT04048954; https://www.clinicaltrials.gov/ct2/show/NCT04048954 |
| Databáze: | OpenAIRE |
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