BREATHE FREE: Smartphone Videogame-Based Incentives for Smoking Cessation

自由呼吸：基于智能手机视频游戏的戒烟激励措施

• 批准号: 9104122
• 负责人: BETHANY R RAIFF
• 金额: $ 12.97万
• 依托单位: ENTERTAINMENT SCIENCE PLAYMATICS, JV
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2017-06-12
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9104122
• 关键词: Abstinence; Advertising; Aftercare; Alcohol abuse; Android; Behavior Therapy; Breathing; Carbon Monoxide; Cellular Phone; Chronic Disease; Clip; Computer software; Cotinine; Data; Data Collection; Development; Development Plans; Devices; Drug abuse; Elements; Employee; Ensure; Evaluation; Evidence based intervention; Exhalation; Face; Feedback; Future; Gifts; Goals; Health; Incentives; Individual; Intervention; Life; Monitor; Morbidity - disease rate; Outcome; Outcome Measure; Participant; Patient Self-Report; Pattern; Peripheral; Persons; Phase; Play; Prevalence; Procedures; Process; Provider; Public Health; Randomized; Randomized Controlled Trials; Reading; Relapse; Research; Rewards; Sales; Salivary; Sampling; Small Business Innovation Research Grant; Smoker; Smoking; Smoking Cessation Intervention; Smoking Status; Social Reinforcement; Stream; Surveys; Time; Travel; Video Games; Video Recording; Wellness Program; base; cigarette smoking; contingency management; cost; design; effective intervention; evidence base; formative assessment; game development; handheld mobile device; improved; iterative design; medication compliance; meetings; member; monitoring device; mortality; primary outcome; programs; prospective; smoking cessation; social; success; treatment duration; virtual

DESCRIPTION (provided by applicant): Cigarette smoking remains the number one cause of preventable morbidity and mortality in the U.S. Each year, one third to one half of smokers attempt to quit at least once; however, approximately 94% of quit attempts fail. A number of interventions have been developed to help smokers initiate and maintain abstinence. Unfortunately, even though most smokers express a desire to quit, relapse is the most likely outcome. Thus, it is not only critically important that more effective interventions be developed to reduce relapse, but it is also a primary public health goal to ensure that evidence-based smoking cessation interventions be made widely available, and at a low cost, to smokers. One of the most powerful, evidence-based behavioral interventions for smoking cessation is contingency management (CM). CM for smoking cessation consists of delivering incentives (typically money) contingent on objective evidence of smoking abstinence (e.g., carbon monoxide [CO] levels in the exhaled breath). However, the cost of providing incentives, the time it takes to administer the program, and the distance that must be traveled to participate in supervised monitoring procedures are often cited as barriers to CM. This SBIR Fast-Track proposal seeks to develop a mobile videogame-based contingency management intervention for smoking cessation. The goals of the present proposal are to markedly decrease costs, improve sustainability, and further increase accessibility of CM interventions for smoking cessation. To increase access, all aspects of the intervention will be available via Android or iOS smartphones used in conjunction with a matchbox-sized peripheral device for monitoring breath CO. To decrease costs and improve sustainability, the mobile game we will develop will allow us to replace the monetary incentives typically used in CM interventions with in-game "virtual rewards" that can immediately be used to help players meet game objectives, as well as with social reinforcement, prompted and incentivized in the context of the game. In Phase I, an iterative design and formative evaluation process will be used to create a game design and storyboard for the mobile game to be developed in Phase II, the CO data collection software will be produced and integrated with the CO Monitor, and a demo of the videogame will be developed. The demo created will be presented to 20 treatment-seeking smokers owning the target platform devices, who will then complete a survey & prospective evaluation of the planned intervention. In Phase II the development of the videogame, capable of supporting 7 weeks of play, will be completed, and a 7 week randomized control trial outcome evaluation will be conducted with 114 subjects to assess the feasibility, acceptability, appeal, and efficacy of the smoking cessation intervention.

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。每年，三分之一到一半的吸烟者至少尝试戒烟一次;然而，大约94%的戒烟尝试失败。已经制定了一些干预措施来帮助吸烟者开始和保持戒烟。不幸的是，即使大多数吸烟者表达了戒烟的愿望，复发是最有可能的结果。因此，制定更有效的干预措施以减少复吸不仅至关重要，而且确保以低成本向吸烟者广泛提供循证戒烟干预措施也是一个主要的公共卫生目标。戒烟最有效的循证行为干预措施之一是应急管理（CM）。戒烟的CM包括根据戒烟的客观证据（例如，呼出气中的一氧化碳（CO）水平）。然而，提供激励的成本，管理该计划所需的时间，以及参与监督监测程序所需的距离通常被认为是CM的障碍。SBIR快速通道提案旨在开发一种基于移动的视频游戏的戒烟应急管理干预措施。本提案的目标是显着降低成本，提高可持续性，并进一步提高戒烟CM干预措施的可及性。为了增加访问，干预的所有方面都将通过Android或iOS智能手机与火柴盒大小的外围设备结合使用，用于监测呼吸CO。为了降低成本并提高可持续性，我们将开发的移动的游戏将允许我们用游戏中的“虚拟奖励”取代CM干预中通常使用的货币激励，这些奖励可以立即用于帮助玩家实现游戏目标，以及社会强化，在游戏的背景下被提示和激励。在第一阶段，迭代设计和形成性评估过程将用于为第二阶段开发的移动的游戏创建游戏设计和故事板，CO数据收集软件将被制作并与CO监视器集成，视频游戏的演示将被开发。创建的演示将呈现给拥有目标平台设备的20名寻求治疗的吸烟者，然后他们将完成对计划干预的调查和前瞻性评估。在II期，将完成能够支持7周游戏的视频游戏的开发，并将对114名受试者进行7周随机对照试验结局评价，以评估戒烟干预的可行性、可接受性、吸引力和有效性。