Game-based contingency management for smoking cessation

基于游戏的戒烟应急管理

• 批准号: 8605597
• 负责人: BETHANY R RAIFF
• 金额: $ 3.49万
• 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/8605597
• 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

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 expertss, a social strategy video game intended to be fun and engaging will be developed for Facebook (¿Quitters, Incorporated¿). Treatmentseeking 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 videogame- 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 to have a substantial public health impact.

吸烟仍然是美国可预防发病率和死亡率的第一大原因 已经注意到许多障碍可以防止使用戒烟干预措施，例如缺乏 临床培训，实施治疗所需的时间承诺以及与 治疗。这是至关重要的，要制定更有效的干预措施并进行 吸烟者以相对较低的成本访问。 我们最近开发了一种基于Internet的应急管理（CM）干预措施，其中 参与者将网络摄像机录制的视频在呼气时录制了视频，他们赚钱 禁欲。尽管与吸烟的货币激励措施相关的成本 禁欲可能小于吸烟引起的医疗并发症相关的成本 激励措施的成本通常被认为是商业障碍。这是当前提议的目标是明显 降低成本并提高这种高度可访问的基于Internet的CM戒烟的可持续性。 在专家团队的帮助下，使用迭代发展过程，一个社会策略视频 旨在变得有趣的游戏将为Facebook开发（``戒烟，imporated了）。治疗方法 吸烟者将能够赢得奖励措施，包括在满足网络相机验证的CO值时 与戒烟一致。该商业广告将利用三种强大的循证激励措施 干涉。激励措施将包括：（1）可用于改善游戏玩法的个人意外事件， （2）社会意外情况，例如积极的反馈和虚拟奖励，可以给其他参与者 承认他们的禁欲和改善比赛的成功，以及（3）团体意外事件 要求小组的所有成员满足禁欲目标，以解锁对某些游戏功能的访问。 游戏开发后，我们将评估电子游戏的可行性，可接受性，外观和初步效率 - 基于戒烟的CM。一项为期7周的试点研究将涉及随机分配的参与者 （n = 100）到：（1）禁欲的特遣队，将激励措施以安静的吸烟为由， 或（2）提交的特遣队，在提交视频的情况下，激励措施将取得一定的措施，但 独立于安静的吸烟。 试点研究的结果将影响未来的基于视频游戏的研究 CM吸烟以及酒精和其他吸毒的干预措施，以及在 糖尿病，哮喘和其他疾病。基于游戏的CM将促进宽度访问此创新， 以相对较低的成本（可以免费玩游戏），有趣，可持续的干预措施，从而提供 具有重大公共卫生影响的潜力。