{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:24:35Z","timestamp":1790691875106,"version":"4.1.0"},"reference-count":60,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although mobile health (mHealth) apps for tobacco cessation augment traditional cessation methods and have contributed to increases in cessation rates, Black adults are underrepresented in mHealth app studies for tobacco cessation. As a result, their mHealth app preferences are not well-known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our goal was to identify features of mHealth apps for cessation that are important to Black adults who use tobacco products.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We developed an online discrete choice experiment with 12 pairs of hypothetical mHealth apps for tobacco cessation.\n                      <jats:underline\/>\n                      Inclusion criteria included being 21 years or older, current use of any tobacco product, and identifying as Black or African American. Participants had to be interested in tobacco cessation and have a history of mHealth app use or be willing to use one in the future. From each pair of hypothetical apps within the survey, participants had to choose the app they preferred. Each hypothetical app was made up of 7 features developed from existing mHealth literature and prior qualitative work: graphics, marketing, strategies for quitting, connection with others, personalization, benefits of quitting, and health information. Each feature had up to 4\u20105 levels (ie, variations of that attribute), and each hypothetical mHealth app was comprised of a random assortment of levels of features. Hierarchical Bayes estimation was used to determine the part-worth utility for each level within each feature for each participant, which was then used to calculate the importance score. Average importance scores across respondents were used to determine overall importance scores for each feature.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We had 901 adult participants. The mean age was 41 (SD 14.02) years, and about a third of participants (377\/901, 42%) were female. Two-thirds of participants (549\/901, 61%) had used an mHealth app in the past, and the great majority (786\/901, 87%) indicated a willingness to use an app for health purposes in the future. The features had the following importance: graphics (16%), marketing (15%), strategies for quitting (15%), connection with others (14%), personalization (13%), benefits of quitting (13%), and health information (13%). Within features, strategies for quitting had the highest and third-highest levels of \u201cmaking a step-by-step quit plan\u201d and \u201crecommendations to manage relapse or withdrawal,\u201d respectively. Marketing had the second-highest level of \u201cHistorically Black Colleges and Universities\u2013endorsed app.\u201d Graphics had the fourth-highest level of \u201cshort video testimonials from people who successfully quit,\u201d while connection with others had the fifth-highest level of \u201cquit buddy program for support and accountability.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identified features of mHealth apps important to Black adult tobacco users. To enhance the appeal of mHealth apps to such adults, prioritizing inclusion of highly preferred levels in apps may lead to higher use and improved cessation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/83919","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T17:10:05Z","timestamp":1769793005000},"page":"e83919-e83919","source":"Crossref","is-referenced-by-count":1,"title":["Features of mHealth Apps for Tobacco Cessation Important to Black Adults: Discrete Choice Experiment"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9583-0223","authenticated-orcid":false,"given":"Chineme","family":"Enyioha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9952-509X","authenticated-orcid":false,"given":"Lauren","family":"Gorstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0748-3338","authenticated-orcid":false,"given":"Sonia","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0664-235X","authenticated-orcid":false,"given":"Adam O","family":"Goldstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7252-4343","authenticated-orcid":false,"given":"Roger","family":"Vilardaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2421-923X","authenticated-orcid":false,"given":"Lisa B","family":"Hightow-Weidman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0566-5741","authenticated-orcid":false,"given":"Christine E","family":"Kistler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1007\/s13524-012-0159-z","article-title":"The contribution of smoking to Black-White differences in U.S. mortality","volume":"50","author":"Ho","journal-title":"Demography"},{"issue":"Suppl 1","key":"R2","doi-asserted-by":"publisher","first-page":"S49","DOI":"10.1093\/ntr\/ntv250","article-title":"Understanding tobacco use onset among African Americans","volume":"18","author":"Roberts","journal-title":"Nicotine Tob Res"},{"issue":"4","key":"R3","first-page":"6","volume":"9","author":"Ranney","journal-title":"J