ArticleSubstance use & misuse2026
Ecological Momentary Assessments in an Incentive-Based Intervention for Smoking Cessation: Predicting Near-Term Engagement and Smoke Status.
Article in Substance use & misuse, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionCigarette smoking is the leading cause of preventable death in the U.S. We evaluate the predictors of intervention engagement and smoking status during a digital incentive-based intervention for tobacco cessation among Medicaid beneficiaries using ecological momentary assessments (EMAs).
methodsPatients (
resultsIn adjusted models, being around others who smoke, cigarette craving, having smoked in the last 4 h, and higher than normal or very high stress were predictive of non-engagement at the next window (odds ratios [ORs]: 0.281-0.577). Being fairly confident (OR: 2.617) and very confident (OR: 5.337) in one's ability to not smoke was the predictive of engagement at the next window. Recent smoking and higher-than-normal stress were predictive of positive smoke status at the next window (ORs: 1.989-2.322). Being very confident in one's ability to not smoke, and at least fairly motivated to not smoke were each predictive of negative smoke status at the next window (ORs: 0.092-0.219).
conclusionsThe results support that EMAs during incentive-based interventions are useful to predict both engagement and smoke status, which could inform future just-in-time adaptive interventions to enhance engagement and response.
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