A Pilot Trial of Gamification for Enhancing a Smoking Cessation App.

用于增强戒烟应用程序的游戏化试点。

• 批准号: 9893737
• 负责人: Justin S White
• 金额: $ 27.65万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-01 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9893737
• 关键词: Abstinence; Adult; Behavior; Behavior Therapy; Behavioral; Biochemical; Birth; Carbon Monoxide; Cause of Death; Cellular Phone; Cessation of life; Clinical; Decision Making; Development; Disease; Dropout; Drops; Effectiveness; Elements; Evaluation; Feedback; Focus Groups; Future; Goals; Guidelines; Health behavior; Intervention; Interview; Knowledge; Lead; Malignant neoplasm of lung; Methods; Mobile Health Application; Motivation; National Cancer Institute; Participant; Plant Roots; Play; Population; Population Heterogeneity; Preparation; Process; Psychology; Randomized; Reporting; Research; Rewards; Sampling; Series; Smoker; Smoking; Smoking Cessation Intervention; Smoking Status; Specific qualifier value; Structure; Testing; Time; Tobacco; Tobacco Use Cessation; Tobacco use; Twin Multiple Birth; United States National Institutes of Health; Video Games; Visual; Work; base; behavioral economics; cancer risk; design; digital; improved; innovation; insight; interest; mHealth; mobile computing; novel; pilot trial; portability; premature; primary outcome; programs; prototype; recruit; reduce tobacco use; satisfaction; secondary outcome; sensor; smartphone Application; smoking cessation; standard measure; success; theories; tool; usability; user centered design

PROJECT SUMMARY Enhancing the effectiveness of smoking cessation interventions would significantly reduce premature deaths from lung cancer and other tobacco-related diseases. Smartphone apps for smoking cessation are one promising approach, as more smokers turn to their smartphones for assistance with quitting. However, these programs have high drop-out rates. The overall objective in this application is to develop a novel intervention to increase smoking cessation by engaging and retaining smokers in smartphone-based cessation interventions. The central hypothesis is that a cessation app with gamification—a motivational tool that uses non-monetary rewards to make behavior fun or playful—will increase engagement, retention, and quit rates relative to an app without gamification. Behavioral economics is an emerging field that can be leveraged to inform the design of a gamification intervention. The rationale is that determining the feasibility and early efficacy of a theory-informed gamification intervention will offer a strong scientific framework to develop new strategies for promoting smoking cessation. The central hypothesis will be tested by pursuing two specific aims: 1) Augment an existing smartphone cessation app with gamification to increase engagement and retention, and 2) Test the feasibility, engagement, retention, and early efficacy of the `gamified' app, compared to one without gamification. The goal of the first aim is to develop and test the feasibility and acceptability of a game-based design that will be informed by behavioral economic insights as well as iterative usability testing with smokers. It will be oriented around a series of 7-day challenges to stay abstinent. App users will accumulate points for engaging in specified activities within the app, and maintain an in-game avatar that will provide a visual representation of their progress in quitting. The goal of the second aim is to conduct a randomized pilot trial to test whether gamification enhances engagement, retention, and early efficacy of a smoking cessation app. A diverse sample of adult smokers recruited online will be randomized to an existing cessation app or to the existing app augmented with gamification. Participants will be assessed to determine differences in engagement, retention, and biochemically verified smoking status. The proposed research is innovative, because it focuses on a novel theory-informed intervention as a strategy to motivate smokers to stay engaged in a cessation program. The proposed research is significant, because it is expected to provide strong justification for the continued development and further evaluation of gamification approaches. Ultimately, such knowledge has the potential of offering new opportunities for the development of innovative strategies to improve smoking cessation interventions and reduce the risk of cancer and other illnesses attributable to tobacco among diverse populations.

项目摘要 提高戒烟干预措施的有效性将大大减少过早死亡 肺癌和其他与烟草有关的疾病。戒烟的智能手机应用程序是一个 随着越来越多的吸烟者转向智能手机寻求戒烟帮助，这是一种很有前途的方法。但这些 这些项目的辍学率很高。本申请的总体目标是开发一种新的干预措施， 通过吸引和留住吸烟者参与基于智能手机的戒烟干预措施来增加戒烟。 核心假设是，一个带有游戏化的戒烟应用程序-一种使用非货币激励工具的激励工具， 奖励，使行为有趣或好玩-将增加参与度，保留率和退出率相对于应用程序 没有游戏化。行为经济学是一个新兴的领域，可以利用它来为设计一个 游戏化干预其基本原理是，确定理论知情的可行性和早期疗效 游戏化干预将提供一个强有力的科学框架，以制定新的战略， 戒烟。中心假设将通过追求两个具体目标进行测试：1）增加现有的 智能手机戒烟应用程序与游戏化，以增加参与和保留，和2）测试的可行性， 与没有游戏化的应用程序相比，“游戏化”应用程序的参与度、保留率和早期功效。的 第一个目标的目标是开发和测试基于游戏的设计的可行性和可接受性， 通过行为经济学的见解以及对吸烟者的迭代可用性测试来了解。它将面向 一系列的七天禁欲挑战应用程序用户将积累积分， 在应用程序中指定的活动，并保持一个游戏中的化身，将提供一个视觉表示， 戒烟的进展第二个目标的目标是进行一项随机试点试验，以测试是否 游戏化增强了戒烟应用程序的参与度、保留率和早期疗效。 在线招募的成年吸烟者样本将随机分配到现有戒烟应用程序或现有应用程序 增强了游戏化。将对参与者进行评估，以确定参与、保留、 以及经过生化检验的吸烟状况这项研究是创新的，因为它关注的是一部小说。 理论知情的干预作为一种策略，以激励吸烟者继续参与戒烟计划。的 拟议的研究是重要的，因为它预计将提供强有力的理由，继续 开发和进一步评估游戏化方法。最终，这些知识有可能 为发展创新策略以改善戒烟提供新的机会 采取干预措施，减少不同人群中因烟草而患癌症和其他疾病的风险 人口。