{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:35:45Z","timestamp":1785764145961,"version":"3.56.0"},"reference-count":20,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":123,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["NIHR200607"],"award-info":[{"award-number":["NIHR200607"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,10,10]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2025-002740","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T08:20:14Z","timestamp":1761985214000},"page":"e002740","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"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"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2420-4919","authenticated-orcid":false,"given":"Emily","family":"Shoesmith","sequence":"first","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Huddlestone","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodi","family":"Pervin","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petal","family":"Petersen Williams","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"},{"name":"Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South Africa"},{"name":"Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-4586","authenticated-orcid":false,"given":"Jennifer","family":"Sweetman","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Johns","sequence":"additional","affiliation":[{"name":"The Smoke Free app, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Crane","sequence":"additional","affiliation":[{"name":"The Smoke Free app, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Ross","sequence":"additional","affiliation":[{"name":"The Smoke Free app, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Ratschen","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"2026010703073092000_3.2.e002740.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.10.011"},{"key":"2026010703073092000_3.2.e002740.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12888-017-1419-7","article-title":"Smoking cessation in severe mental ill health: what works? an updated systematic review and meta-analysis","volume":"17","author":"Peckham","year":"2017","journal-title":"BMC Psychiatry"},{"key":"2026010703073092000_3.2.e002740.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-020-09308-x","article-title":"Mental health, smoking, harm reduction and quit attempts - a population survey in England","volume":"20","author":"Brose","year":"2020","journal-title":"BMC Public Health"},{"key":"2026010703073092000_3.2.e002740.4","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6963-11-190","article-title":"The prevalence of mental health problems among users of NHS stop smoking services: effects of implementing a routine screening procedure","volume":"11","author":"McNally","year":"2011","journal-title":"BMC Health Serv Res"},{"key":"2026010703073092000_3.2.e002740.5","unstructured":"NHS . 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