Contingency Management for Smoking Abstinence With Adolescent Smokers
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 13 - 19 |
| Updated: | 4/2/2016 |
| Start Date: | February 2010 |
| End Date: | January 2015 |
| Contact: | Millie Harris, PhD |
| Email: | millie.harris@nationwidechildrens.org |
| Phone: | 614-722-3021 |
Predictors of Smoking Outcomes During Treatment Programs
The primary objective of this research is to evaluate the effectiveness of this type of
smoking cessation program by comparing a treatment group with a control group.
A secondary objective of this research is to explore relations between impulsive behavior
and smoking-cessation success among treatment-seeking teens participating in a quit-smoking
program.
Hypothesis 1. A greater proportion of the participants in the treatment condition will be
verified as abstinent from smoking during the course of treatment than participants of the
control condition.
Hypothesis 2. It is hypothesized that teens who do not successfully stop smoking (or who
drop out of the treatment program) will be more impulsive (from measures taken just prior to
treatment) than those who do successfully stop or significantly reduce rate of smoking.
smoking cessation program by comparing a treatment group with a control group.
A secondary objective of this research is to explore relations between impulsive behavior
and smoking-cessation success among treatment-seeking teens participating in a quit-smoking
program.
Hypothesis 1. A greater proportion of the participants in the treatment condition will be
verified as abstinent from smoking during the course of treatment than participants of the
control condition.
Hypothesis 2. It is hypothesized that teens who do not successfully stop smoking (or who
drop out of the treatment program) will be more impulsive (from measures taken just prior to
treatment) than those who do successfully stop or significantly reduce rate of smoking.
In response to the need for treatments appropriate for adolescent smokers, this research
(utilizing a two-group randomized-control design, n = 63 per group) will evaluate the
effectiveness and efficacy of a new and innovative Internet-based contingency-management
(CM) program for smoking abstinence with adolescent smokers. This program lasts for 42 days
and involves a 21 day abstinence phase. For the treatment condition, participants are
reinforced for breath samples that verify abstinence from smoking three times per day;
however, for the control condition, participants are reinforced for timely breath samples
regardless of abstinence status.
Because this CM program is Internet based it can be completed from home, which stands to be
more viable as a treatment option for adolescent smokers than other treatments requiring
frequent trips to a clinical facility. From preliminary work with adult and adolescent
smokers, it is expected this treatment program will be highly effective in creating
favorable changes in adolescent smoking behavior. This research will also involve eight
monthly post-treatment follow-up sessions to determine long-term consistencies or changes in
smoking behavior.
A secondary goal of this research is to explore pre-treatment assessments of different
dimensions of impulsive behavior as predictors of treatment outcome. These behavioral
assessments will provide highly detailed information about the specific behavioral styles of
adolescent smokers who are unable to effectively change their smoking behavior during
treatment. This information should provide new points of emphasis for treatment-program
modifications to improve these programs to be more effective for adolescents most challenged
in their efforts to quit or reduce smoking.
(utilizing a two-group randomized-control design, n = 63 per group) will evaluate the
effectiveness and efficacy of a new and innovative Internet-based contingency-management
(CM) program for smoking abstinence with adolescent smokers. This program lasts for 42 days
and involves a 21 day abstinence phase. For the treatment condition, participants are
reinforced for breath samples that verify abstinence from smoking three times per day;
however, for the control condition, participants are reinforced for timely breath samples
regardless of abstinence status.
Because this CM program is Internet based it can be completed from home, which stands to be
more viable as a treatment option for adolescent smokers than other treatments requiring
frequent trips to a clinical facility. From preliminary work with adult and adolescent
smokers, it is expected this treatment program will be highly effective in creating
favorable changes in adolescent smoking behavior. This research will also involve eight
monthly post-treatment follow-up sessions to determine long-term consistencies or changes in
smoking behavior.
A secondary goal of this research is to explore pre-treatment assessments of different
dimensions of impulsive behavior as predictors of treatment outcome. These behavioral
assessments will provide highly detailed information about the specific behavioral styles of
adolescent smokers who are unable to effectively change their smoking behavior during
treatment. This information should provide new points of emphasis for treatment-program
modifications to improve these programs to be more effective for adolescents most challenged
in their efforts to quit or reduce smoking.
Inclusion Criteria:
- Ages of 13-19
- Have a breath CO level of at least 10ppm
- Smoke at least 2 cigarettes per day
- Live in Columbus, OH area
Exclusion Criteria:
- Adolescents must be English-speaking
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