Technological Innovations in Behavioral Treatments for Cigarette Smoking

Study Overview
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Brief Summary
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The purpose of the study is to evaluate a sustainable and broadly accessible treatment delivery model (Motiv8) for smoking cessation based on abstinence-reinforcement.

Detailed Description
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Smokers are randomly assigned to one of two groups: an Abstinence Contingent (AC) group and a Submission Contingent (SC) group. The AC group receives vouchers for abstaining from smoking (measured by a carbon monoxide monitor and confirmed through video-submission), and the SC group receives vouchers for submitting videos of their carbon monoxide breath tests. Both groups take videos of their CO-monitoring on a secure website designed for the study, as well as receive standard care counseling and education related to smoking cessation. The main intervention lasts four weeks, and a three-week maintenance phase will follow. Assessments will be conducted at intake, week four (end of the main treatment phase), and at three and six months after the intervention period is completed

Official Title
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Technological Innovations in Behavioral Treatments for Cigarette Smoking

Conditions
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Cigarette Smoking

Intervention / Treatment
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* Behavioral: Reinforcement for the abstinence of smoking
* Behavioral: Reinforcement for submission of videos with CO sample


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Self-reported smoker Permission to contact applicant by phone Ability to use the internet Exclusion Criteria: Self-report of a history of or current severe or unstable medical or psychiatric illness that would interfere with the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Abstinence Contingent (AC)<br>This group will receive vouchers contingent on smoking reduction and smoking abstinence (confirmed through video submissions). Abstinence is defined as a CO sample of 4ppm or less. | Behavioral: Reinforcement for the abstinence of smoking<br>* Participants in this intervention group will receive vouchers contingent upon a CO sample of 4ppm or less.<br>|
| Experimental: Submission Contingent (SC)<br>This group receives vouchers for submitting videos of their CO breath test. | Behavioral: Reinforcement for submission of videos with CO sample<br>* This intervention group will receive vouchers contingent on their submission of videos of their CO breath tests.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CO sample of ≤ 4ppm |  | 4 weeks, 7 weeks during intervention; 3 months and 6 months after intervention | 
| Participant reporting not smoking, not even a puff in the last 7 days. |  | 4 weeks, 7 weeks during intervention; 3 months and 6 months after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Twice-daily breath CO samples obtained during treatment period. |  | First 4 weeks of treatment | 
| The longest duration of sustained abstinence based on the twice-daily breath samples during the treatment period. |  | First 4 weeks of treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cigarette, Nicotine, Smoking, Contingency Management, Voucher reinforcement, Smoking Abstinence, Internet-based treatment