Contingency Management for Smoking Cessation in the Homeless

无家可归者戒烟应急管理

• 批准号: 8518282
• 负责人: Carla J Rash
• 金额: $ 17.56万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8518282
• 关键词: Abbreviations; Abstinence; Behavior; Behavior Therapy; Biochemical; Carbon Monoxide; Cardiovascular system; Cause of Death; Censuses; Centers for Disease Control and Prevention (U.S.); Chronic; Cigarette; Communicable Diseases; Cotinine; Counseling; Disease; Exhibits; Feedback; Future; Gifts; Health; Health Services Accessibility; Healthcare; Homeless persons; Homelessness; Individual; Intake; Intervention; Laboratory Study; Lung diseases; Malignant Neoplasms; Medical; Meta-Analysis; Monitor; Nicotine; Outcome; Participant; Performance; Pilot Projects; Population; Predisposition; Prevalence; Prize; Psychological reinforcement; Public Health; Randomized; Reporting; Risk; Risk Behaviors; Sampling; Schedule; Services; Smoke; Smoker; Smoking; Smoking Behavior; Smoking Status; Substance Use Disorder; Time; Treatment outcome; Underserved Population; Urine; Visit; Withholding Treatment; burden of illness; cigarette smoking; contingency management; design; effective intervention; falls; follow-up; high risk; improved; indexing; interest; meetings; mortality; nicotine replacement; nutrition; smoking cessation; standard care; successful intervention; treatment effect

DESCRIPTION (provided by applicant): Smoking cessation services are an unmet need among the homeless, who smoke at rates more than 3 times the national estimate; successful interventions in this underserved population have the potential for improving individual and public health. Contingency management (CM) is a behavioral intervention with efficacy in a number of substance use disorder populations, including smokers. However, no known studies have evaluated the effect of CM in homeless smokers. We plan to examine smoking-related outcomes in homeless treatment-seeking smokers (N = 70) randomized to standard care smoking cessation (transdermal nicotine replacement therapy [NRT] + standard counseling + carbon monoxide [CO] monitoring) or standard care plus CM (NRT + standard counseling + CO monitoring + CM) conditions. Standard counseling and CO monitoring will occur for the first 4 weeks, with NRT use continuing through week 8. Participants in both conditions will meet with study staff up to twice daily on weekdays for biochemical verification of smoking status. Participants in the CM condition will have the opportunity to earn prizes for negative breath samples (CO d 4 ppm) up to twice daily on weekdays, with average expected reinforcement of about $408. Participants in the standard care condition will receive $2 gift cards for CO sample submissions up to twice daily on weekdays, noncontingent on smoking status. Follow-up assessments will be scheduled at 5, 9, 12, and 24 weeks post-quit date. We will use urine cotinine samples to verify smoking status at study intake and the 12- and 24-week follow-ups. CO breath samples will be collected at all visits. Primary treatment outcomes will include percent negative samples submitted, longest duration of abstinence achieved during treatment, and point prevalence rates of abstinence. We expect that participants randomized to CM will have better outcomes across these indices compared to those in standard care. Abbreviations: CM = Contingency management CO = Carbon monoxide CPD = Cigarettes per day LDA = Longest duration of continuous verified abstinence NRT = Nicotine replacement therapy PPM = Parts per million SC = Standard care

描述（由申请人提供）：无家可归者的戒烟服务是未满足的，他们以国家估计的3倍以上的速度吸烟；在这个服务不足的人群中，成功的干预措施有可能改善个人和公共卫生。应急管理（CM）是一种行为干预，在包括吸烟者在内的许多药物使用障碍种群中具有功效。但是，尚无已知研究评估CM对无家可归吸烟者的影响。我们计划检查无家可归的寻求吸烟者（n = 70）与标准护理戒烟（透皮尼古丁替代疗法[NRT] +标准咨询 +碳一氧化碳[CO]监测）或标准护理加上CM（NRT +标准咨询 + CO Monitoring + CO Monitoring + CM Monitoring + CM）条件。标准咨询和CO监视将在最初的4周内进行，NRT使用继续在第8周进行。这两种情况下的参与者将在工作日每天最多两次学习吸烟状况的研究人员。处于CM条件的参与者将有机会在工作日每天两次获得负面呼吸样本（Co D 4 ppm）的奖品，预期的平均增强约为408美元。标准护理条件的参与者将在工作日每天两次获得2美元的礼品卡，而对吸烟状况的无关。后续评估将安排在Quit日期后5、9、12和24周进行。我们将使用尿可替宁样品在研究摄入量以及12周和24周的随访中验证吸烟状况。 CO呼吸样品将在所有访问中收集。主要的治疗结果将包括提交的负样本百分比，在治疗期间达到的节制持续时间以及禁欲的点流行率。我们预计，与标准护理中的参与者相比，这些指数的参与者将在这些指数中取得更好的结果。缩写：CM =应急管理CO =一氧化碳CPD =每天的香烟LDA =连续验证的节制的最长持续时间

项目成果

A review of gambling disorder and substance use disorders.

• DOI: 10.2147/sar.s83460
• 发表时间: 2016
• 期刊: Substance abuse and rehabilitation
• 影响因子: 1.8
• 作者: Rash CJ;Weinstock J;Van Patten R
• 通讯作者: Van Patten R