{
  "abstract": "Background Evidence on designing and testing digital interventions for patients with mental health conditions is emerging. However, little is known about supporting patient needs and mitigating risks when offering smoking cessation apps in this population. We aimed to identify patient support needs and factors influencing patient safety when interacting with the Smoke Free app.Methods Workshops and interviews were conducted with members of a patient and public involvement (PPI) panel and mental health professionals (MHPs). Feedback from PPI members was summarised, and MHP interviews were thematically analysed.Results Five PPI members and six MHPs participated. PPI members identified support needs for app use, including tailored demonstrations and reassurance about data confidentiality. MHPs identified safety concerns, including potential misuse of the in-app advisors, risky social interactions when using in-app peer support groups and exacerbation of mental health symptoms related to sharing personal information.Conclusion An onboarding session, resources and procedures to support the mitigation of key risks were developed to support patients discharged from acute mental health settings when interacting with the Smoke Free app. The next stage is to deliver the multi-component intervention in a randomised controlled feasibility study, including a process evaluation to assess app uptake and engagement.",
  "authors": [
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK"
      ],
      "name": "Emily Shoesmith"
    },
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK"
      ],
      "name": "Lisa Huddlestone"
    },
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK"
      ],
      "name": "Jodi Pervin"
    },
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK",
        "Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South Africa",
        "Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa"
      ],
      "name": "Petal Petersen Williams"
    },
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK"
      ],
      "name": "Jennifer Sweetman"
    },
    {
      "affiliations": [
        "The Smoke Free app, London, UK"
      ],
      "name": "Kerry Johns"
    },
    {
      "affiliations": [
        "The Smoke Free app, London, UK"
      ],
      "name": "David Crane"
    },
    {
      "affiliations": [
        "The Smoke Free app, London, UK"
      ],
      "name": "Louise Ross"
    },
    {
      "affiliations": [
        "Department of Health Sciences, University of York, York, UK"
      ],
      "name": "Elena Ratschen"
    }
  ],
  "title": "Integrating the smoke-free app into a multicomponent intervention for people with mental health conditions who smoke: a short report of a service-improvement project",
  "uid": "bf6b2854-c382-567d-a350-ab0ad8358bf6"
}