JMIR Publications

ABSTRACT

The prevalence of smoking in the United States general population has gradually declined to the lowest rate ever recorded; however, this has not been true for persons with HIV (PWH). We conducted a pilot test to assess the feasibility and efficacy of the Lumme Quit Smoking App, a mobile application and a smartwatch with sensing capabilities to improve smoking cessation in PWH. Forty participants were enrolled in the study and randomly assigned 1:1 to the control arm which received an 8-week supply of NRT, a 30-minute smoking cessation counseling session, and weekly check-in calls with study staff, or to the intervention arm which additionally provided the Lumme Quit Smoking App and a smartwatch. Of the 40 participants enrolled, 37 completed the follow-up study assessments and 16 used the app every day during the 56-day period. During the 6-month recruitment and enrollment period, 122 people were screened for eligibility with 67.2% deemed ineligible. Smoking criteria and incompatible tech were the major reasons for ineligibility. There was no difference in the proportion of 7-day point prevalence abstinence by study arms and no significant decrease in exhaled carbon monoxide for the intervention and control arms separately. However, the average exhaled carbon monoxide decreased over time when analyzing both arms together. Results suggest excellent feasibility and acceptability of using a smoking sensor app among this smoking population. The knowledge gained from this research will enable the scientific community, clinicians, and community stakeholders improve tobacco cessation outcomes for PWH.