Mobile Contingency Management for Smoking Cessation among Socioeconomically Disadvantaged Adults
针对社会经济弱势成年人戒烟的移动应急管理
基本信息
- 批准号:10380901
- 负责人:
- 金额:$ 59.85万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-04-01 至 2026-03-31
- 项目状态:未结题
- 来源:
- 关键词:AbstinenceAdultAnnual ReportsBiochemicalCancer EtiologyCar PhoneCarbon MonoxideCellular PhoneCessation of lifeClinicDataDevelopmentEquipmentFaceFamilyFemaleFriendsFutureGoalsHealth InsuranceHealth Services AccessibilityHealthcareHealthcare SystemsHospitalsHouseholdIncentivesIncomeIndividualInterventionLow incomeMalignant neoplasm of lungMediatingMedicaidMonitorMotivationOffice VisitsOutcomeOwnershipParticipantPatient Self-ReportPersonsPharmacologyPoliciesPopulationPrevalenceProcessPsychological reinforcementRandomizedRandomized Controlled TrialsResearch PersonnelSamplingScheduleSelf EfficacySmokerSmokingSmoking Cessation InterventionSocioeconomic StatusSurvival RateSystemTechnologyTobaccoTobacco-Related CarcinomaTravelVideo RecordingVisitWithholding TreatmentWorkbasecancer health disparitycigarette smokecigarette smokingcomparative cost effectivenesscontingency managementcostcost effectivecost effectivenessdisease disparityefficacy evaluationexperiencefacial recognition softwarefinancial incentivefollow-uphealth disparityinnovationlow socioeconomic statusmalemortalitynicotine replacementpaymentportabilityprimary outcomequitlineremote deliverysmoking abstinencesmoking cessationsmoking prevalencesocioeconomic disadvantagestandard caretelephone coachingtreatment group
项目摘要
Project Summary
Although smoking prevalence has declined to 13.7% among U.S. adults, smoking rates are much higher
among socioeconomically disadvantaged adults. Lung cancer, which is primarily caused by cigarette smoking,
is the leading cause of cancer death in the U.S. Lung cancer mortality is far greater among those of lower
socioeconomic status (SES) than their higher SES counterparts. Contingency management (CM), the tangible
reinforcement of abstinence and other desired outcomes, is an effective approach to promoting smoking
cessation in a variety of populations. The preliminary work of the investigators has indicated that offering small
escalating financial incentives for smoking abstinence dramatically increases cessation rates among
socioeconomically disadvantaged adults when incentives are included as an adjunct to clinic-based treatment.
However, innovative approaches are needed for those who are unable or unwilling to attend office visits.
Smartphone ownership is rapidly growing, even among low-income adults, and may offer a means of reaching
and increasing treatment access among socioeconomically disadvantaged adults. The purpose of the
proposed project is to evaluate an automated mobile phone-based CM approach that will allow
socioeconomically disadvantaged individuals to remotely benefit from financial incentives for smoking
cessation. The investigators have previously combined technologies including 1) portable carbon monoxide
monitors that connect with mobile phones to remotely verify smoking abstinence, 2) facial recognition software
to confirm participant identity during breath sample submissions, and 3) remote delivery of incentives
automatically triggered by biochemical confirmation of self-reported abstinence. This automated CM approach
will be evaluated in a randomized controlled trial that includes 532 socioeconomically disadvantaged males
and females seeking smoking cessation treatment. Participants will be randomly assigned to either telephone
counseling and nicotine replacement therapy (standard care [SC]) or SC plus a mobile financial incentives
intervention (CM) for biochemically-confirmed abstinence. Participants will be followed for 26 weeks after a
scheduled quit attempt. Biochemically-verified 7-day point prevalence abstinence at 26 weeks post-quit will be
the primary outcome variable. Cost-effectiveness will be evaluated to inform policy-related decisions. Potential
mobile CM treatment mechanisms, including self-efficacy, motivation, and treatment engagement, will be
explored to optimize future versions of the intervention. Automated mobile CM offers a low-cost approach to
smoking cessation that may be used in combination with existing telephone counseling and pharmacological
interventions. If effective, this approach represents a critical step towards the widespread dissemination of CM
treatment for smoking to practical settings (e.g. state quit lines, healthcare systems), with the goal of reducing
tobacco-related disease and disparities.