Health Dispar Res Prac"},{"issue":"4","key":"R4","first-page":"484","volume":"49","author":"Pampel","journal-title":"J Health Soc Behav"},{"issue":"4","key":"R5","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.9525","article-title":"Universal tobacco screening and opt-out treatment referral strategy among patients diagnosed with cancer by race and ethnicity","volume":"7","author":"Bates-Pappas","journal-title":"JAMA Netw Open"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05899-x","article-title":"Dulce Digital-Me: protocol for a randomized controlled trial of an adaptive mHealth intervention for underserved Hispanics with diabetes","volume":"23","author":"Philis-Tsimikas","journal-title":"Trials"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","DOI":"10.2196\/25890","article-title":"Effectiveness of mobile phone and web-based interventions for diabetes and obesity among African American and Hispanic adults in the United States: systematic review","volume":"8","author":"Enyioha","journal-title":"JMIR Public Health Surveill"},{"issue":"11","key":"R8","doi-asserted-by":"publisher","first-page":"1472","DOI":"10.1001\/jamainternmed.2020.4055","article-title":"Efficacy of smartphone applications for smoking cessation: a randomized clinical trial","volume":"180","author":"Bricker","journal-title":"JAMA Intern Med"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106616","article-title":"Smartphone health apps for tobacco cessation: a systematic review","volume":"112","author":"Chu","journal-title":"Addict Behav"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.821049","article-title":"Mobile health tobacco cessation interventions to promote health equity: current perspectives","volume":"4","author":"Battalio","journal-title":"Front Digit Health"},{"issue":"4","key":"R11","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006611.pub4","article-title":"Mobile phone-based interventions for smoking cessation","volume":"4","author":"Whittaker","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"R12","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3848-5","article-title":"User satisfaction with the structure and content of the NEXit intervention, a text messaging-based smoking cessation programme","volume":"16","author":"M\u00fcssener","journal-title":"BMC Public Health"},{"issue":"3","key":"R13","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1016\/j.amepre.2014.04.010","article-title":"A randomized trial of Text2Quit: a text messaging program for smoking cessation","volume":"47","author":"Abroms","journal-title":"Am J Prev Med"},{"key":"R14","unstructured":"Chui M Gregg B Kohli S Stewart S . A $300 Billion Opportunity: Serving the Emerging Black American Consumer. McKinsey & Company; 2021."},{"issue":"3","key":"R15","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1111\/add.15721","article-title":"Efficacy and utilization of an acceptance and commitment therapy-based smartphone application for smoking cessation among Black adults: secondary analysis of the iCanQuit randomized trial","volume":"117","author":"Santiago-Torres","journal-title":"Addiction"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.10.029","article-title":"Single-arm trial of the second version of an acceptance & commitment therapy smartphone application for smoking cessation","volume":"170","author":"Bricker","journal-title":"Drug Alcohol Depend"},{"issue":"4","key":"R17","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.7226","article-title":"Clickotine, a personalized smartphone app for smoking cessation: initial evaluation","volume":"5","author":"Iacoviello","journal-title":"JMIR Mhealth Uhealth"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.2196\/43603","article-title":"Black smokers\u2019 preferences for features of a smoking cessation app: qualitative study","volume":"7","author":"Enyioha","journal-title":"JMIR Form Res"},{"issue":"2","key":"R19","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1002\/hec.1697","article-title":"Discrete choice experiments in health economics: a review of the literature","volume":"21","author":"de Bekker-Grob","journal-title":"Health Econ"},{"issue":"2","key":"R20","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/s40273-018-0734-2","article-title":"Discrete choice experiments in health economics: past, present and future","volume":"37","author":"Soekhai","journal-title":"Pharmacoeconomics"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S82203","article-title":"Older adults\u2019 preferences for colorectal cancer-screening test attributes and test choice","volume":"9","author":"Kistler","journal-title":"Patient Prefer Adherence"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Howell M Howard K . Eliciting preferences from choices: discrete choice experiments. In: Liamputtong P , editor. Handbook of Research Methods in Health Social Sciences. Springer; [doi: 10.1007\/978-981-10-5251-4_93]","DOI":"10.1007\/978-981-10-5251-4_93"},{"issue":"5","key":"R23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta5050","article-title":"Eliciting public preferences for healthcare: a systematic review of