Utility and usability testing of the FrESH (free from E-Cigarettes and smoking for health) web application: A qualitative study - Scorecard - MDSpire

Utility and usability testing of the FrESH (free from E-Cigarettes and smoking for health) web application: A qualitative study

  • By

  • Siti Anisah Jamaludin

  • Suraya Abdul-Razak

  • Nik Munirah Nik-Mohd-Nasir

  • Sazzli Shahlan Kasim

  • Hayatul Najaa Miptah

  • Lina Lohshini Kanoo

  • Mohd Zuhairi Zainuddin

  • May 12, 2026

  • 0 min

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Clinical Scorecard: Evaluation of the FrESH (Free from E-Cigarettes and Smoking for Health) Web Application: Insights from a Qualitative Usability Study

At a Glance

CategoryDetail
ConditionAdolescent smoking and vaping cessation
Key MechanismsDigital intervention utilizing behavioral self-help strategies and peer support
Target PopulationAdolescents aged 13-17 years, particularly secondary school students
Care SettingSchool-based programs

Key Highlights

  • Increasing e-cigarette use among adolescents in Malaysia from 9.8% in 2017 to 14.9% in 2022
  • Adolescent exposure to tobacco smoke impairs lung growth and contributes to airway obstruction
  • FrESH Web App digitizes a validated behavioral self-help booklet for smoking cessation
  • Peer-led support enhances engagement and effectiveness of cessation interventions
  • Digital health interventions are crucial for addressing nicotine dependence in adolescents

Guideline-Based Recommendations

Diagnosis

  • Assess nicotine dependence using standardized tools within the app

Management

  • Utilize the FrESH Web App for structured counseling and quit planning

Monitoring & Follow-up

  • Track user progress through habit tracking features in the app

Risks

  • Monitor for acute lung injuries associated with e-cigarette use

Patient & Prescribing Data

Adolescents aged 13-17 years who smoke or use e-cigarettes

The app provides personalized quit plans and behavioral strategies tailored for adolescents

Clinical Best Practices

  • Incorporate peer-led support in cessation programs
  • Ensure interventions are age-appropriate and engaging for adolescents
  • Utilize digital platforms to enhance accessibility and user engagement

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