Health Rewards for Smoking Cessation

EC
VD
Overseen ByVinita Devarasetty, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Kansas Medical Center
Must be taking: Varenicline
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to help people quit smoking by ensuring they use their medication and attend counseling sessions. Participants will be divided into two groups: one receives the usual medication and counseling referrals, while the other receives additional support through rewards for adhering to their treatment plan, known as Contingency Management (CM). The trial seeks Kansas residents who have smoked recently and can receive text messages on a mobile phone. The study aims to demonstrate that offering rewards can increase success in quitting smoking. As an unphased trial, it provides a unique opportunity to contribute to research that could improve smoking cessation strategies.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that contingency management (CM) is generally safe and well-received for helping people quit smoking. This approach uses rewards to encourage positive actions, such as attending counseling sessions or taking medication, which can support smoking cessation. Importantly, studies have not identified major safety issues with CM. Most people respond well to the treatment, and side effects are uncommon. Overall, CM appears to be a safe choice for those wanting to stop smoking, according to current research.12345

Why are researchers excited about this trial?

Researchers are excited about the Health Rewards for Smoking Cessation trial because it explores a unique approach called Contingency Management (CM). Unlike traditional methods like medications or counseling alone, this trial uses a mobile-based platform to encourage people to stick with their counseling sessions and take their medications as prescribed. By offering rewards for adherence, the treatment aims to boost motivation and success rates. This innovative method could offer a more engaging and supportive way to help people quit smoking.

What evidence suggests that this trial's treatments could be effective for smoking cessation?

Research has shown that contingency management (CM), which involves rewarding individuals for adhering to their treatment plan, can effectively help people quit smoking. In this trial, participants in the CounsCM+MedCM arm will receive mobile contingency management for attending counseling and taking medication. Studies have found that combining CM with standard treatments increases success rates. For instance, one study found that 77.78% of participants completed their treatment with CM, resulting in higher quit rates. Another study noted that CM ranks among the most cost-effective methods for smoking cessation. These findings suggest that using rewards to encourage adherence to medication and counseling can significantly improve quitting success.678910

Are You a Good Fit for This Trial?

This trial is for adults who smoke and are interested in quitting. Participants will be recruited from the University of Kansas Medical Center. Specific inclusion or exclusion criteria were not listed, but generally, it’s for people willing to try medication and counseling to stop smoking.

Inclusion Criteria

I am 18 years old or older.
Access to a mobile phone
Kansas resident
See 9 more

Exclusion Criteria

I cannot take varenicline for medical reasons.
Patient already talked to quitline in the past 2 weeks
Patients participating in other quit smoking program or research study
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 12 weeks of varenicline and referrals to their state tobacco quitline. In the Health Rewards arm, participants also receive contingency management for medication and counseling.

12 weeks
Weekly automated CM payments

Follow-up

Participants are monitored for treatment engagement and cessation rates at 3, 6, and 12 weeks after starting treatment.

12 weeks
3 visits (virtual or in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Contingency Management (CM) for Medication and Counseling Adherence

Trial Overview

The study compares two groups: both get a prescription for varenicline (a quit-smoking pill) and referral to a tobacco quitline. One group also gets extra rewards (health rewards) for using their medication and attending counseling sessions.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: CounsCM+MedCMExperimental Treatment1 Intervention
Group II: ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Kansas Medical Center

Lead Sponsor

Trials
527
Recruited
181,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials
2,658
Recruited
3,409,000+

University of Oklahoma

Collaborator

Trials
484
Recruited
95,900+

University of Toronto

Collaborator

Trials
739
Recruited
1,125,000+

Citations

Six-month contingency management effects on smoking ...

A total of 42/54 (77.78%) participants completed the treatment (73.33% in CBT and 83.33% in CBT+CM; p=.380). At the end of treatment, participants in CBT+CM ...

General Principles of Contingency Management for ...

CM is one of the most cost- effective treatments for smoking cessation, especially when it is combined with other standard treatment methods for.

Contingency management in the 21st century - PMC - NIH

Smoking status in the initial weeks of quitting as a predictor of smoking-cessation outcomes in pregnant women. Drug and Alcohol Dependence. 2006;85:138–141 ...

Contingency Management for Smoking Cessation in ...

The purpose of this study is to examine the effectiveness of an internet-based contingency management program for smoking cessation in persons who are homeless.

Contingency management techniques and smoking cessation ...

These data indicate that smoking cessation interventions targeted specifically to college students should be developed. Despite the obvious ...

Mobile Contingency Management as an Adjunctive Smoking ...

Web-based contingency-management (CM) approaches have been found helpful in reducing smoking among other difficult-to-treat smoker populations ...

Contingency Management for Smoking in Substance ...

Also called a data safety and monitoring board, prize CM for smoking abstinence. Nicotine withdrawal and related measures will be assessed ...

Increasing Contingency Management Success in Smoking ...

This study investigates how two aspects of providing incentives influence the effectiveness of using incentives to promote smoking cessation.

Contingency Management for Smoking Cessation

Contingency management is a powerful behavior change intervention that reinforces positive health behaviors through the provision of modest ...