Recent efforts to integrate digital health solutions into smoking cessation programs for individuals with mental health conditions have highlighted both potential benefits and significant challenges. A recent service-improvement project focused on the Smoke Free app aimed to address these issues by identifying the support needs of patients and evaluating the safety concerns associated with its use.
As the prevalence of smoking remains high among individuals with mental health disorders, innovative interventions are necessary to facilitate cessation. The Smoke Free app, a digital tool designed to assist users in quitting smoking, was evaluated in the context of its application for this vulnerable population. The project involved workshops and interviews with members of a patient and public involvement (PPI) panel, as well as mental health professionals (MHPs), to gather insights on user experiences and safety considerations.
Five PPI members and six MHPs participated in the study. The feedback from PPI members revealed several critical support needs for effectively utilizing the Smoke Free app. Key among these was the necessity for tailored demonstrations of the app’s features, which would help users navigate the technology more effectively. Additionally, participants expressed concerns regarding data confidentiality, emphasizing the importance of reassurance in this area to foster trust and encourage engagement with the app.
MHPs, on the other hand, raised several safety concerns that could impact patient outcomes. They highlighted the potential for misuse of the app’s in-built advisors, which could lead to misinformation or inappropriate guidance. Furthermore, the risk of harmful social interactions within in-app peer support groups was identified, as these could exacerbate existing mental health symptoms for some users. The sharing of personal information in these contexts also raised alarms about privacy and the potential for negative repercussions on mental health.
In response to the findings, the project team developed an onboarding session, along with resources and procedures aimed at mitigating these identified risks. This initiative is particularly focused on supporting patients who have recently been discharged from acute mental health settings, ensuring they have the necessary tools and guidance to engage safely with the Smoke Free app.
The next phase of this project will involve a randomized controlled feasibility study to implement the multi-component intervention. This study will include a process evaluation to assess not only the uptake of the app but also the level of user engagement. By rigorously evaluating these factors, the project aims to refine the intervention further and ensure it meets the unique needs of individuals with mental health conditions.
As digital health interventions continue to evolve, it is crucial to prioritize patient safety and support. This project underscores the importance of involving both patients and healthcare professionals in the development of such tools, ensuring that they are not only effective in promoting smoking cessation but also safe and supportive for users with complex mental health needs.
Source: bmjpublichealth.bmj.com