An open-label pilot study of an intervention using mobile phones to deliver contingency management of tobacco abstinence to high school students - PubMed (original) (raw)

An open-label pilot study of an intervention using mobile phones to deliver contingency management of tobacco abstinence to high school students

Grace Kong et al. Exp Clin Psychopharmacol. 2017 Oct.

Abstract

This pilot study assessed the feasibility, acceptability, and preliminary efficacy of a smoking cessation intervention that used mobile phones to remotely deliver reinforcements contingent on tobacco abstinence (contingency management [CM]) and weekly in-person cognitive-behavioral therapy to adolescent smokers. Daily adolescent smokers (N = 15; 12 completed study procedures, 3 dropped out) were recruited to participate in a 4-week study. During the first 2 weeks, daily text messages sent at random times prompted participants to transmit a video of themselves providing a carbon monoxide (CO) sample. During the last 2 weeks, text messages sent on 3 randomly chosen days each week prompted participants to transmit a video of themselves providing a saliva sample. Negative samples (CO ≤8 ppm; cotinine ≤100 ng/ml) were reinforced with monetary incentives. Feasibility was assessed using the number of on-time, valid videos, and acceptability was determined using participant perceptions of the intervention. Seven-day point-prevalence (PP) abstinence (self-reported abstinence, cotinine <100 ng/ml) was assessed at end of treatment (EOT) and at a 1-month follow-up. The study findings indicate that remote delivery of CM using mobile phones was feasible (85.8% of the CO videos and 67% of the saliva cotinine videos were on time) and acceptable (positive perceptions of the CM procedures). Seven-day PP was 60% at EOT and 46.7% at the follow-up. Although larger randomized controlled trials are needed to evaluate efficacy, this pilot study suggests that the use of mobile phones to deliver CM for smoking cessation among adolescent smokers was acceptable and feasible. (PsycINFO Database Record

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Figures

Figure 1

Figure 1. Reasons for exclusion and flow of participants from initial contact to follow up

*One participant who dropped out during treatment completed the follow up assessment.

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References

    1. Backinger CL, Leischow SJ. Advancing the science of adolescent tobacco use cessation. American Journal of Health Behavior. 2001;25(3):183–190. - PubMed
    1. Cavallo DA, Cooney JL, Duhig AM, Smith AE, Liss TB, McFetridge AK, Krishnan-Sarin S. Combining cognitive behavioral therapy with contingency management for smoking cessation in adolescent smokers: a preliminary comparison of two different CBT formats. American Journal on Addictions. 2007;16(6):468–474. doi: 10.1080/10550490701641173. - DOI - PMC - PubMed
    1. Dallery J, Glenn IM. Effects of an Internet-based voucher reinforcement program for smoking abstinence: A feasibility study. Journal of Applied Behavior Analysis. 2005;38:349–357. doi: 10.1901/jaba.2005.150-04. - DOI - PMC - PubMed
    1. Dallery J, Glenn IM, Raiff BR. An Internet-based abstinence reinforcement treatment for cigarette smoking. Drug and Alcohol Dependence. 2007;86:230–238. http://dx.doi.org/10.1016/j.drugalcdep.2006.06.013. - DOI - PubMed
    1. Dallery J, Raiff BR. Contingency management in the 21st century: Technological innovations to promote smoking cessatoin. Substance Use & Misuse. 2011;46:10–22. doi: 10.3109/10826084.2011.521067. - DOI - PMC - PubMed

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