The Role of Contingency Management in Waterpipe Smoking Cessation

应急管理在水烟戒烟中的作用

• 批准号: 8733148
• 负责人: Kawkab Shishani
• 金额: $ 9.42万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8733148
• 关键词: Abstinence; Address; American Lung Association; Basic Science; Behavior; Cigarette; Cigarette Smoker; Clinical Research; Control Groups; Cotinine; Drug abuse; Drug usage; Exhibits; Feasibility Studies; Future; Goals; Growth; Health; Health Promotion; Health Sciences; Healthy People 2020; Incentives; Informal Social Control; Intervention; Investigation; Knowledge; Laboratory Study; Measures; Mentors; Methods; Modality; Nicotine; Nicotine Dependence; Nicotine Withdrawal; Nurses; Participant; Patient Self-Report; Pattern; Physiological; Policies; Psychological reinforcement; Public Health; Public Health Nurses; Public Health Nursing; Public Health Practice; Reporting; Research; Research Design; Research Support; Role; Salivary; Scientist; Smoker; Smoking; Smoking Behavior; Smoking Prevention; Staging; Strategic Planning; Testing; Time; Tobacco; Tobacco Dependence; Tobacco smoking; Tobacco use; Training; Training Activity; Translating; Translational Research; Translations; United States; Withdrawal Symptom; Work; analog; base; career development; cigarette smoking; contingency management; effective intervention; evidence base; experience; hookah; improved; innovation; killings; meetings; next generation; nicotine replacement; payment; public health relevance; research study; research to practice; skills; smoking cessation; therapy development; tobacco control; tool; treatment program; trend

DESCRIPTION (provided by applicant): Tobacco use kills more than 500,000 people in the United States each year. Although the use of cigarettes has declined, the use of other tobacco products has remained steady. Waterpipe smoking is a common form of tobacco smoking after cigarettes in the U.S. In fact, in 2007 the American Lung Association issued a policy alert to warn consumers about this first new tobacco trend of the 21st century. Few studies have been conducted on waterpipe smoking to investigate its harmful effects. Furthermore, no known studies have evaluated treatments for smoking cessation in waterpipe smokers. This project has two parts: 1) career development and training of a public health nurse scientist to build the research skills and background necessary to conduct innovative and rigorous research around waterpipe smoking prevention and 2) an analog study to test the role of contingency management (CM) in promoting abstinence from waterpipe smoking for 5 weeks verified by salivary cotinine and to characterize self-reported nicotine withdrawal symptoms. Based on the alarming growth rate over a short period of time in waterpipe tobacco smoking, there is a critical need for clinical research to investigate treatment modalities targeting smoking cessation for waterpipe smokers. Given the evidence for the role of CM in promoting abstinence from many types of drug use, investigation of the utility of CM for waterpipe smoking cessation is important and timely. Although Nicotine Replacement Therapy (NRT) is the mainstay treatment for treating nicotine dependence delivered through cigarettes, the intermittent use patterns that characterize waterpipe smoking suggest that CM may be more effective in promoting waterpipe smoking cessation. Ultimately, this line of research will help public health nurses to improve the health of the public through an innovative approach to treatment of waterpipe smoking and is an important and timely step towards meeting the tobacco objective for Healthy People 2020. To this end, the evidence based knowledge generated in this study may assist in the translation of the treatment program into public health practice.

描述（由申请人提供）：美国每年有超过50万人死于吸烟。虽然香烟的使用有所下降，但其他烟草制品的使用仍保持稳定。在美国，水烟是仅次于卷烟的一种常见的吸烟方式。事实上，2007年，美国肺脏协会发布了一项政策警告，警告消费者警惕21世纪的第一个烟草新趋势。很少有研究对水烟的有害影响进行调查。此外，没有已知的研究评估了水烟吸烟者戒烟的治疗方法。该项目分为两部分：1)职业发展和培训公共卫生护士科学家，以建立开展有关水烟预防的创新和严格研究所需的研究技能和背景；2)模拟研究，以测试应急管理（CM）在促进戒烟方面的作用，为期5周，经唾液可替宁验证，并表征自我报告的尼古丁戒断症状。基于水烟吸烟在短时间内的惊人增长速度，迫切需要临床研究针对水烟吸烟者戒烟的治疗方式。鉴于有证据表明CM在促进多种药物使用中的作用，调查CM对水烟戒烟的效用是重要和及时的。尽管尼古丁替代疗法（NRT）是治疗通过香烟传递的尼古丁依赖的主要治疗方法，但水烟吸烟的间歇性使用模式表明，CM可能更有效地促进水烟戒烟。最终，这一系列研究将帮助公共卫生护士通过一种创新的方法来治疗水烟吸烟，从而改善公众的健康状况，这是朝着实现2020年健康人烟草目标迈出的重要而及时的一步。为此，本研究中产生的基于证据的知识可能有助于将治疗方案转化为公共卫生实践。