Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Interactive Voice Response Technology to Mobilize Contingency Management for Smoking Cessation
Brief Summary: Cigarette smoking remains the most common source of preventable morbidity and mortality in the United States, with in excess of $167 billion in economic costs per year. Contingency management (CM), in which tangible incentives are provided contingent on a target behavior like abstinence, is highly efficacious in improving substance abuse treatment outcomes and is receiving increased attention for smoking cessation. Expired carbon monoxide (CO) is the most common objective smoking status test used in smoking research and treatment. Unfortunately, multiple CO tests/day are typically required to detect all smoking and reinforce sustained abstinence. The resulting logistical and resource limitations greatly limit the application of this potentially powerful quit smoking toolset. This study addresses these limitations by examining the effectiveness of using interactive voice response technology (IVR) to implement CM. Smokers who want to quit (N = 90 randomized) will receive 2 quit preparation sessions based on public health guidelines for smoking cessation and set a target quit date. Participants will be randomly assigned to 1 of 2 treatment conditions: (a) IVR-S consisting of objective smoking status monitoring using IVR, telephone counseling and transdermal nicotine and (b) IVR-CM, consisting of the same monitoring, telephone counseling and transdermal nicotine plus IVR-based CM for smoking abstinence. It is hypothesized that abstinence rates will be higher in the IVR-CM condition compared to the IVR-S, supporting a combined IVR CM approach, and thereby greatly increasing the applicability of these powerful smoking cessation tools.


Options:
A: Intervention Type: BEHAVIORAL; Name: Financial incentives; Assigned to Arm(s): N/A
B: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Computerized brief intervention (5As); Type: EXPERIMENTAL; Interventions: Behavioral: Computer-delivered brief intervention (5As) | Arm Label: Contingency Management Alone; Type: EXPERIMENTAL; Interventions: Behavioral: Contingency Management | Arm Label: Combined Brief Intervention and CM; Type: EXPERIMENTAL; Interventions: Behavioral: Computer-delivered brief intervention (5As), Behavioral: Contingency Management | Intervention Type: BEHAVIORAL; Name: Computer-delivered brief intervention (5As); Assigned to Arm(s): Combined Brief Intervention and CM, Computerized brief intervention (5As) | Intervention Type: BEHAVIORAL; Name: Contingency Management; Assigned to Arm(s): Combined Brief Intervention and CM, Contingency Management Alone
C: Arm Label: Standard Care; Type: ACTIVE_COMPARATOR; Interventions: Drug: transdermal nicotine, Behavioral: Telephone counseling | Arm Label: Contingency management for abstinence from cigarettes; Type: EXPERIMENTAL; Interventions: Behavioral: contingency management for smoking abstinence, Drug: transdermal nicotine, Behavioral: Telephone counseling | Intervention Type: BEHAVIORAL; Name: contingency management for smoking abstinence; Assigned to Arm(s): Contingency management for abstinence from cigarettes | Intervention Type: DRUG; Name: transdermal nicotine; Assigned to Arm(s): Contingency management for abstinence from cigarettes, Standard Care | Intervention Type: BEHAVIORAL; Name: Telephone counseling; Assigned to Arm(s): Contingency management for abstinence from cigarettes, Standard Care
D: Arm Label: Standard Contest; Type: EXPERIMENTAL; Interventions: Behavioral: Standard contest (1 month) | Arm Label: Standard Contest plus MAPS; Type: EXPERIMENTAL; Interventions: Behavioral: Standard contest (1 month), Behavioral: Motivational and Problem-Solving | Arm Label: Extended Contests; Type: EXPERIMENTAL; Interventions: Behavioral: Extended Contests | Arm Label: Extended Contests plus MAPS; Type: EXPERIMENTAL; Interventions: Behavioral: Motivational and Problem-Solving, Behavioral: Extended Contests | Intervention Type: BEHAVIORAL; Name: Standard contest (1 month); Assigned to Arm(s): Standard Contest, Standard Contest plus MAPS | Intervention Type: BEHAVIORAL; Name: Motivational and Problem-Solving; Assigned to Arm(s): Extended Contests plus MAPS, Standard Contest plus MAPS | Intervention Type: BEHAVIORAL; Name: Extended Contests; Assigned to Arm(s): Extended Contests, Extended Contests plus MAPS

Answer: C