Web-Based Contingency Management for Smoking Abstinence with Adolescents

基于网络的青少年戒烟应急管理

• 批准号: 8644453
• 负责人: BRADY A REYNOLDS
• 金额: $ 31.23万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8644453
• 关键词: Web; Based; Contingency; Management; Smoking

DESCRIPTION (provided by applicant): Adolescence may represent a uniquely challenging life period for smoking-cessation efforts. Many current cigarette smokers began smoking during adolescence, and there is substantial evidence that the vast majority of adolescents who ever smoked daily continue smoking into adulthood. However, as many as 65% of adolescent daily smokers report wanting to quit or reduce smoking. The disparity between adolescent smokers reporting an interest in abstinence and the percentage of these adolescents who ultimately continue smoking into adulthood illustrates the need for feasible and powerful behavioral treatments to support this population. 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. 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. PUBLIC HEALTH RELEVANCE: Cigarette smoking is the top preventable cause of death in the United States. This study will evaluate a novel behavioral treatment for cigarette smoking cessation with adolescent smokers. Further, this study will advance our understanding of the different behavioral styles associated with an adolescent's ability to quit or reduce smoking during a treatment program for smoking cessation. This latter aim is expected to guide smoking treatment modifications to make these treatments more effective for adolescents who are trying to quit or reduce smoking.

描述（由申请人提供）：青春期可能是戒烟努力中一个独特的具有挑战性的人生阶段。目前许多吸烟者在青春期就开始吸烟，并且有大量证据表明，绝大多数曾经每天吸烟的青少年会继续吸烟到成年。然而，多达 65% 每天吸烟的青少年表示希望戒烟或减少吸烟量。报告有兴趣戒烟的青少年吸烟者与最终继续吸烟至成年的青少年百分比之间的差异表明，需要可行且有效的行为治疗来支持这一人群。为了满足对适合青少年吸烟者的治疗的需求，这项研究（采用两组随机对照设计，每组 n = 63）将评估一种新型创新的基于互联网的应急管理（CM）的有效性和功效。 ）针对青少年吸烟者的戒烟计划。由于该 CM 计划是基于互联网的，因此可以在家中完成，这对于青少年吸烟者来说，比需要经常前往临床机构的其他治疗方法更可行。从对成年和青少年吸烟者的初步研究来看，预计该治疗计划将非常有效地改变青少年吸烟行为。这项研究还将涉及八个月的治疗后随访，以确定吸烟行为的长期一致性或变化。这项研究的第二个目标是探索不同维度的冲动行为的治疗前评估作为治疗结果的预测因素。这些行为评估将提供有关青少年吸烟者特定行为风格的非常详细的信息，这些青少年吸烟者在治疗期间无法有效改变吸烟行为。这些信息应该为治疗计划的修改提供新的重点，以改进这些计划，使这些计划对在戒烟或减少吸烟方面面临最大挑战的青少年更加有效。 公共卫生相关性：吸烟是美国可预防的首要死因。这项研究将评估一种针对青少年吸烟者戒烟的新型行为疗法。此外，这项研究将增进我们对与青少年在戒烟治疗计划期间戒烟或减少吸烟的能力相关的不同行为方式的理解。后一个目标预计将指导吸烟治疗的修改，以使这些治疗对试图戒烟或减少吸烟的青少年更有效。