Game-based contingency management for smoking cessation

基于游戏的戒烟应急管理

• 批准号: 8523821
• 负责人: BETHANY R RAIFF
• 金额: $ 20.97万
• 依托单位: ROWAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-15 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8523821
• 关键词: Abstinence; Alcohol abuse; Asthma; Behavior; Carbon Monoxide; Chronic Disease; Clinical Trials; Control Groups; Development; Diabetes Mellitus; Drug abuse; Drug usage; Evidence based intervention; Exhalation; Feedback; Gifts; Goals; Gold; Health; Incentives; Individual; Internet; Intervention; Monitor; Morbidity - disease rate; Names; Outcome; Outcome Measure; Participant; Patient Self-Report; Persons; Pilot Projects; Play; Process; Property; Public Health; Randomized; Reporting; Research; Rewards; Sampling; Smoker; Smoking; Smoking Cessation Intervention; Smoking Status; Social Reinforcement; Surveys; Testing; Time; Training; Treatment Cost; Video Games; Video Recording; alcohol and other drug; base; cigarette smoking; contingency management; cost; effective intervention; evidence base; improved; innovation; medical complication; medication compliance; meetings; member; mortality; prevent; primary outcome; smoking cessation; smoking intervention; social; standard measure; success; virtual

DESCRIPTION (provided by applicant): Cigarette smoking remains the number one cause of preventable morbidity and mortality in the U.S. A number of barriers have been noted that prevent access to smoking cessation interventions, such as lack of clinician training, the time commitment required to implement treatments, and the costs associated with treatment. Thus, it is critically important that more effective interventions be developed, and be made accessible at a relatively low cost, to smokers. We recently developed an Internet-based Contingency Management (CM) intervention, where participants submit web-camera recorded videos as they exhale into a CO monitor, and they earn money for abstinence. Although the costs associated with providing monetary incentives contingent on smoking abstinence are likely to be less than the costs associated with medical complications caused by smoking, the cost of incentives is often cited as a barrier to CM. Thus, the goals of the present proposal are to markedly decrease costs and increase sustainability of this highly accessible Internet-based CM for smoking cessation. Using an iterative development process with the help of a team of experts, a social strategy video game intended to be fun and engaging will be developed for Facebook ("Quitters, Incorporated"). Treatment- seeking smokers will be able to earn incentives contingent on meeting web-camera verified CO values consistent with smoking abstinence. Three powerful, evidence-based incentives will be harnessed in this CM intervention. The incentives will consist of: (1) individual contingencies that can be used to improve game play, (2) social contingencies, such as positive feedback and virtual rewards, that can be given to other players to acknowledge their success with abstinence and improve their game play, and (3) group contingencies that will require all members of a group to meet abstinence goals in order to unlock access to certain game features. After game development, we will assess the feasibility, acceptability, appeal, and preliminary efficacy of video- game-based CM for smoking cessation. A 7-week pilot study will involve randomly assigning participants (N=100) to either: (1) abstinent contingent, where incentives will be delivered contingent on quitting smoking, or (2) submission contingent, where incentives will be delivered contingent on submitting videos, but independent of quitting smoking. The outcomes of the pilot study will impact future research in the development of video-game-based CM interventions for smoking, as well as for alcohol and other drug use, and medication compliance in diabetes, asthma, and other conditions. Game-based CM will promote widespread access to this innovative, fun, sustainable intervention at a relatively low cost (the game will be available to play for free), thereby offering the potential t have a substantial public health impact.

描述（由申请人提供）：在美国，吸烟仍然是可预防的发病率和死亡率的头号原因。已经注意到阻止获得戒烟干预措施的许多障碍，例如缺乏临床医生培训、实施治疗所需的时间承诺以及与治疗相关的费用。因此，开发更有效的干预措施并以相对较低的成本向吸烟者提供至关重要。 我们最近开发了一种基于互联网的应急管理（CM）干预，参与者在向CO监测器呼气时提交网络摄像头录制的视频，他们可以通过禁欲赚钱。虽然与提供戒烟的货币奖励相关的成本可能低于与吸烟引起的医疗并发症相关的成本，但奖励的成本通常被认为是CM的障碍。因此，本提案的目标是显著降低成本，并增加这种高度可访问的基于互联网的戒烟CM的可持续性。 在专家团队的帮助下，使用迭代开发过程，将为Facebook（“Quitters，Incorporated”）开发一款有趣且引人入胜的社交策略视频游戏。寻求治疗的吸烟者将能够获得奖励，条件是满足网络摄像头验证的与戒烟一致的CO值。三个强大的，以证据为基础的激励措施将利用在这个CM干预。奖励措施将包括：（1）可用于改善游戏性的个人偶然事件，（2）可给予其他玩家以承认他们的成功节制并改善他们的游戏性的社会偶然事件，诸如正反馈和虚拟奖励，以及（3）需要组的所有成员满足禁欲目标以便解锁对某些游戏特征的访问的组突发事件。在游戏开发之后，我们将评估基于视频游戏的戒烟CM的可行性、可接受性、吸引力和初步疗效。一项为期7周的试点研究将涉及将参与者（N=100）随机分配到：（1）戒烟队伍，其中奖励将根据戒烟情况提供，或（2）提交队伍，其中奖励将根据提交视频提供，但独立于戒烟。 试点研究的结果将影响未来的研究，在开发基于视频游戏的CM干预吸烟，以及酒精和其他药物的使用，以及糖尿病，哮喘和其他疾病的药物依从性。基于游戏的CM将以相对较低的成本推广这种创新，有趣，可持续的干预措施（游戏将免费提供），从而提供潜在的公共卫生影响。