The Role of Contingency Management in Waterpipe Smoking Cessation

NCT02159092 | Completed

• 1 other identifier: 5K01DA037661-02
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

Tobacco use kills more than 500,000 people in the United States each year. Although the use of cigarettes has declined, the use of other tobacco products has remained steady. Waterpipe smoking is a common form of tobacco smoking after cigarettes in the U.S. In fact, in 2007 the American Lung Association issued a policy alert to warn consumers about this first new tobacco trend of the 21st century (American Lung Association, 2007). Few studies have been conducted on waterpipe smoking to investigate its harmful effects. Furthermore, no known studies have evaluated treatments for smoking cessation in waterpipe smokers. This study aims to test the role of contingency management (CM) in promoting abstinence from waterpipe smoking for 5 weeks verified by salivary cotinine and to characterize self-reported nicotine withdrawal symptoms. Based on the alarming growth rate over a short period of time in waterpipe tobacco smoking, there is a critical need for clinical research to investigate treatment modalities targeting smoking cessation for waterpipe smokers. Given the evidence for the role of CM in promoting abstinence from many types of drug use, investigation of the utility of CM for waterpipe smoking cessation is important and timely. Although Nicotine Replacement Therapy is the mainstay treatment for treating nicotine dependence delivered through cigarettes, the intermittent use patterns that characterize waterpipe smoking suggest that CM may be more effective in promoting waterpipe smoking cessation. The evidence based knowledge generated in this study may assist in the translation of the treatment program into public health practice.

Conditions

Waterpipe Smoking

Keywords

Waterpipe; Smoking cessation; Contingency management; Dependence

Outcome Measures

Primary Outcomes (1)

• quitting waterpipe smoking

  Quitting waterpipe smoking will be assessed using saliva cotinine test twice a week for five weeks. Also, participants will be asked at each visit if they have smoked waterpipe during the past days between visits.

  5 weeks

Secondary Outcomes (1)

• withdrawal symptoms

  5 weeks

Study Arms (2)

Contingency Management

EXPERIMENTAL

Monetary incentives are given for submitting negative saliva cotinine tests.

Behavioral: Contingency Management

Fixed Rate Control

NO INTERVENTION

Fixed amounts of payments are provided for submitting saliva samples

Interventions

Contingency Management BEHAVIORAL

Monetary incentive for the CM groups is contingent on a saliva cotinine reading that indicates smoking abstinence. Participants were assessed 10 times (Mondays/Thursdays) for abstinence from smoking waterpipe verified by saliva cotinine. The maximum monetary incentives this group can receive is $192.50. The CM groups followed an escalating schedule where: 1) the dollar amount of the incentive increases by $.50 as long as the participant is abstinent at each visit;; and 2) resets to the starting incentive ($14) if the participant was non-compliant at the previous visit, but is compliant at the current visit. Also, Participants were given $10 bonus for every three consecutive compliant visits.

Contingency Management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Must be18 years and older
• Smoked waterpipe average of \>12 times per month for 2 years

You may not qualify if:

• Smokes cigarettes (self-report)
• Uses any tobacco product (self-report)
• Uses illicit drugs (urine analysis for toxicology)
• Interested in quitting waterpipe smoking (self-report)

Sponsors & Collaborators

• Washington State University: lead

Study Sites (1)

South Campus Facility, Washington State University

Spokane, Washington, 99202, United States

Location

MeSH Terms

Conditions

Water Pipe Smoking; Smoking Cessation

Condition Hierarchy (Ancestors)

Pipe Smoking; Smoking; Behavior; Health Behavior

Study Officials

• Kawkab Shishani, PhD

  Washington State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: June 5, 2014
• First Posted: June 9, 2014
• Study Start: July 1, 2014
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: December 14, 2015

Record last verified: 2015-12

Locations

US (1)