Cigarette Smoking
Conditions
Keywords
Contingency Management, Cigarette Smoking Cessation, Substance Abusers
Brief summary
Patients (N=102) who meet diagnostic criteria for alcohol, cocaine, marijuana, or opiate abuse or dependence will meet with research staff on two days for quit preparation sessions (2 per day). These sessions include testing a breath sample for evidence of smoking twice each day (separated by at least 5 hours), counseling based on Public Health Service (PHS) guidelines for quitting smoking during the second session each day, and setting a quit date. After these sessions, participants will be randomly assigned to one of two 4-week conditions: (a) standard care or (b) standard care plus prize CM for smoking abstinence with the opportunity to win prizes for submitting samples that meet smoking abstinence criteria (e.g., CO ≤ 6ppm; cotinine ≤ 30ng/mL). Nicotine withdrawal and related measures will be assessed throughout the intervention. Follow-up data will be collected through 6-months post-quit date.
Interventions
BEHAVIORALContingency Management
For 4 weeks starting on the quit date, daily brief (about 5 minutes) counseling based on public health service guidelines for quitting smoking is delivered. Expired carbon monoxide (CO) tests are conducted twice daily and urinary cotinine tests are conducted once each week. Participants earn the opportunity to win prizes for submitting samples that meet smoking abstinence criteria (e.g., CO ≤ 6ppm; cotinine ≤ 30ng/mL).
BEHAVIORALBrief smoking cessation counseling
For 4 weeks starting on the quit date, daily brief (about 5 minutes) counseling based on public health service guidelines for quitting smoking. Expired carbon monoxide tests are conducted twice daily and urinary cotinine tests are conducted once each week.
Sponsors
National Institute on Drug Abuse (NIDA)
UConn Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* current alcohol, cocaine, marijuana, or opiate abuse or dependence * smoke ≥ 10 cigarettes per day * expired CO \> 8 ppm * self-reported interest in quitting smoking, * ≥ 18 years old * willing to provide names, addresses and phone numbers of individuals to assist in locating the participant for follow-up evaluations, * English speaking
Exclusion criteria
* currently receiving behavioral therapy or pharmacotherapy for smoking plan to use pharmacotherapy in this quit attempt * serious, uncontrolled psychiatric illness (e.g., acute schizophrenia, suicide risk) * cognitive impairment * in recovery for pathological gambling
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cigarette smoking abstinence. | Daily through the 4-week intervention and at follow-up interviews 1, 2, 3, and 6 months following the quit date. |
Countries
United States
Outcome results
None listed