Contingency Management for Smoking Cessation in the Homeless

NCT01736982 | Completed DMC

• 2 other identifiers: 12-186-2R21DA031897
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Smoking cessation services are an unmet need among the homeless, who smoke at rates more than 3 times the national estimate; successful interventions in this underserved population have the potential for improving individual and public health. Contingency management (CM) is a behavioral intervention with efficacy in a number of substance use disorder populations, including smokers. However, no known studies have evaluated the effect of CM in homeless smokers. The investigators plan to examine smoking-related outcomes in homeless treatment-seeking smokers (N = 70) randomized to standard care smoking cessation (transdermal nicotine replacement therapy \[NRT\] + standard counseling + carbon monoxide \[CO\] monitoring) or standard care plus CM (NRT + standard counseling + CO monitoring + CM) conditions. Standard counseling and CO monitoring will occur for the first 4 weeks, with NRT use continuing through week 8. Participants in both conditions will meet with study staff up to twice daily on weekdays for biochemical verification of smoking status. Participants in the CM condition will have the opportunity to earn prizes for negative breath samples (CO ≤ 4 ppm) up to twice daily on weekdays. CO breath samples will be collected at all visits. The investigators expect that participants randomized to CM will have better outcomes compared to those in standard care.

Conditions

Cigarette Smoking

Keywords

Cigarette Smoking; Homeless; Contingency Management; Smoking Cessation

Outcome Measures

Primary Outcomes (1)

• Longest Duration of Abstinence

  Week 4

Study Arms (2)

Standard of Care

ACTIVE COMPARATOR

transdermal nicotine replacement \[21 mg patches (4 wks), 14 mg (2 wks), 7 mg (2 wks)\], breath sample monitoring, standard smoking cessation counseling

Other: Standard of Care

Standard of Care plus Contingency Management

EXPERIMENTAL

Standard smoking cessation intervention plus contingency management

Behavioral: Contingency Management; Other: Standard of Care

Interventions

Contingency Management BEHAVIORAL

Participants earn reinforcement in the form of prizes for breath samples that test negative for cigarette smoking.

Standard of Care plus Contingency Management

Standard of Care OTHER

Standard smoking cessation counseling

Standard of Care; Standard of Care plus Contingency Management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age ≥ 18 years
• homeless
• regular smoker

You may not qualify if:

• non-English speaking
• contra-indications for transdermal nicotine
• in recovery for pathological gambling

Sponsors & Collaborators

• UConn Health: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (1)

The Friendship Center

New Britain, Connecticut, 06051, United States

Location

MeSH Terms

Conditions

Cigarette Smoking; Smoking Cessation

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Tobacco Smoking; Smoking; Behavior; Tobacco Use; Health Behavior

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Carla J Rash, PhD

  UConn Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 26, 2012
• First Posted: November 29, 2012
• Study Start: October 1, 2012
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: January 16, 2018

Record last verified: 2018-01

Locations

US (1)