Nicotine Dependence Clinical Trial
Official title:
Contingency Management for Smoking Cessation Among Veterans With Schizophrenia or Other Psychoses
This study examines the use of contingent incentives to increase attendance at smoking cessation treatment sessions by smokers with schizophrenia and other psychoses who want to quit smoking. We hypothesize that participants randomized to receive contingent rewards for group attendance will attend more treatment sessions than those in the control group.
Schizophrenia and other psychotic disorders are highly prevalent in the VA population and
are associated with high rates of smoking. Although smoking cessations approaches that work
for non-schizophrenic patients such as behavioral counseling and medications appear to be
efficacious for schizophrenic smokers, a major obstacle in providing adequate treatment is
poor attendance at treatment sessions. Contingency management has been shown to shape
treatment behavior in non-schizophrenic smokers and to shape other behaviors such as cocaine
use and exercise in schizophrenics.
The intention of this project is to examine the use of contingent incentives to increase
attendance at smoking cessation treatment sessions by smokers with schizophrenia and other
psychoses and to compare two different approaches to providing contingent incentives in this
context. Subjects in the experimental condition draw from a fishbowl to obtain tokens when
they attend a smoking cessation treatment session. The number of draws will be based upon
attendance at consecutive sessions. Subjects in the experimental condition receive a set
reward that will not change regardless of attendance at consecutive sessions. We hypothesize
that the participants in the experimental condition will attend more smoking cessation group
therapy sessions than those in the control condition because they will have the possibility,
although not the likelihood, to obtain contingent reinforcement of greater value.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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