Mobile Contingency Management for Smoking Cessation (R01 Supplement) (PrevailGO)

NCT03517397 | Completed

• 2 other identifiers: 7210R01CA197314
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Smoking prevalence rates are disproportionately high among individuals living below the poverty threshold, those living in rural areas, and Oklahomans. Nearly 1.3 million Oklahomans live in rural areas and the prevalence of poverty is elevated relative to the U.S. Our preliminary work has indicated that offering small escalating financial incentives for smoking abstinence (i.e., Contingency Management \[CM\]) dramatically increases short-term cessation rates among socioeconomically disadvantaged smokers when incentives are included as an adjunct to clinic-based smoking cessation treatment. However, other approaches are needed for socioeconomically disadvantaged individuals who are unable to attend clinic visits due to rural residence or other limitations. Internet and mobile phone-based CM approaches have been developed to reduce or eliminate the need for in-person visits. The goal of the current project is to improve upon existing mobile CM approaches by fully automating the process to make financial incentives interventions for smoking cessation feasible and accessible to individuals across the state. The aims of the proposed project are to 1) develop a fully automated, mobile phone-based CM approach to remotely verify smoking abstinence, confirm participant identity, and deliver financial incentives for smoking cessation, and 2) evaluate the feasibility and preliminary effectiveness of using fully automated mobile CM as an adjunct to telephone counseling and nicotine replacement therapy among 20 socioeconomically disadvantaged adults. The current project extends the scope of the parent study by increasing the reach of the CM approach to socioeconomically disadvantaged individuals who may be unable to attend in-person visits.

Conditions

Smoking Cessation

Keywords

Smoking Cessation; Socioeconomic Disadvantage; Contingency Management; Financial Incentives; Mobile Health; Biochemical Verification

Outcome Measures

Primary Outcomes (3)

• Biochemically-verified smoking cessation

  Self-reported abstinence over the past 7 days in conjunction with a carbon monoxide value \< 6 ppm

  12 weeks post-quit date

• Treatment Participants

  Treatment sessions completed (1-6)

  5 weeks post-enrollment

• Follow-Up Completion Rate

  The number of people who provide self-reports of smoking status and biochemical verification of smoking cessation.

  12 weeks post-quit date

Secondary Outcomes (2)

• Device Loss

  13 weeks post-enrollment

• Completion of Ecological Momentary Assessment

  5 weeks post-enrollment

Study Arms (1)

Mobile Contingency Management

EXPERIMENTAL

Behavioral: Mobile Contingency Management

Interventions

Mobile Contingency Management BEHAVIORAL

Participants will be offered 6 counseling sessions, nicotine replacement therapy, and a smartphone app that remotely verifies participant identity and smoking abstinence and automatically credits a gift card account for evidence of smoking abstinence.

Mobile Contingency Management

Eligibility Criteria

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

You may qualify if:

• currently uninsured or receiving Medicaid benefits
• earn a score ≥ 4 on the REALM indicating \> 6th grade English literacy level
• willing to quit smoking 7 days from their first visit
• years of age
• expired CO level ≥ 8 ppm suggestive of current smoking
• currently smoking ≥ 5 cigarettes per day
• own or have access to a computer (to remotely complete study questionnaires).

You may not qualify if:

• pregnant or breastfeeding
• have uncontrolled hypertension
• had a myocardial infarction within the past two weeks
• have an allergy to adhesive tape
• are unwilling to use nicotine replacement therapy.

Sponsors & Collaborators

• University of Oklahoma: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

The University of Oklahoma Health Sciences Center, Tobacco Treatment Research Program

Oklahoma City, Oklahoma, 73104, United States

Location

Related Publications (1)

• Kendzor DE, Businelle MS, Waring JJC, Mathews AJ, Geller DW, Barton JM, Alexander AC, Hebert ET, Ra CK, Vidrine DJ. Automated Mobile Delivery of Financial Incentives for Smoking Cessation Among Socioeconomically Disadvantaged Adults: Feasibility Study. JMIR Mhealth Uhealth. 2020 Apr 15;8(4):e15960. doi: 10.2196/15960.

  PMID: 32293568 RESULT

MeSH Terms

Conditions

Smoking Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Darla E. Kendzor, PhD

  The University of Oklahoma Health Sciences Center

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 30, 2018
• First Posted: May 7, 2018
• Study Start: August 15, 2018
• Primary Completion: May 15, 2019
• Study Completion: May 15, 2019
• Last Updated: March 29, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)