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velop a complex system that was shown to help patients with CHF. More psychological than physical benefits were observed. ClinicalTrials.gov NCT03497871; https//clinicaltrials.gov/ct2/history/NCT03497871. RR2-10.1186/s12872-018-0921-2. RR2-10.1186/s12872-018-0921-2. Most smokers attempt to stop using cigarettes numerous times before successfully quitting. Cigarette cravings may undermine perceived competence to quit and thus constitute psychological threats to the individual's self-concept. Self-affirmation may promote smoking cessation