A Comprehensive Digital Program for Smoking Cessation: Assessing Feasibility in a Single-Group Cohort Study.

Area of Science:

• Digital health interventions
• Behavioral science
• Public health

Background:

• Cigarette smoking is a leading cause of preventable death globally.
• Evidence-based cessation methods have low accessibility.
• Digital solutions like Pivot offer scalable, multicomponent interventions.

Purpose of the Study:

• Assess engagement, attitudes, behavior change, and acceptability of Pivot: Explore.
• Evaluate the initial phase of a comprehensive digital smoking cessation program.

Main Methods:

• 41 daily smokers completed a 9-day program (Pivot: Explore).
• Intervention included carbon monoxide (CO) breath sensing, in-app logging, learning activities, and text-based coaching.
• Pre- and post-surveys assessed attitudes toward quitting and smoking behavior.

Main Results:

• High engagement: >80% daily CO sampling, >65% daily logging, >80% activity completion, >73% coach response.
• Significant improvements in readiness to quit (P=.005), perceived difficulty (P=.001), and confidence (P<.001).
• 78% reported reduced daily cigarette consumption; high program satisfaction (mean score ≥8).

Conclusions:

• The initial 9-day phase of Pivot: Explore is feasible and acceptable.
• High engagement across program components (sensing, logging, learning, coaching) was observed.
• Improved quitting attitudes and reduced smoking behavior suggest potential for sustained cessation; further research is ongoing.