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.

在美国，吸烟仍然是可预防的发病率和死亡率的头号原因。 人们注意到，一些障碍阻碍了人们获得戒烟干预措施，例如缺乏 临床医生培训，实施治疗所需的时间承诺，以及与 治疗因此，至关重要的是，必须制定和实施更有效的干预措施， 以相对较低的成本向吸烟者开放。 我们最近开发了一种基于互联网的应急管理（CM）干预措施， 参与者在向CO监测器呼气时提交网络摄像头录制的视频， 禁欲虽然提供金钱奖励的相关成本取决于吸烟情况， 戒烟可能比吸烟引起的医疗并发症的费用要少， 激励成本通常被认为是CM的障碍。因此，本提案的目标是明显地 降低成本，提高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， 游戏旨在是有趣的和从事将开发Facebook（退出者，公司）。寻求治疗 吸烟者将能够获得奖励，条件是满足网络摄像头验证的CO值 与戒烟情况相符三个强大的，以证据为基础的激励措施将利用在这个CM 干预激励措施将包括：（1）可用于改善游戏的个人意外事件， (2)社交意外事件，如积极反馈和虚拟奖励，可以给予其他玩家， 承认他们的成功与禁欲，并提高他们的游戏，和（3）组意外事件，将 要求组的所有成员满足禁欲目标，以便解锁对某些游戏功能的访问。 在游戏开发完成后，我们将评估电子游戏的可行性、可接受性、吸引力和初步效果- 基于CM的戒烟。为期7周的试点研究将涉及随机分配参与者 （N=100）分为：（1）戒烟者，根据戒烟情况提供奖励， 或（2）提交视情况而定，其中将视提交视频而定递送激励，但 独立于戒烟。 试点研究的结果将影响未来的研究，在发展的视频游戏为基础的 CM对吸烟、酒精和其他药物使用的干预，以及 糖尿病、哮喘和其他疾病。基于游戏的CM将促进人们广泛使用这种创新的、 有趣的，可持续的干预，以相对较低的成本（游戏将可免费玩），从而提供 有可能对公众健康产生重大影响。