Smartphone App-Based Interventions to Support Smoking Cessation in Smokers with Mental Health Conditions: A Systematic Review

Abstract

Background—Despite global efforts to control tobacco use, smoking remains a leading cause of preventable diseases, mortality, and disparities, especially among individuals with mental health conditions. Smartphone apps have emerged as cost-effective tools to aid smokers in quitting; however, their evidence-based foundation remains understudied. This research conducted two searches to identify relevant apps: one through the scientific literature and the other from app stores. Methods—The study sought apps designed to assist smokers with mental health conditions in quitting. Searches were conducted in the scientific literature and major app stores. The apps found were evaluated for their basis in theory, features, and claimed effectiveness. Usage and rating scores were compared. Results—Among 23 apps found from app store search, only 10 (43%) were evidence-based and none had explicit reference to theory, while all apps identified in the literature were developed by applying theory. However, app store apps had significantly higher user numbers and ratings than those identified in the literature (mean rating 4.7 out of 5.0). Conclusion—Smokers with mental health conditions have limited support from currently available smoking cessation apps. Apps identified in the scientific literature lack sufficient use and longevity. Sustained support beyond research projects is crucial for enabling theoretically informed evidence-based apps to be available for people with mental health conditions, as is greater collaboration between developers and researchers to create apps that engage with end-user design.