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）：吸烟仍然是美国每年可预防发病率和死亡率的第一大原因，三分之一至一半的吸烟者试图至少戒烟一次；但是，大约94％的退出尝试失败。已经开发了许多干预措施，以帮助吸烟者发起和维持戒酒。不幸的是，即使大多数吸烟者表示戒烟的愿望，但最可能的结果是复发。因此，制定更有效的干预措施以减少复发，不仅至关重要，而且是确保使吸烟者以较低成本的基于证据的戒烟干预措施确保基于证据的戒烟干预措施的主要目标。应变管理（CM）是最有力的，基于证据的行为干预措施之一。戒烟的CM包括提供戒烟的客观证据的激励措施（通常是金钱）（例如，呼出的呼吸中的一氧化碳[CO]水平）。但是，提供激励措施的成本，管理该计划所需的时间以及参加监督监测程序的距离，通常被认为是CM的障碍。该SBIR快速曲目提案旨在开发一种基于移动视频游戏的应急管理干预措施，以戒烟。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CM干预措施戒烟的可及性。为了增加访问访问，将通过Android或iOS智能手机与火柴盒大小的外围设备进行监控呼吸有公司的各个方面的所有方面，以降低成本并提高可持续性，我们将开发的手机游戏将使我们能够替换货币奖励，以替换货币奖励，通常会在CM中使用“奖励”，并且可以在赛场上与赛车的奖励相遇，以便在赛场上与之相遇，以帮助“相对于赛车的奖励”。在游戏的上下文中激励。在第一阶段，将使用迭代设计和形成性评估过程来为要在II阶段开发的手机游戏创建游戏设计和故事板，将与CO Monitor生产并集成了CO数据收集软件，并将开发视频游戏的演示。创建的演示将提供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中的干预措施的调查和预期评估。在第二阶段，将完成电子游戏的开发，能够支持7周的比赛，并将与114名受试者进行7周的随机对照试验结果评估，以评估戒烟干预的可行性，可接受性，吸引力和功效。