The Remote Monitoring of Smoking in Adolescents
Erin A. McClure and Kevin M. Gray
Affiliation: Clinical Neuroscience Division, Medical University of South Carolina, 125 Doughty St., Suite 190, Charleston, SC 29403.
Keywords: Adolescents, mHealth, relapse, remote monitoring, smoking cessation, technology, tobacco.
Background/objectives: Cigarette smoking remains the leading cause of preventable death in the United States
with the vast majority of adult smokers starting prior to the age of 18. Despite the public health relevance and implications
of studying smoking in adolescents, little is known about the initiation of quit attempts, the process of relapse, and the
most efficacious treatment interventions in this high-risk and underserved population. Issues such as retention in research
studies and accuracy of self-reports have prompted investigators to explore innovative technology-based systems to
integrate into treatment studies and services delivery.
Methods: This paper will review the remote monitoring of smoking through means of ecological momentary assessment,
biochemical verification of smoking verified through video capture, physiological monitoring, and mobile-delivered
interventions using self-reported smoking outcomes in adolescents, when applicable.
Results: Use of remote monitoring methods in adolescent smokers has been limited thus far, though monitoring
technology in adults has shown promise for understanding relapse and delivering treatment interventions.
Conclusions: Comprehensive technology-based systems that do not rely primarily on self-report to monitor smoking
would be a highly fruitful and innovative avenue to explore with adolescent smokers. Technology integration holds great
promise to improve health-related research, treatment delivery, cost-effectiveness, and just-in-time interventions, but its
novelty comes with unique problems and concerns to be carefully considered.
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