Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study

BackgroundCigarette smoking is the leading preventable cause of disease and death in the United States. Despite the availability of a plethora of evidence-based smoking cessation resources, less than one-third of individuals who smoke seek cessation services, and individuals...

Full description

Bibliographic Details
Main Authors: Uma S Nair, Karah Greene, Stephanie Marhefka, Kristin Kosyluk, Jerome T Galea
Format: Article
Language:English
Published: JMIR Publications 2023-03-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e44041
_version_ 1797734226908413952
author Uma S Nair
Karah Greene
Stephanie Marhefka
Kristin Kosyluk
Jerome T Galea
author_facet Uma S Nair
Karah Greene
Stephanie Marhefka
Kristin Kosyluk
Jerome T Galea
author_sort Uma S Nair
collection DOAJ
description BackgroundCigarette smoking is the leading preventable cause of disease and death in the United States. Despite the availability of a plethora of evidence-based smoking cessation resources, less than one-third of individuals who smoke seek cessation services, and individuals using these services are often those who are actively contemplating quitting smoking. There is a distinct dearth of low-cost, scalable interventions to support smokers not ready to quit (ambivalent smokers). Such interventions can assist in gradually promoting smoking behavior changes in this target population until motivation to quit arises, at which time they can be navigated to existing evidence-based smoking cessation interventions. Conversational agents or chatbots could provide cessation education and support to ambivalent smokers to build motivation and navigate them to evidence-based resources when ready to quit. ObjectiveThe goal of our study is to test the proof-of-concept of the development and preliminary feasibility and acceptability of a smoking cessation support chatbot. MethodsWe will accomplish our study aims in 2 phases. In phase 1, we will survey 300 ambivalent smokers to determine their preferences and priorities for a smoking cessation support chatbot. A “forced-choice experiment” will be administered to understand participants’ preferred characteristics (attributes) of the proposed chatbot prototype. The data gathered will be used to program the prototype. In phase 2, we will invite 25 individuals who smoke to use the developed prototype. For this phase, participants will receive an overview of the chatbot and be encouraged to use the chatbot and engage and interact with the programmed attributes and components for a 2-week period. ResultsAt the end of phase 1, we anticipate identifying key attributes that ambivalent smokers prefer in a smoking cessation support chatbot. At the end of phase 2, chatbot acceptability and feasibility will be assessed. The study was funded in June 2022, and data collection for both phases of the study is currently ongoing. We expect study results to be published by December 2023. ConclusionsStudy results will yield a smoking behavior change chatbot prototype developed for ambivalent smokers that will be ready for efficacy testing in a larger study. International Registered Report Identifier (IRRID)DERR1-10.2196/44041
first_indexed 2024-03-12T12:41:14Z
format Article
id doaj.art-3f0cb04afc3543edb2a5350e962fa1a1
institution Directory Open Access Journal
issn 1929-0748
language English
last_indexed 2024-03-12T12:41:14Z
publishDate 2023-03-01
publisher JMIR Publications
record_format Article
series JMIR Research Protocols
spelling doaj.art-3f0cb04afc3543edb2a5350e962fa1a12023-08-28T23:49:51ZengJMIR PublicationsJMIR Research Protocols1929-07482023-03-0112e4404110.2196/44041Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept StudyUma S Nairhttps://orcid.org/0000-0002-6352-5045Karah Greenehttps://orcid.org/0000-0002-3077-1426Stephanie Marhefkahttps://orcid.org/0000-0001-7708-1521Kristin Kosylukhttps://orcid.org/0000-0002-9478-3506Jerome T Galeahttps://orcid.org/0000-0001-8732-6959 BackgroundCigarette smoking is the leading preventable cause of disease and death in the United States. Despite the availability of a plethora of evidence-based smoking cessation resources, less than one-third of individuals who smoke seek cessation services, and individuals using these services are often those who are actively contemplating quitting smoking. There is a distinct dearth of low-cost, scalable interventions to support smokers not ready to quit (ambivalent smokers). Such interventions can assist in gradually promoting smoking behavior changes in this target population until motivation to quit arises, at which time they can be navigated to existing evidence-based smoking cessation interventions. Conversational agents or chatbots could provide cessation education and support to ambivalent smokers to build motivation and navigate them to evidence-based resources when ready to quit. ObjectiveThe goal of our study is to test the proof-of-concept of the development and preliminary feasibility and acceptability of a smoking cessation support chatbot. MethodsWe will accomplish our study aims in 2 phases. In phase 1, we will survey 300 ambivalent smokers to determine their preferences and priorities for a smoking cessation support chatbot. A “forced-choice experiment” will be administered to understand participants’ preferred characteristics (attributes) of the proposed chatbot prototype. The data gathered will be used to program the prototype. In phase 2, we will invite 25 individuals who smoke to use the developed prototype. For this phase, participants will receive an overview of the chatbot and be encouraged to use the chatbot and engage and interact with the programmed attributes and components for a 2-week period. ResultsAt the end of phase 1, we anticipate identifying key attributes that ambivalent smokers prefer in a smoking cessation support chatbot. At the end of phase 2, chatbot acceptability and feasibility will be assessed. The study was funded in June 2022, and data collection for both phases of the study is currently ongoing. We expect study results to be published by December 2023. ConclusionsStudy results will yield a smoking behavior change chatbot prototype developed for ambivalent smokers that will be ready for efficacy testing in a larger study. International Registered Report Identifier (IRRID)DERR1-10.2196/44041https://www.researchprotocols.org/2023/1/e44041
spellingShingle Uma S Nair
Karah Greene
Stephanie Marhefka
Kristin Kosyluk
Jerome T Galea
Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
JMIR Research Protocols
title Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
title_full Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
title_fullStr Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
title_full_unstemmed Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
title_short Development of a Conversational Agent for Individuals Ambivalent About Quitting Smoking: Protocol for a Proof-of-Concept Study
title_sort development of a conversational agent for individuals ambivalent about quitting smoking protocol for a proof of concept study
url https://www.researchprotocols.org/2023/1/e44041
work_keys_str_mv AT umasnair developmentofaconversationalagentforindividualsambivalentaboutquittingsmokingprotocolforaproofofconceptstudy
AT karahgreene developmentofaconversationalagentforindividualsambivalentaboutquittingsmokingprotocolforaproofofconceptstudy
AT stephaniemarhefka developmentofaconversationalagentforindividualsambivalentaboutquittingsmokingprotocolforaproofofconceptstudy
AT kristinkosyluk developmentofaconversationalagentforindividualsambivalentaboutquittingsmokingprotocolforaproofofconceptstudy
AT jerometgalea developmentofaconversationalagentforindividualsambivalentaboutquittingsmokingprotocolforaproofofconceptstudy