Web-Based Contingency Management for Smoking Abstinence with Adolescents

描述（由申请人提供）：青春期可能是戒烟努力的一个独特的挑战性生命期。许多现在的吸烟者在青春期开始吸烟，有大量证据表明，绝大多数曾经每天吸烟的青少年继续吸烟到成年。然而，多达65%的青少年每日吸烟者报告想要戒烟或减少吸烟。报告有兴趣戒烟的青少年吸烟者与这些青少年最终继续吸烟到成年的比例之间的差异表明，需要可行且强大的行为治疗来支持这一人群。为了满足青少年吸烟者对适当治疗的需求，本研究（采用两组随机对照设计，每组n = 63）将评估一种新的和创新的基于互联网的应急管理（CM）计划对青少年吸烟者戒烟的有效性和疗效。因为这个CM程序是基于互联网的，它可以在家里完成，这是一个更可行的治疗选择青少年吸烟者比其他治疗需要经常前往临床设施。从成人和青少年吸烟者的初步工作来看，预计这种治疗方案将非常有效地改变青少年吸烟行为。这项研究还将涉及8个月的治疗后随访，以确定吸烟行为的长期变化。本研究的第二个目的是探讨治疗前评估的不同方面的冲动行为作为预测治疗结果。这些行为评估将提供有关青少年吸烟者的具体行为风格的非常详细的信息，这些青少年吸烟者在治疗期间无法有效改变其吸烟行为。这些信息应该为治疗方案的修改提供新的重点，以改善这些方案，使其对戒烟或减少吸烟方面最具挑战性的青少年更有效。 公共卫生相关性：在美国，吸烟是最主要的可预防死亡原因。这项研究将评估一种新的行为治疗青少年吸烟者戒烟。此外，这项研究将促进我们对青少年在戒烟治疗计划中戒烟或减少吸烟能力相关的不同行为方式的理解。后一个目标预计将指导吸烟治疗的修改，使这些治疗对试图戒烟或减少吸烟的青少年更有效。

DESCRIPTION (provided by applicant): Adolescence may represent a uniquely challenging life period for smoking-cessation efforts. Many current cigarette smokers began smoking during adolescence, and there is substantial evidence that the vast majority of adolescents who ever smoked daily continue smoking into adulthood. However, as many as 65% of adolescent daily smokers report wanting to quit or reduce smoking. The disparity between adolescent smokers reporting an interest in abstinence and the percentage of these adolescents who ultimately continue smoking into adulthood illustrates the need for feasible and powerful behavioral treatments to support this population. In response to the need for treatments appropriate for adolescent smokers, this research (utilizing a two-group randomized-control design, n = 63 per group) will evaluate the effectiveness and efficacy of a new and innovative Internet-based contingency-management (CM) program for smoking abstinence with adolescent smokers. Because this CM program is Internet based it can be completed from home, which stands to be more viable as a treatment option for adolescent smokers than other treatments requiring frequent trips to a clinical facility. From preliminary work with adult and adolescent smokers, it is expected this treatment program will be highly effective in creating favorable changes in adolescent smoking behavior. This research will also involve eight monthly post-treatment follow-up sessions to determine long-term consistencies or changes in smoking behavior. A secondary goal of this research is to explore pre-treatment assessments of different dimensions of impulsive behavior as predictors of treatment outcome. These behavioral assessments will provide highly detailed information about the specific behavioral styles of adolescent smokers who are unable to effectively change their smoking behavior during treatment. This information should provide new points of emphasis for treatment- program modifications to improve these programs to be more effective for adolescents most challenged in their efforts to quit or reduce smoking. PUBLIC HEALTH RELEVANCE: Cigarette smoking is the top preventable cause of death in the United States. This study will evaluate a novel behavioral treatment for cigarette smoking cessation with adolescent smokers. Further, this study will advance our understanding of the different behavioral styles associated with an adolescent's ability to quit or reduce smoking during a treatment program for smoking cessation. This latter aim is expected to guide smoking treatment modifications to make these treatments more effective for adolescents who are trying to quit or reduce smoking.