Game-based contingency management for smoking cessation

基于游戏的戒烟应急管理

• 批准号: 8569183
• 负责人: BETHANY R RAIFF
• 金额: $ 28.82万
• 依托单位: ROWAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-15 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8569183
• 关键词: base; contingency management; smoking cessation

DESCRIPTION (provided by applicant): Cigarette smoking remains the number one cause of preventable morbidity and mortality in the U.S. A number of barriers have been noted that prevent access to smoking cessation interventions, such as lack of clinician training, the time commitment required to implement treatments, and the costs associated with treatment. Thus, it is critically important that more effective interventions be developed, and be made accessible at a relatively low cost, to smokers. We recently developed an Internet-based Contingency Management (CM) intervention, where participants submit web-camera recorded videos as they exhale into a CO monitor, and they earn money for abstinence. Although the costs associated with providing monetary incentives contingent on smoking abstinence are likely to be less than the costs associated with medical complications caused by smoking, the cost of incentives is often cited as a barrier to CM. Thus, the goals of the present proposal are to markedly decrease costs and increase sustainability of this highly accessible Internet-based CM for smoking cessation. Using an iterative development process with the help of a team of experts, a social strategy video game intended to be fun and engaging will be developed for Facebook ("Quitters, Incorporated"). Treatment- seeking smokers will be able to earn incentives contingent on meeting web-camera verified CO values consistent with smoking abstinence. Three powerful, evidence-based incentives will be harnessed in this CM intervention. The incentives will consist of: (1) individual contingencies that can be used to improve game play, (2) social contingencies, such as positive feedback and virtual rewards, that can be given to other players to acknowledge their success with abstinence and improve their game play, and (3) group contingencies that will require all members of a group to meet abstinence goals in order to unlock access to certain game features. After game development, we will assess the feasibility, acceptability, appeal, and preliminary efficacy of video- game-based CM for smoking cessation. A 7-week pilot study will involve randomly assigning participants (N=100) to either: (1) abstinent contingent, where incentives will be delivered contingent on quitting smoking, or (2) submission contingent, where incentives will be delivered contingent on submitting videos, but independent of quitting smoking. The outcomes of the pilot study will impact future research in the development of video-game-based CM interventions for smoking, as well as for alcohol and other drug use, and medication compliance in diabetes, asthma, and other conditions. Game-based CM will promote widespread access to this innovative, fun, sustainable intervention at a relatively low cost (the game will be available to play for free), thereby offering the potential t have a substantial public health impact.

描述（由申请人提供）：吸烟仍然是美国可预防的发病率和死亡率的第一大原因，这些障碍已被注意到阻止吸烟戒烟干预措施，例如缺乏临床医生培训，实施治疗所需的时间承诺以及与治疗相关的成本。因此，至关重要的是要制定更有效的干预措施，并以相对较低的成本使吸烟者进入。 我们最近开发了一种基于Internet的应急管理（CM）干预措施，参与者将网络摄像机录制的视频在呼气到CO监视器时录制了视频，他们赚钱以节制。尽管提供的货币激励措施因戒烟而导致的货币激励措施可能小于吸烟引起的医疗并发症相关的成本，但激励措施的成本通常被视为CM的障碍。因此，本提案的目标是显着降低成本并增加这种基于Internet的CM戒烟的可持续性。 在专家团队的帮助下，将利用迭代开发过程，将为Facebook开发一种社交策略视频游戏（“退出，融合”）。治疗 - 寻求吸烟者将能够赢得激励措施，以满足与戒烟一致的网络相机验证的CO值。在此CM干预中将利用三种强大的基于证据的激励措施。激励措施将包括：（1）可以用来改善游戏玩法的个人意外事件，（2）社交意外事件，例如积极的反馈和虚拟奖励，可以给其他玩家承认自己的成功并改善了他们的比赛并改善他们的比赛，并且（3）需要团队成员来满足所有游戏的访问权限来访问某些游戏的成员，才能在某些游戏中访问某些功能。游戏开发后，我们将评估基于视频的CM戒烟的可行性，可接受性，吸引力和初步功效。一项为期7周的试点研究将涉及将参与者（n = 100）随机分配给：（1）戒酒的偶然性，在这种情况下，将在戒烟方面进行激励措施，或者（2）提交意外情况，在此方面将在提交视频方面提供动机，但独立于戒烟。 试点研究的结果将影响未来的研究，以开发基于视频游戏的CM吸烟，酒精和其他药物的干预措施，以及糖尿病，哮喘和其他疾病的药物依从性。基于游戏的CM将以相对较低的成本促进广泛访问这一创新，有趣，可持续的干预措施（该游戏将免费玩），从而提供潜在的T具有很大的公共卫生影响。