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| ID | Type | Description | Link |
|---|---|---|---|
| R01DA013304 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
| National Institutes of Health (NIH) | NIH |
Incentives can be used to facilitate the acquisition of many healthy behaviors, such as smoking cessation. However, there is much room for improvement in the use of incentives. This study investigates how two aspects of providing incentives influence the effectiveness of using incentives to promote smoking cessation. One aspect is the criterion for providing incentives, e.g., whether to require smoking cessation before providing an incentive or to provide incentives following smoking reductions. The other aspect being investigated is whether it is best to use a fixed incentive amount or an amount that increases with continued cessation success.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Shaping intervention for hard-to-treat smokers |
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| 2 | Active Comparator | fixed criterion intervention for hard-to-treat smokers |
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| 3 | Other | Non contingent incentives available to hard to treat smokers |
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| 4 | Experimental | Ascending incentives values used in Smokers with Early Success |
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| 5 | Active Comparator | fixed value incentives are used in Smokers with Early Success |
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| 6 | Other | Non contingent incentives are available to Smokers with Early Success |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Contingency Management | Behavioral | incentives are available for reduced smoking on each study visit which occur each weekday. |
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| Measure | Description | Time Frame |
|---|---|---|
| Breath Carbon Monoxide Levels Indicating Smoking Abstinence During the Study, i.e., the Number of Breath Samples With Carbon Monoxide (CO) Levels Less Than 3 Parts Per Million (Ppm) | daily for breath CO |
| Measure | Description | Time Frame |
|---|---|---|
| Average Number Cigarettes Reported Smoked Each Day in the Past Week Measured at Follow-up Six Months After Entry Into the Study | average number cigarettes reported smoked each day in the past week at follow up six months after study entry | past week at follow-up six months after study entry |
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Inclusion Criteria: Daily Smokers smoking a pack or more of cigarettes a day who are able to report to the study site each work day for about 5 minutes for around 3 months. Subjects must also have a breath CO level indicative of smoking at this level, and most report smoking for at least two years. Subjects must intend on quitting smoking.
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Exclusion Criteria: Participation in another study by this group within the past year. Inability to give informed consent. Incapable of attendance each workday during the morning hours.
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| Name | Affiliation | Role |
|---|---|---|
| Richard J Lamb, Ph.D. | The University of Texas Health Science Center at San Antonio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Smoking Cessation Laboratory, Department of Psychiatry, UTHSCSA, 7703 Floyd Curl Drive | San Antonio | Texas | 78229-3900 | United States |
Five weekdaily visits that took about 5 minutes occurred before randomization. 328 individuals consented and of these 239 completed baseline and were randomized. Which set of three study arms individuals were randomly assigned to depended on whether they successfully delivered a C) < 3 ppm during this baseline for which they earned an incentive.
Individuals smoking at least 15 cigarettes per day that are at least 18 years old, and deliver a breath CO level greater than or equal to 15 ppm were recruited in a University setting from the general community.
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| ID | Title | Description |
|---|---|---|
| FG000 | Shaping Intervention for Hard-to-treat Smokers | Shaping intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives based upon a percentile schedule. |
| FG001 | Fixed Criterion Intervention for Hard-to-treat Smokers | fixed criterion intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives for COs < 3 ppm. |
| FG002 | Non Contingent Incentives Available to Hard to Treat Smokers | Non contingent incentives available to hard to treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives non-contingently on a random basis. |
| FG003 | Ascending Incentives Values Used in Smokers With Early Success | Ascending incentives values used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that escalate in value with each delivery. |
| FG004 | Fixed Value Incentives Are Used in Smokers With Early Success | fixed value incentives are used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are fixed in value |
| FG005 | Non Contingent Incentives Are Available to Smokers With Early | Non contingent incentives are available to Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are non-contingently delivered on a random basis. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Shaping Intervention for Hard-to-treat Smokers | Shaping intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives based upon a percentile schedule. |
| BG001 | Fixed Criterion Intervention for Hard-to-treat Smokers |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Breath Carbon Monoxide Levels Indicating Smoking Abstinence During the Study, i.e., the Number of Breath Samples With Carbon Monoxide (CO) Levels Less Than 3 Parts Per Million (Ppm) | all subjects randomized to condition | Posted | Median | Inter-Quartile Range | number breath samples < 3 ppm CO | daily for breath CO |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Shaping Intervention for Hard-to-treat Smokers | Shaping intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives based upon a percentile schedule. |
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The study was conducted largely as planned. However the study was not designed to adequately test post-treatment outcomes, as this would not be justifiable unless during treatment differences were observed.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. RJ Lamb | UTexas_SanAntonio | 210-567-5480 | lamb@uthscsa.edu |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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fixed criterion intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives for COs < 3 ppm. |
| BG002 | Non Contingent Incentives Available to Hard to Treat Smokers | Non contingent incentives available to hard to treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives non-contingently on a random basis. |
| BG003 | Ascending Incentives Values Used in Smokers With Early Success | Ascending incentives values used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that escalate in value with each delivery. |
| BG004 | Fixed Value Incentives Are Used in Smokers With Early Success | fixed value incentives are used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are fixed in value |
| BG005 | Non Contingent Incentives Are Available to Smokers With Early | Non contingent incentives are available to Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are non-contingently delivered on a random basis. |
| BG006 | Total | Total of all reporting groups |
| Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Ascending Incentive Values Used in Smokers With Early Success |
| OG004 | Fixed Value Incentives Are Used in Smokers With Early Success |
| OG005 | Non Contingent Incentives Are Available to Smokers With Early |
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| Secondary | Average Number Cigarettes Reported Smoked Each Day in the Past Week Measured at Follow-up Six Months After Entry Into the Study | average number cigarettes reported smoked each day in the past week at follow up six months after study entry | Posted | Mean | Standard Deviation | cigarettes per day | past week at follow-up six months after study entry |
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| 0 |
| 36 |
| 0 |
| 36 |
| EG001 | Fixed Criterion Intervention for Hard-to-treat Smokers | fixed criterion intervention for hard-to-treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives for COs < 3 ppm. | 0 | 38 | 0 | 38 |
| EG002 | Non Contingent Incentives Available to Hard to Treat Smokers | Non contingent incentives available to hard to treat smokers: Smokers who did not deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives non-contingently on a random basis. | 0 | 18 | 0 | 18 |
| EG003 | Ascending Incentives Values Used in Smokers With Early Success | Ascending incentives values used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that escalate in value with each delivery. | 0 | 60 | 0 | 60 |
| EG004 | Fixed Value Incentives Are Used in Smokers With Early Success | fixed value incentives are used in Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are fixed in value | 0 | 58 | 0 | 58 |
| EG005 | Non Contingent Incentives Are Available to Smokers With Early | Non contingent incentives are available to Smokers with Early Success: Smokers who did deliver a breath CO < 3 ppm in first five weekday sessions randomly assigned to receive incentives that are non-contingently delivered on a random basis. | 0 | 29 | 0 | 29 |
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