techniques","volume":"5","author":"Ryan","journal-title":"Health Technol Assess"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2019-055463","article-title":"Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment","author":"Barrientos-Gutierrez","journal-title":"Tob Control"},{"issue":"8","key":"R25","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027247","article-title":"Product attributes important to US adult consumers\u2019 use of electronic nicotine delivery systems: a discrete choice experiment","volume":"9","author":"Kistler","journal-title":"BMJ Open"},{"issue":"4","key":"R26","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1158\/1055-9965.EPI-19-0846","article-title":"A tale of two diverse Qualtrics samples: information for online survey researchers","volume":"29","author":"Miller","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"3","key":"R27","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES)","volume":"6","author":"Eysenbach","journal-title":"J Med Internet Res"},{"issue":"5","key":"R28","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1007\/s40271-015-0118-z","article-title":"Sample size requirements for discrete-choice experiments in healthcare: a practical guide","volume":"8","author":"de Bekker-Grob","journal-title":"Patient"},{"issue":"4","key":"R29","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.jval.2016.04.004","article-title":"Statistical methods for the analysis of discrete choice experiments: a report of the ISPOR Conjoint Analysis Good Research Practices Task Force","volume":"19","author":"Hauber","journal-title":"Value Health"},{"issue":"1","key":"R30","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.jval.2012.08.2223","article-title":"Constructing experimental designs for discrete-choice experiments: report of the ISPOR Conjoint Analysis Experimental Design Good Research Practices Task Force","volume":"16","author":"Reed Johnson","journal-title":"Value Health"},{"key":"R31","unstructured":"The CBC system for choice-based conjoint analysis. Version 9. Sawtooth Software. 2017. URL: https:\/\/content.sawtoothsoftware.com\/assets\/0891a76f-93d3-4838-a38d-8ac0a2cda519 [Accessed 26-02-2026]"},{"issue":"3","key":"R32","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1002\/hec.3846","article-title":"Attribute level overlap (and color coding) can reduce task complexity, improve choice consistency, and decrease the dropout rate in discrete choice experiments","volume":"28","author":"Jonker","journal-title":"Health Econ"},{"key":"R33","unstructured":"As Predicted. URL: https:\/\/aspredicted.org\/ [Accessed 18-02-2026]"},{"issue":"8","key":"R34","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218724","article-title":"Promoting cardiovascular health and wellness among African-Americans: community participatory approach to design an innovative mobile-health intervention","volume":"14","author":"Brewer","journal-title":"PLoS ONE"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.2196\/63156","article-title":"Desires and needs for quitting both e-cigarettes and cigarettes among young adults: formative qualitative study informing the development of a smartphone intervention for dual tobacco cessation","volume":"8","author":"Nguyen","journal-title":"JMIR Form Res"},{"issue":"1","key":"R36","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7959","article-title":"Testimonials and informational videos on branded prescription drug websites: experimental study to assess influence on consumer knowledge and perceptions","volume":"20","author":"Sullivan","journal-title":"J Med Internet Res"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.21037\/mhealth.2019.05.03","article-title":"Development of a mobile phone app to maintain physical activity in African American men:","volume":"5","author":"Newton","journal-title":"Mhealth"},{"issue":"11","key":"R38","doi-asserted-by":"publisher","first-page":"2489","DOI":"10.1007\/s11606-025-09489-4","article-title":"Medical mistrust and perceived discrimination as expressions of structural racism: the need for focused research","volume":"40","author":"Campbell","journal-title":"J Gen Intern Med"},{"issue":"5","key":"R39","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1007\/s10900-025-01483-5","article-title":"Influences and implications of medical mistrust on healthcare behaviors in a low health outcomes county in the state of New Jersey","volume":"50","author":"Johnson","journal-title":"J Community Health"},{"issue":"2","key":"R40","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1080\/08964289.2019.1619511","article-title":"Towards a more inclusive and dynamic understanding of medical mistrust informed by science","volume":"45","author":"Jaiswal","journal-title":"Behav Med"},{"issue":"15","key":"R41","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19158926","article-title":"The role of Black pastors in disseminating COVID-19 vaccination information to Black communities in South Carolina","volume":"19","author":"Moore","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"R42","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2583","article-title":"Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study","volume":"15","author":"Dennison","journal-title":"J