项目摘要
尽管美国成年人的吸烟率已降至13.7%,但吸烟率要高得多
在社会经济上处于不利地位的成年人中。肺癌,主要由吸烟引起,
是美国癌症死亡的主要原因。肺癌死亡率在低收入人群中要高得多
社会经济地位(SES)高于其更高的社会经济地位。应急管理(CM),有形的
加强戒烟和其他预期效果,是促进吸烟的有效途径
在不同的人群中停止。调查人员的初步工作表明,提供少量的
不断升级的戒烟经济激励措施显著提高了
将激励措施作为以临床为基础的治疗的辅助手段纳入社会经济上处于不利地位的成年人。
然而,对于那些不能或不愿意参加办公室访问的人来说,需要采取创新的方法。
智能手机的拥有量正在迅速增长,甚至在低收入成年人中也是如此,这可能提供了一种接触到
以及增加社会经济上处于不利地位的成年人的治疗机会。该计划的目的是
提议的项目是评估基于移动电话的自动化CM方法,该方法将允许
社会经济上处于不利地位的个人从吸烟的经济激励中远程受益
停止。调查人员此前结合了包括1)便携式一氧化碳在内的技术
与手机连接以远程验证戒烟情况的监视器,2)面部识别软件
在提交呼气样本期间确认参与者身份,以及3)远程提供奖励
由自我报告的禁欲的生化确认自动触发。这种自动化的CM方法
将在一项随机对照试验中进行评估,该试验包括532名处于社会经济不利地位的男性
以及寻求戒烟治疗的女性。参与者将被随机分配到其中一部电话
咨询和尼古丁替代疗法(标准护理[SC])或SC加流动经济奖励
对生化证实的戒酒进行干预(CM)。参与者将被跟踪26周,在
计划的退出尝试。经过生化验证的戒烟后26周的7天点戒断流行率将是
主要结果变量。将对成本效益进行评估,以便为与政策有关的决策提供信息。潜力
流动的中医治疗机制,包括自我效能、动机和治疗参与度,将是
探索优化未来版本的干预措施。自动化移动CM提供了一种低成本的方法
戒烟可与现有的电话咨询和药物治疗结合使用
干预措施。如果有效,这种方法代表着朝着广泛传播CM迈出的关键一步
将吸烟治疗纳入实际环境(例如,州戒烟专线、医疗保健系统),目标是减少
与烟草有关的疾病和差距。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Darla Elizabeth Kendzor其他文献
Darla Elizabeth Kendzor的其他文献
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{{ truncateString('Darla Elizabeth Kendzor', 18)}}的其他基金
Characterizing Cannabis Use and its Impact on Smoking Cessation Among Socioeconomically Disadvantaged Adults Participating in Smoking Cessation Treatment
参与戒烟治疗的社会经济弱势成年人的大麻使用特征及其对戒烟的影响
- 批准号:
10629665 - 财政年份:2022
- 资助金额:
$ 59.85万 - 项目类别:
Mobile Contingency Management for Smoking Cessation among Socioeconomically Disadvantaged Adults
针对社会经济弱势成年人戒烟的移动应急管理
- 批准号:
10597152 - 财政年份:2021
- 资助金额:
$ 59.85万 - 项目类别:
Mobile Contingency Management for Smoking Cessation among Socioeconomically Disadvantaged Adults
针对社会经济弱势成年人戒烟的移动应急管理
- 批准号:
10209582 - 财政年份:2021
- 资助金额:
$ 59.85万 - 项目类别:
Small Financial Incentives to Promote Smoking Cessation in Safety Net Hospital Patients
促进安全网医院患者戒烟的小额经济激励
- 批准号:
9768975 - 财政年份:2015
- 资助金额:
$ 59.85万 - 项目类别:
Small Financial Incentives to Promote Smoking Cessation in Safety Net Hospital Patients
促进安全网医院患者戒烟的小额经济激励
- 批准号:
9317447 - 财政年份:2015
- 资助金额:
$ 59.85万 - 项目类别:
Small Financial Incentives to Promote Smoking Cessation in Safety Net Hospital Patients
促进安全网医院患者戒烟的小额经济激励
- 批准号:
9181235 - 财政年份:2015
- 资助金额:
$ 59.85万 - 项目类别:
Small Financial Incentives to Promote Smoking Cessation in Safety Net Hospital Patients
促进安全网医院患者戒烟的小额经济激励
- 批准号:
8944131 - 财政年份:2015
- 资助金额:
$ 59.85万 - 项目类别:
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