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Does the addition of a supportive chatbot promote user engagement with a smoking cessation app? An experimental study

Perski, O; Crane, D; Beard, E; Brown, J; (2019) Does the addition of a supportive chatbot promote user engagement with a smoking cessation app? An experimental study. Digital Health , 5 10.1177/2055207619880676. (In press). Green open access

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Abstract

Does the addition of a supportive chatbot promote user engagement with a smoking cessation app? An experimental study Show all authors Olga Perski, David Crane, Emma Beard, ... First Published September 30, 2019 Research Article https://doi.org/10.1177/2055207619880676 Article information Article has an altmetric score of 27 Open AccessCreative Commons Attribution 4.0 License Abstract Objective The objective of this study was to assess whether a version of the Smoke Free app with a supportive chatbot powered by artificial intelligence (versus a version without the chatbot) led to increased engagement and short-term quit success. Methods Daily or non-daily smokers aged ≥18 years who purchased the ‘pro’ version of the app and set a quit date were randomly assigned (unequal allocation) to receive the app with or without the chatbot. The outcomes were engagement (i.e. total number of logins over the study period) and self-reported abstinence at a one-month follow-up. Unadjusted and adjusted negative binomial and logistic regression models were fitted to estimate incidence rate ratios (IRRs) and odds ratios (ORs) for the associations of interest. Results A total of 57,214 smokers were included (intervention: 9.3% (5339); control: 90.7% (51,875). The app with the chatbot compared with the standard version led to a 101% increase in engagement (IRRadj = 2.01, 95% confidence interval (CI) = 1.92–2.11, p < .001). The one-month follow-up rate was 10.6% (intervention: 19.9% (1,061/5,339); control: 9.7% (5,050/51,875). Smokers allocated to the intervention had greater odds of quit success (missing equals smoking: 844/5,339 vs. 3,704/51,875, ORadj = 2.38, 95% CI = 2.19–2.58, p < .001; follow-up only: 844/1,061 vs. 3,704/5,050, ORadj = 1.36, 95% CI = 1.16–1.61, p < .001). Conclusion The addition of a supportive chatbot to a popular smoking cessation app more than doubled user engagement. In view of very low follow-up rates, there is low quality evidence that the addition also increased self-reported smoking cessation.

Type: Article
Title: Does the addition of a supportive chatbot promote user engagement with a smoking cessation app? An experimental study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/2055207619880676
Publisher version: https://doi.org/10.1177/2055207619880676
Language: English
Additional information: : This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www. creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10082807
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