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Background  Only a few digital interventions have been developed for pregnant smokers, and little is known about the acceptability and usability of smartphone apps to aid cessation in pregnancy. This study aimed to explore pregnant smokers’ views on the design, content and usability of a pregnancy-specific smoking cessation app in order to inform intervention development and optimisation.    Methods  Ten interviews were conducted and the ‘think-aloud’ protocol was used in order to explore participants’ views about a smoking cessation smartphone app (‘SmokeFree Baby’). The data were subsequently thematically analysed. Participants were 18 and over, pregnant, and daily or weekly cigarette smokers.    Results  Three main themes were identified: views about the design elements, mode of delivery and content of the intervention. App design was considered as an important element that might influence potential users’ engagement with the intervention. Participants felt that the intervention content was educational, motivational and non-judgemental. However, it was emphasised that the app should provide further options for personalisation and include more practical features.    Conclusions  Delivering smoking cessation support via a smartphone app can be feasible and acceptable for pregnant smokers. They appear to value content that is motivational, educational and personalised, and meeting these requirements may be important for user experience and promoting engagement with the intervention.

Usability testing of a smoking cessation smartphone application (‘SmokeFree Baby’): A think-aloud study with pregnant smokers