Web-Based Contingency Management for Smoking Abstinence with Adolescents

描述(申请人提供)：青春期对于戒烟努力来说可能代表着一个独特的具有挑战性的人生阶段。许多现在的吸烟者在青春期就开始吸烟，有大量证据表明，绝大多数每天吸烟的青少年在成年后都会继续吸烟。然而，多达65%的青少年日常吸烟者报告说想要戒烟或减少吸烟。报告对戒烟感兴趣的青少年吸烟者与这些青少年最终在成年后继续吸烟的比例之间的差距表明，需要可行和有效的行为治疗来支持这一群体。针对青少年吸烟者对适当治疗的需求，这项研究(采用两组随机对照设计，每组63人)将评估一种新的、创新的基于互联网的应急管理(CM)计划的有效性和有效性，以帮助青少年吸烟者戒烟。因为这个CM项目是基于互联网的，它可以在家里完成，这对于青少年吸烟者来说是一种更可行的治疗选择，而不是其他需要经常去临床机构的治疗方案。从成人和青少年吸烟者的初步工作来看，预计这一治疗计划将非常有效地改变青少年的吸烟行为。这项研究还将包括每月八次的治疗后跟踪会议，以确定吸烟行为的长期一致性或变化。这项研究的第二个目标是探索治疗前对冲动行为不同维度的评估，作为治疗结果的预测因素。这些行为评估将提供有关青少年吸烟者特定行为风格的非常详细的信息，这些吸烟者在治疗期间无法有效地改变他们的吸烟行为。这些信息应该为修改治疗方案提供新的侧重点，以改进这些方案，使其对最具挑战性的青少年戒烟或减少吸烟的努力更有效。 与公共健康相关：在美国，吸烟是最可预防的死亡原因。这项研究将评估青少年吸烟者戒烟的一种新的行为疗法。此外，这项研究将促进我们对青少年在戒烟治疗计划期间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.