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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

基本信息

批准号：
9474463
负责人：
BETHANY R RAIFF
金额：
$ 26.94万
依托单位：
ENTERTAINMENT SCIENCE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9474463
关键词：
BREATHE FREE Smartphone Videogame Based

项目摘要

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）：吸烟仍然是美国可预防发病和死亡的头号原因。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% 的戒烟尝试都会失败。已经制定了许多干预措施来帮助吸烟者开始和维持戒烟。不幸的是，尽管大多数吸烟者表达了戒烟的愿望，但最有可能的结果是复吸。因此，制定更有效的干预措施来减少复吸不仅至关重要，而且确保以较低的成本向吸烟者广泛提供循证戒烟干预措施也是一项主要的公共卫生目标。应急管理 (CM) 是戒烟最有力、基于证据的行为干预措施之一。戒烟 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）提供激励措施（通常是金钱）。然而，提供激励措施的成本、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。该 SBIR 快速通道提案旨在开发一种基于移动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。为了增加可及性，干预的各个方面都可以通过 Android 或 iOS 智能手机与火柴盒大小的外围设备结合使用来监测呼吸 CO。为了降低成本并提高可持续性，我们将开发的移动游戏将允许我们用游戏内的“虚拟奖励”取代通常在 CM 干预中使用的金钱激励，这些奖励可以立即用于帮助玩家实现游戏目标，以及社交强化、提示和奖励。在游戏的背景下进行激励。在第一阶段，将使用迭代设计和形成性评估流程为第二阶段开发的手机游戏创建游戏设计和故事板，将制作CO数据收集软件并与CO监视器集成，并开发视频游戏的演示。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措施的调查和前瞻性评估。在第二阶段，将完成能够支持7周游戏的视频游戏的开发，并将对114名受试者进行为期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、吸引力和有效性。