Internet-based Group Contingency Management to Promote Smoking Abstinence

基于互联网的群体应急管理促进戒烟

• 批准号: 8071081
• 负责人: JESSE DALLERY
• 金额: $ 12.54万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-05 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8071081
• 关键词: Abstinence; Aftercare; Architecture; Behavior; Behavior Therapy; Behavioral; Carbon Monoxide; Data; Data Set; Developed Countries; Frequencies; Future; Goals; Incentives; Individual; Information Technology; Internet; Intervention; Lead; Literature; Maintenance; Methods; Modeling; Morbidity - disease rate; Nature; Output; Participant; Pharmacotherapy; Phase; Procedures; Psychological reinforcement; Randomized; Randomized Controlled Trials; Relapse; Relative (related person); Research; Risk Factors; Role; Science; Services; Smoker; Smoking; Smoking Behavior; Social Behavior; Social Interaction; Social support; Source; Specific qualifier value; System; Testing; Treatment Cost; Withdrawal; Work; abstracting; base; behavior change; cigarette smoking; contingency management; cost effective; design; experience; financial incentive; follow-up; group support; innovation; meetings; member; mortality; novel; programs; public health relevance; reinforcer; smoking cessation; smoking prevalence; social; treatment duration; voucher

DESCRIPTION (provided by applicant): Internet-based group contingency management to promote smoking abstinence Project Summary/Abstract Cigarette smoking is the largest preventable risk factor for morbidity and mortality in developed countries. In addition to the need for novel pharmacotherapies, there is an urgent need for additional and complementary behavioral strategies to reduce smoking prevalence. Increasingly, the Internet and related information technologies are providing unprecedented access to powerful, science-based behavioral interventions. We developed and tested an innovative Internet-based contingency management intervention to promote smoking cessation, where contingencies for change were applied to individual smokers. Although the system generated high rates of initial abstinence in two randomized, controlled studies, some smokers did not quit or relapsed following withdrawal of the voucher-based contingencies. Given these findings, it is necessary to develop a strategy to enhance initial effects and to sustain long-term abstinence. In the proposed project, we will develop and evaluate a potentially powerful addition to our existing treatment model: Internet-based group contingency management. Specifically, contingencies for change will be applied to groups of smokers - instead of individuals - where all smokers in a group must meet specified goals to receive either some or all of their vouchers during an initial treatment period. Group members can offer social support and guidance through a moderated discussion forum. We piloted the method, and a small group of smokers found the discussion forum to be highly valuable and effective. Indeed, a growing literature suggests that social factors may be critical in promoting and maintaining smoking cessation. The group model can be maintained much longer than financial incentives without an increase in treatment costs. We will evaluate maintenance of social support and cessation for three months following a main treatment phase where both financial incentives and group support will be available. A group contingency model would harness two powerful sources of influence over behavior change, financial incentives and social support, and it should lead to an affordable, practical, and sustainable strategy to promote cessation. Overall, the present study will yield a rich dataset on the promise of group contingencies to promote smoking cessation. PUBLIC HEALTH RELEVANCE: The proposed treatment will integrate the reach and convenience of the internet with a state-of-the-art, empirically-derived behavioral treatment for cigarette smoking. We will examine a group contingency treatment model, which will harness two powerful sources of influence over behavior change, financial incentives and social support, and it should lead to an affordable, practical, and sustainable strategy to promote cessation. As such, group contingencies to promote smoking cessation hold significant promise as a way to reduce the high rates of morbidity and mortality associated with smoking.

描述（由申请人提供）：促进戒烟的基于互联网的团体应急管理 项目摘要/摘要 吸烟是发达国家发病和死亡的最大可预防风险因素。除了需要新的药物疗法之外，还迫切需要额外的补充行为策略来降低吸烟率。互联网和相关信息技术越来越多地提供前所未有的强大、基于科学的行为干预措施。我们开发并测试了一种基于互联网的创新应急管理干预措施，以促进戒烟，其中针对个别吸烟者应用了变革应急措施。尽管该系统在两项随机对照研究中产生了很高的初始戒烟率，但一些吸烟者在取消基于优惠券的意外事件后并未戒烟或复吸。鉴于这些发现，有必要制定一项策略来增强初始效果并维持长期禁欲。在拟议的项目中，我们将开发和评估现有治疗模型的潜在强大补充：基于互联网的团体应急管理。具体来说，变革的应急措施将适用于吸烟者群体，而不是个人，其中群体中的所有吸烟者必须达到指定的目标，才能在初始治疗期间获得部分或全部代金券。小组成员可以通过主持的讨论论坛提供社会支持和指导。我们试用了该方法，一小群吸烟者发现该论坛非常有价值且有效。事实上，越来越多的文献表明，社会因素对于促进和维持戒烟可能至关重要。在不增加治疗成本的情况下，团体模式可以比经济激励维持更长时间。我们将评估主要治疗阶段后三个月的社会支持维持和停止情况，其中将提供经济激励和团体支持。团体应急模型将利用对行为改变的两个强大影响源：经济激励和社会支持，并且应该产生一种负担得起的、实用的和可持续的策略来促进戒烟。总体而言，本研究将产生丰富的数据集，说明团体意外事件对促进戒烟的承诺。 公共卫生相关性：拟议的治疗方法将把互联网的覆盖范围和便利性与最先进的、基于经验的吸烟行为治疗结合起来。我们将研究一种团体应急治疗模型，该模型将利用对行为改变的两个强大影响源：经济激励和社会支持，并应制定出可负担的、实用的和可持续的促进戒烟的策略。因此，促进戒烟的团体突发事件作为降低与吸烟相关的高发病率和死亡率的一种方法具有重大前景。