Quit and Win Contests to Improve Smoking Cessation Among College Students

Study Overview
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Brief Summary
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Standard Quit and Win contests, in which smokers typically quit for one month in return for the opportunity to win prizes, are simple and easy to implement and may be cost-effective in encouraging smokers to quit. By extending contest length and enhancing counseling content, Quit and Win contests may be more effective at encouraging smoking abstinence. This study aims to evaluate the efficacy of extended and content-enhanced Quit and Win contests to enhance smoking abstinence at college campuses.

Detailed Description
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Participants will be randomized to 1 of 4 treatment groups with varying counseling treatments and contest lengths. All participants receive a 2 week supply of nicotine replacement therapy (NRT) and weekly support emails. Follow-up assessment surveys occur at 1, 3, 4 and 6 months post enrollment. Participants who have completed the follow-up assessment surveys and self-reported that they are tobacco-free will be asked to provide a urine sample in order to verify abstinence.

Official Title
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Enhancing Quit and Win Contests to Improve Smoking Cessation Among College Students

Conditions
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Tobacco Use Cessation

Intervention / Treatment
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* Behavioral: Standard contest (1 month)
* Behavioral: Motivational and Problem-Solving
* Behavioral: Extended Contests


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Enrolled full or part-time at one of the participating campuses Smoke at least 10 days per month Intending to be in school for the entire academic year (i.e., next 2 semesters) Willing to provide a baseline urine sample to verify smoking status Able to read English Access to working telephone for phone-based counseling and surveys Access to a computer with internet access Provide written informed consent Exclusion Criteria: Prior to concurrent enrollment in this study through a different college campus or in a different academic year those who have used a cessation aid within the last 7 days pregnant or planning to become pregnant in next 3 months

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Standard Contest<br>Smoking abstinence, 1 prize award (month 1) | Behavioral: Standard contest (1 month)<br>* Smoking abstinence, 1 prize award (month 1)<br>|
| Experimental: Standard Contest plus MAPS<br>Smoking abstinence, 1 prize award (month 1) plus motivational and problem-solving counseling (MAPS - Counseling phone calls); 20 weeks. | Behavioral: Standard contest (1 month)<br>* Smoking abstinence, 1 prize award (month 1)<br>Behavioral: Motivational and Problem-Solving<br>* Counseling phone calls<br>|
| Experimental: Extended Contests<br>Smoking abstinence, 3 contest prize awards (contests 1, 2 and 3) | Behavioral: Extended Contests<br>* Smoking abstinence, 3 contest prize awards (contests 1, 2 and 3)<br>|
| Experimental: Extended Contests plus MAPS<br>Extended quit and win contests (3 successive monthly contests) plus motivational and problem-solving counseling (MAPS). {Smoking abstinence, 3 contest prize awards (contests 1, 2 and 3) plus Counseling phone calls. | Behavioral: Motivational and Problem-Solving<br>* Counseling phone calls<br>Behavioral: Extended Contests<br>* Smoking abstinence, 3 contest prize awards (contests 1, 2 and 3)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacy of extended versus standard quit and win contests | The aim is to evaluate the separate and combined efficacy of increased dose of treatment and adding counseling to enhance smoking abstinence among college students | 6 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacy of motivational and problem solving counseling versus no counseling | The aim is to 1) determine relative cost-effectiveness of extended incentives and motivational and problem-solving (MAPS) counseling. 2) Examine potential mediators and moderators of intervention effects. | 6 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Smoking cessation, Quit smoking, Quit & Win