Re-Connect: Personalized, Non-Monetary Smartphone-based Rewards for Smoking Cessation

重新连接：基于智能手机的个性化非金钱戒烟奖励

• 批准号: 10378742
• 负责人: BETHANY R RAIFF
• 金额: $ 17.91万
• 依托单位: ROWAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10378742
• 关键词: Abstinence; Adult; Behavior; Biometry; Car Phone; Carbon Monoxide; Cellular Phone; Cessation of life; Cigarette Smoker; Clinical Trials; Development; Disease; Effect Modifiers (Epidemiology); Enrollment; Ensure; Evaluation; Evidence based intervention; Feedback; Focus Groups; Goals; Health Promotion; Health behavior; Human; Incentives; Internet; Intervention; Learning; Outcome; Outcome Measure; Outpatients; Participant; Patient Self-Report; Patients; Persons; Pilot Projects; Play; Positioning Attribute; Prevalence; Process; Public Health; Randomized; Reading; Relapse; Reporting; Research; Rewards; Sampling; Series; Smoker; Smoking; Smoking Cessation Intervention; Smoking Status; Social Network; System; Systems Development; Telephone; Testing; Time; United States; Video Games; acceptability and feasibility; alcohol abstinence; base; contingency management; cost; design; dynamic system; experience; financial incentive; innovation; interest; medication compliance; meetings; pilot test; prevent; preventable death; primary outcome; programs; prototype; remote delivery; research and development; satisfaction; screening; smartphone Application; smoking abstinence; smoking cessation; social; social media; technology development; usability; vaping

Project Summary Smoking is the number one cause of preventable death in the United States (U.S.). Approximately 14% of U.S. adults are current cigarette smokers, and about 7 out of 10 smokers report a desire to quit. Unfortunately, even among the best smoking cessation interventions, relapse is the most likely outcome. Internet-based contingency management (CM) is a remotely-delivered, evidence-based intervention that involves the provision of financial incentives contingent on objective evidence of smoking abstinence. Internet-based CM has been shown to be both acceptable and highly efficacious, so research efforts are now focused on making the intervention scalable and sustainable by exploring non-monetary incentives for abstinence. About 81% of U.S. adults own a smartphone and 90% of the time people spend on their phones involves using applications (apps) for sending messages, playing mobile games, social networking, shopping, and reading. Given the widespread use of mobile phone apps, and their variety, they may serve as an ideal personalized, low- cost, non-monetary incentive for smoking abstinence that would be relevant to a broad audience in the context of a mobile CM intervention. App blocking programs prevent users from accessing certain apps and they are already available and in high demand; however, none of the existing app-blocking programs are designed to promote health behavior by requiring objective evidence of the target behavior (in this case smoking abstinence) before unblocking the app. The aims of the current proposal are to (1) develop and (2) evaluate Re-Connect, a personalized, smartphone app-blocking-based CM intervention that would limit participants’ access to high-valued, but non-essential (e.g., social media, shopping, games), phone apps until objective evidence of smoking abstinence has been verified. First, we will develop and test Re-Connect using a dynamic systems development, iterative testing, approach involving treatment-seeking smokers at each stage, conducting usability tests via focus groups and feedback sessions. Second, we will randomly assign treatment- seeking smokers (N=50) to either: (1) abstinent contingent (AC) where tokens for unblocking apps can be earned contingent on objective evidence of smoking abstinence (CO < 6ppm), or (2) submission contingent (SC) where tokens can be earned contingent on submitting CO videos, but independent of quitting during a 6- month observation period. Primary outcomes of feasibility and acceptability of Re-Connect will be assessed via (a) enrollment, (b) duration of use, (c) reasons for discontinuation, and (d) participant-reported acceptability. Primary outcomes of preliminary efficacy will be assessed via (e) percent of negative daily CO samples, and (f) 7-day point prevalence of self-reported smoking status, verified by CO, between the two groups. Our team has extensive experience with mobile CM interventions, technology development, focus groups, single-case designs, biostatistics, human factors testing, and clinical trial testing, making us ideally positioned to carry out the proposed proof-of-concept development and testing.

项目摘要 吸烟是美国可预防死亡的第一大原因（美国）。约占美国的14％ 成人是目前的吸烟者，大约有10名吸烟者报告了戒烟的愿望。不幸的是，甚至 在最好的戒烟干预措施中，接力是最有可能的结果。基于互联网 应急管理（CM）是一种远程交付的基于证据的干预措施，涉及 提供基于吸烟戒烟的客观证据的经济激励措施。基于Internet的CM 已被证明既可以接受又高效，因此研究工作现在专注于 干预措施可通过探索禁欲的非货币激励措施来扩展和可持续。约81％ 美国成年人拥有智能手机，人们在手机上花费的时间中有90％涉及使用申请 （应用程序）用于发送消息，玩手机游戏，社交网络，购物和阅读。鉴于 使用手机应用程序及其多样性的宽度使用，它们可以用作理想的个性化，低 - 费用，非货币诱使戒烟，这与广泛的受众有关 移动CM干预的上下文。应用程序阻止程序阻止用户访问某些应用程序和 它们已经有足够的需求；但是，现有的应用程序阻止程序没有 旨在通过需要目标行为的客观证据来促进健康行为（在这种情况下 戒烟）在解开该应用程序之前。当前建议的目的是（1）开发和（2） 评估Re-Connect是一种个性化的基于智能手机应用程序阻滞的CM干预措施，将限制 参与者可以访问高价值但不必要的（例如社交媒体，购物，游戏），直到电话应用程序 戒烟的客观证据已得到验证。首先，我们将使用 动态系统开发，迭代测试，涉及每个阶段寻求治疗吸烟者的方法， 通过焦点小组和反馈会议进行可用性测试。第二，我们将随机分配治疗 - 寻求吸烟者（n = 50）到：（1）禁欲的（AC），在哪里可以使用阻止应用程序的令牌 赢得了戒烟的客观证据（CO <6ppm）或（2）提交评论的关注 （sc）可以在提交CO视频的情况下获得代币的何处，但独立于6-- 一个月观察期。将评估可行性和可接受性的主要结果 通过（a）注册，（b）使用时间，（c）中断的原因以及（d）参与报告的可接受性。 初步效率的主要结果将通过（e）的每日CO样本的百分比以及 （f）两组之间由CO验证的自我报告的吸烟状况的7天点患病率。我们的团队 在移动CM干预，技术开发，焦点小组，单案方面拥有丰富的经验 设计，生物统计学，人为因素测试和临床试验测试，使我们理想地进行 拟议的概念验证开发和测试。