New Directions for Motivational Incentive Interventions for Smoking Cessation.
New Directions for Motivational Incentive Interventions for Smoking Cessation.
复制标题
DOI：
10.3389/fdgth.2022.803301
复制
发表时间：
2022
影响因子：
--
通讯作者：
Nahum-Shani I
中科院分区：
文献类型：
--
作者：
Coughlin LN;Bonar EE;Walton MA;Fernandez AC;Duguid I;Nahum-Shani I
动机激励干预对戒烟非常有效。然而，这些干预措施并没有广泛适用于想要戒烟的人，部分原因是由于行政负担，对使用外部强化（即，激励），以改善戒烟结果，次优干预参与，个人负担和前期成本。技术进步可以缓解其中一些障碍。例如，移动的禁欲监测和数字化、自动化的激励交付有可能降低与监测禁欲和管理激励相关的诊所负担，同时也减少了诊所就诊的频率。然而，为了充分发挥数字技术提供激励措施的潜力，制定战略以缓解长期存在的担忧至关重要，即依赖外部货币强化可能会阻碍戒烟的内部动机，改善个人参与干预，并解决由于货币激励的前期成本而导致的可扩展性限制。在这里，我们描述了数字化交付的激励激励的状态。然后，我们建立在现有的原则，创造及时的适应性干预措施，突出利用数字技术，以提高激励性激励干预措施的有效性和可扩展性的新方向。戒烟监测的技术进步加上数字化交付的戒烟者使得使用戒烟激励措施变得越来越可行。我们提出了激励性激励干预新时代的未来方向，这些干预措施利用技术来整合货币和非货币激励措施，以满足个人实时不断变化的需求。
Motivational incentive interventions are highly effective for smoking cessation. Yet, these interventions are not widely available to people who want to quit smoking, in part, due to barriers such as administrative burden, concern about the use of extrinsic reinforcement (i.e., incentives) to improve cessation outcomes, suboptimal intervention engagement, individual burden, and up-front costs. Technological advancements can mitigate some of these barriers. For example, mobile abstinence monitoring and digital, automated incentive delivery have the potential to lower the clinic burden associated with monitoring abstinence and administering incentives while also reducing the frequency of clinic visits. However, to fully realize the potential of digital technologies to deliver motivational incentives it is critical to develop strategies to mitigate longstanding concerns that reliance on extrinsic monetary reinforcement may hamper internal motivation for cessation, improve individual engagement with the intervention, and address scalability limitations due to the up-front cost of monetary incentives. Herein, we describe the state of digitally-delivered motivational incentives. We then build on existing principles for creating just-in-time adaptive interventions to highlight new directions in leveraging digital technology to improve the effectiveness and scalability of motivational incentive interventions. Technological advancement in abstinence monitoring coupled with digital delivery of reinforcers has made the use of motivational incentives for smoking cessation increasingly feasible. We propose future directions for a new era of motivational incentive interventions that leverage technology to integrate monetary and non-monetary incentives in a way that addresses the changing needs of individuals as they unfold in real-time.