Smoking Cessation Clinical Trial
Official title:
Mobile Contingency Management for Smoking Cessation Among Socioeconomically Disadvantaged Adults
Verified date | March 2024 |
Source | University of Oklahoma |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Smoking prevalence rates are disproportionately high among individuals living below the poverty threshold, those living in rural areas, and Oklahomans. Nearly 1.3 million Oklahomans live in rural areas and the prevalence of poverty is elevated relative to the U.S. Our preliminary work has indicated that offering small escalating financial incentives for smoking abstinence (i.e., Contingency Management [CM]) dramatically increases short-term cessation rates among socioeconomically disadvantaged smokers when incentives are included as an adjunct to clinic-based smoking cessation treatment. However, other approaches are needed for socioeconomically disadvantaged individuals who are unable to attend clinic visits due to rural residence or other limitations. Internet and mobile phone-based CM approaches have been developed to reduce or eliminate the need for in-person visits. The goal of the current project is to improve upon existing mobile CM approaches by fully automating the process to make financial incentives interventions for smoking cessation feasible and accessible to individuals across the state. The aims of the proposed project are to 1) develop a fully automated, mobile phone-based CM approach to remotely verify smoking abstinence, confirm participant identity, and deliver financial incentives for smoking cessation, and 2) evaluate the feasibility and preliminary effectiveness of using fully automated mobile CM as an adjunct to telephone counseling and nicotine replacement therapy among 20 socioeconomically disadvantaged adults. The current project extends the scope of the parent study by increasing the reach of the CM approach to socioeconomically disadvantaged individuals who may be unable to attend in-person visits.
Status | Completed |
Enrollment | 20 |
Est. completion date | May 15, 2019 |
Est. primary completion date | May 15, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 64 Years |
Eligibility | Inclusion Criteria: - currently uninsured or receiving Medicaid benefits - earn a score = 4 on the REALM indicating > 6th grade English literacy level - willing to quit smoking 7 days from their first visit - 18-64 years of age - expired CO level = 8 ppm suggestive of current smoking - currently smoking = 5 cigarettes per day - own or have access to a computer (to remotely complete study questionnaires). Exclusion Criteria: - pregnant or breastfeeding - have uncontrolled hypertension - had a myocardial infarction within the past two weeks - have an allergy to adhesive tape - are unwilling to use nicotine replacement therapy. |
Country | Name | City | State |
---|---|---|---|
United States | The University of Oklahoma Health Sciences Center, Tobacco Treatment Research Program | Oklahoma City | Oklahoma |
Lead Sponsor | Collaborator |
---|---|
University of Oklahoma | National Cancer Institute (NCI) |
United States,
Kendzor DE, Businelle MS, Waring JJC, Mathews AJ, Geller DW, Barton JM, Alexander AC, Hebert ET, Ra CK, Vidrine DJ. Automated Mobile Delivery of Financial Incentives for Smoking Cessation Among Socioeconomically Disadvantaged Adults: Feasibility Study. JM — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Biochemically-verified smoking cessation | Self-reported abstinence over the past 7 days in conjunction with a carbon monoxide value < 6 ppm | 12 weeks post-quit date | |
Primary | Treatment Participants | Treatment sessions completed (1-6) | 5 weeks post-enrollment | |
Primary | Follow-Up Completion Rate | The number of people who provide self-reports of smoking status and biochemical verification of smoking cessation. | 12 weeks post-quit date | |
Secondary | Device Loss | The total number of phones and iCO monitors lost. | 13 weeks post-enrollment | |
Secondary | Completion of Ecological Momentary Assessment | Percentage of ecological momentary assessments completed | 5 weeks post-enrollment |
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