Med Internet Res"},{"issue":"4","key":"R43","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.contraception.2021.06.001","article-title":"\u201cI\u2019m not going to be a guinea pig:\u201d medical mistrust as a barrier to male contraception for Black American men in Los Angeles, CA","volume":"104","author":"Nguyen","journal-title":"Contraception"},{"issue":"1","key":"R44","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1089\/heq.2017.0045","article-title":"Racism, African American women, and their sexual and reproductive health: a review of historical and contemporary evidence and implications for health equity","volume":"2","author":"Prather","journal-title":"Health Equity"},{"issue":"12","key":"R45","doi-asserted-by":"publisher","first-page":"1507","DOI":"10.1093\/ntr\/ntx171","article-title":"What do smokers want in a smartphone-based cessation application?","volume":"20","author":"Oliver","journal-title":"Nicotine Tob Res"},{"issue":"6","key":"R46","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.2105\/AJPH.2004.039909","article-title":"Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health","volume":"95","author":"Houston","journal-title":"Am J Public Health"},{"issue":"2","key":"R47","doi-asserted-by":"publisher","DOI":"10.2196\/games.5678","article-title":"Game on? Smoking cessation through the gamification of mHealth: a longitudinal qualitative study","volume":"4","author":"El-Hilly","journal-title":"JMIR Serious Games"},{"issue":"1","key":"R48","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3510","article-title":"The effect of social support features and gamification on a web-based intervention for rheumatoid arthritis patients: randomized controlled trial","volume":"17","author":"Allam","journal-title":"J Med Internet Res"},{"issue":"1","key":"R49","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.5181","article-title":"Design considerations for smoking cessation apps: feedback from nicotine dependence treatment providers and smokers","volume":"4","author":"McClure","journal-title":"JMIR Mhealth Uhealth"},{"issue":"10","key":"R50","doi-asserted-by":"publisher","DOI":"10.2196\/12200","article-title":"Design and development of smoking cessation apps based on smokers\u2019 and providers\u2019 perspectives in China: survey study","volume":"7","author":"Xu","journal-title":"JMIR Mhealth Uhealth"},{"issue":"19","key":"R51","doi-asserted-by":"publisher","first-page":"10351","DOI":"10.3390\/ijerph181910351","article-title":"The association of mobile health applications with self-management behaviors among adults with chronic conditions in the United States","volume":"18","author":"Wang","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"R52","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3808-0","article-title":"A qualitative study of user perceptions of mobile health apps","volume":"16","author":"Peng","journal-title":"BMC Public Health"},{"key":"R53","doi-asserted-by":"publisher","DOI":"10.2196\/49055","article-title":"Mobile apps for common noncommunicable disease management: systematic search in app stores and evaluation using the Mobile App Rating Scale","volume":"12","author":"Cheah","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"R54","doi-asserted-by":"publisher","DOI":"10.2196\/games.8881","article-title":"User-centered design of learn to quit, a smoking cessation smartphone app for people with serious mental illness","volume":"6","author":"Vilardaga","journal-title":"JMIR Serious Games"},{"key":"R55","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2023.01.007","article-title":"Impact of smoking cessation on household food security","volume":"79","author":"Berry","journal-title":"Ann Epidemiol"},{"issue":"46","key":"R56","doi-asserted-by":"publisher","first-page":"1736","DOI":"10.15585\/mmwr.mm6946a4","article-title":"Tobacco product use among adults\u2014United States, 2019","volume":"69","author":"Cornelius","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"R57","unstructured":"Cigarette prices by state. Data Pandas. URL: https:\/\/www.datapandas.org\/ranking\/cigarette-prices-by-state [Accessed 09-08-2025]"},{"issue":"1","key":"R58","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1080\/14622200412331328385","article-title":"Taking it to the streets: responses of African American young adults to internal tobacco industry documents","volume":"7","author":"Yerger","journal-title":"Nicotine Tob Res"},{"key":"R59","volume":"24","author":"Wells","journal-title":"Proc UCLA Health"},{"issue":"1","key":"R60","first-page":"173","volume":"11","author":"Lewis","journal-title":"J Healthc Sci Humanit"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/formative.jmir.org\/2026\/1\/e83919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:18:06Z","timestamp":1782843486000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2026\/1\/e83919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":60,"URL":"https:\/\/doi.org\/10.2196\/83919","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"article-number":"v10i2e83919"}}