Videogame-based Incentives for Smoking Cessation

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified December 2013 by Rowan University
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Rowan University
ClinicalTrials.gov Identifier:
NCT01761760
First received: December 21, 2012
Last updated: December 18, 2013
Last verified: December 2013
  Purpose

Investigators will be evaluating an online video-game-based smoking cessation intervention that will overcome barriers to treatment such as cost and sustainability. This videogame will be the first of its kind, based on an evidence-based intervention shown to promote smoking abstinence. The findings from this research will be of great public health significance because of the unprecedented reach and relatively low cost, as well as the potential for similar interventions to be developed for other health problems, such as alcohol or drug abuse and medication adherence for chronic illnesses


Condition Intervention
Smoking Cessation
Behavioral: Videogame-based smoking cessation intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Official Title: Game-based Contingency Management for Smoking Cessation

Resource links provided by NLM:


Further study details as provided by Rowan University:

Primary Outcome Measures:
  • Sustained smoking abstinence [ Time Frame: 7 weeks ] [ Designated as safety issue: No ]
    Sustained abstinence will be collected via self-report


Secondary Outcome Measures:
  • Self-reports of smoking status, videogame activity, physical and mental health [ Time Frame: 7 weeks ] [ Designated as safety issue: No ]
    Patients will complete surveys on-line that ask questions regarding smoking status (how many cigarettes smoked per day), videogame activity (how much time is spent playing videogames), psychosocial health (e.g., physical health, mental health).

  • Carbon monoxide in parts per million collected via a carbon monoxide monitor and submitted over a secure website via a web-camera recorded video. [ Time Frame: 7 weeks ] [ Designated as safety issue: No ]
    Carbon monoxide will be collected using a carbon monoxide monitor and submitted via. throughout the study to verify smoking abstinence.


Estimated Enrollment: 100
Study Start Date: February 2014
Estimated Study Completion Date: July 2015
Estimated Primary Completion Date: July 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Contingent

Patients will earn game-based incentives contingent on meeting carbon monoxide goals.

Behavioral: Videogame-based smoking cessation intervention

Behavioral: Videogame-based smoking cessation intervention
Patients will enroll in a videogame that is intended to help them quit smoking. They will be given goals for quitting (based on carbon monoxide readings submitted over a secure internet server) and will earn game-based incentives either contingent or noncontingent on meeting those goals.
Active Comparator: Non-contingent

Patients will earn game-based incentives independent of meeting carbon monoxide goals.

Behavioral: Videogame-based smoking cessation intervention

Behavioral: Videogame-based smoking cessation intervention
Patients will enroll in a videogame that is intended to help them quit smoking. They will be given goals for quitting (based on carbon monoxide readings submitted over a secure internet server) and will earn game-based incentives either contingent or noncontingent on meeting those goals.

Detailed Description:

Cigarette smoking remains the number one cause of preventable morbidity and mortality in the U.S. A number of barriers have been noted that prevent access to smoking cessation interventions, such as lack of clinician training, the time commitment required to implement treatments, and the costs associated with treatment. Thus, it is critically important that more effective interventions be developed, and be made accessible at a relatively low cost, to smokers. We recently developed an Internet-based Contingency Management Intervention (CM),, where participants submit web-camera recorded videos as they exhale into a CO monitor, and they earn money for abstinence. Although the costs associated with providing monetary incentives contingent on smoking abstinence are likely to be less than the costs associated with medical complications caused by smoking, the cost of incentives is often cited as a barrier to CM. Thus, the goals of the present proposal are to markedly decrease costs and increase sustainability of this highly accessible Internet-based CM for smoking cessation.

Using an iterative development process with the help of a team of experts, a social strategy video game intended to be fun and engaging will be developed for Facebook ("Quitters, Incorporated"). Treatment-seeking smokers will be able to earn incentives contingent on meeting web-camera verified CO values consistent with smoking abstinence. Three powerful, evidence-based incentives will be harnessed in this CM. The incentives will consist of: (1) individual contingencies that can be used to improve game play, (2) social contingencies, such as positive feedback and virtual rewards, that can be given to other players to acknowledge their success with abstinence and improve their game play, and (3) group contingencies that will require all members of a group to meet abstinence goals in order to unlock access to certain game features. After game development, we will assess the feasibility, acceptability, enjoyability, and preliminary efficacy of video-game-based CM for smoking cessation. A 7-week pilot study will involve randomly assigning participants (N=100) to either: (1) abstinent contingent, where incentives will be delivered contingent on quitting smoking, or (2) submission contingent, where incentives will be delivered contingent on submitting videos, but independent of quitting smoking.

The outcomes of the pilot study will impact future research in the development of video-game-based CM interventions for smoking, as well as for alcohol and other drug use, and medication compliance in diabetes, asthma, and other conditions. Game-based CM will promote widespread access to this innovative, fun, sustainable intervention at a relatively low cost (the game will be available to play for free), thereby offering the potential to have a substantial public health impact.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 18 years or older
  • smoking 10+ cigarettes per day
  • smoking for 2+ years
  • currently wishes to quit smoking
  • has a computer at home with Internet access
  • U.S. citizen
  • literate

Exclusion Criteria:

  • smoking other substances (e.g., marijuana, cigars) > 2 times per month
  • unstable medical or psychiatric condition that might interfere with the program
  • living with someone who smokes in the home
  • a job that exposes the person to excessive ambient carbon monoxide
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01761760

Contacts
Contact: Bethany Raiff, PhD 856-256-4500 ext 3782 raiff@rowan.edu
Contact: Darion Rapoza, PhD DarionRapoza@entertainmentscience.com

Locations
United States, New Jersey
Rowan University Not yet recruiting
Glassboro, New Jersey, United States, 08028
Contact: Bethany Raiff, PhD    856-256-4500 ext 3782    raiff@rowan.edu   
Principal Investigator: Bethany Raiff, PhD         
Sponsors and Collaborators
Rowan University
Investigators
Principal Investigator: Bethany Raiff Rowan University
  More Information

No publications provided

Responsible Party: Rowan University
ClinicalTrials.gov Identifier: NCT01761760     History of Changes
Other Study ID Numbers: 5R34DA033536-03, R34DA033536
Study First Received: December 21, 2012
Last Updated: December 18, 2013
Health Authority: United States: Data and Safety Monitoring Board

Additional relevant MeSH terms:
Carbon Monoxide
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Gasotransmitters
Neurotransmitter Agents
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on October 16, 2014