A Virtual Arm to Stop Smoking

NCT ID: NCT00639093

Last Updated: 2012-07-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2009-06-30

Brief Summary

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The investigators reported in a pilot study presented at last year's Cybertherapy Conference (Girard \& Turcotte, 2007) that using an action-cue exposure strategy in virtual reality (ACE-VR; crushing virtual cigarettes) might be useful in the treatment of tobacco addiction.

The investigators are pursuing research in this area with a randomized control trial based on 90 smokers who will receive a brief psychosocial smoking cessation program (25 people are enrolled so far and we expect to finish the study before the conference). During the first four weeks of an eight-session psychoeducational and motivational program, all participants will be immersed in VR. During the immersions in VR, 45 of the participants will use a virtual arm to catch and crush virtual cigarettes. The other half of the sample will use the virtual arm to catch virtual fruits (control condition).

The smoking frequency, and abstinence, will be assessed with a daily diary and exhaled carbon monoxide tests (the CO2 tests will provide an objective confirmation of the abstinence reported in the diaries). The success the program will be compared based on the number of subjects who quitted or reduced their smoking frequency. The severity of addiction will be assessed with two questionnaires, the Fagerstrom and the Horn tests. Craving and withdrawal effects will be measured with the Minnesota Nicotine Withdrawal Scale (MNWS) and the Brief Questionnaire of Smoking Urges (QSU-Brief) at the baseline and at the visits from weeks 1 through 4, 6, 12 and at the end of the program. Before the VR immersion, the Immersive Tendencies Questionnaire will be administered and after each VR session participants will fill two questionnaires addressing presence and cybersickness. The comparative impact of both treatments will be tested with repeated measures ANOVAs (and planned contrasts) with sufficient power to detect medium effect sizes.

The main goal of our study is show that crushing virtual cigarettes can boost the impact of a behavioural program dedicated to cigarette addiction.

Detailed Description

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A detailed description is available, in French, by contacting [email protected].

Conditions

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Cigarette Smoking

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, 45 of the participants will use a virtual reality arm to catch and crush virtual cigarettes (on a computer).

Group Type EXPERIMENTAL

psychoeducational / motivational combined with crushing

Intervention Type BEHAVIORAL

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, 45 of the participants will use a virtual reality arm to catch and crush virtual cigarettes (on a computer).

2

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, the 45 participants in the control condition will use a virtual reality arm to catch and crush virtual fruits (on a computer).

Group Type ACTIVE_COMPARATOR

psychoeducational / motivational combined with control

Intervention Type BEHAVIORAL

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, the 45 participants in the control condition will use a virtual reality arm to catch and crush virtual fruits (on a computer).

Interventions

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psychoeducational / motivational combined with crushing

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, 45 of the participants will use a virtual reality arm to catch and crush virtual cigarettes (on a computer).

Intervention Type BEHAVIORAL

psychoeducational / motivational combined with control

All participants will receive an eight-session psychoeducational and motivational program. During the first four weeks, all participants will be immersed in virtual reality (VR).

During the immersions in VR, the 45 participants in the control condition will use a virtual reality arm to catch and crush virtual fruits (on a computer).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* adult smoker
* aged 18 - 65
* willing to stop smoking
* at least 10 cigarettes per day in the last year

Exclusion Criteria

* receiving concomitant treatment for smoking (e.g., patches or varenicline)
* weight problems : Body Mass Index \< 15 kg or \> 45.5 kg
* suffering from a mental disorder, such as major depression, schizophrenia, etc.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universite du Quebec en Outaouais

OTHER

Sponsor Role lead

Responsible Party

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Stephane Bouchard

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Benoit Girard, M.D.

Role: PRINCIPAL_INVESTIGATOR

G.R.A.P.

Stephane Bouchard, Ph.D.

Role: STUDY_CHAIR

U.Q.O.

Locations

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GRAP - Clinique de psychologie au travail

Jonquière, Quebec, Canada

Site Status

Countries

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Canada

References

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Girard, B., & Turcotte, V. (2007). A virtual arm to stop smoking, a perceptual learning experiment. In N. Appel & H. Hoffman (Chairs), Addictions. Symposium presented at the Cybertherapy 12 Conference, in June in Washington, D.C.

Reference Type BACKGROUND

Martin RA, Rohsenow DJ, MacKinnon SV, Abrams DB, Monti PM. Correlates of motivation to quit smoking among alcohol dependent patients in residential treatment. Drug Alcohol Depend. 2006 Jun 9;83(1):73-8. doi: 10.1016/j.drugalcdep.2005.10.013. Epub 2005 Nov 28.

Reference Type BACKGROUND
PMID: 16314049 (View on PubMed)

Girard B, Turcotte V, Bouchard S, Girard B. Crushing virtual cigarettes reduces tobacco addiction and treatment discontinuation. Cyberpsychol Behav. 2009 Oct;12(5):477-83. doi: 10.1089/cpb.2009.0118.

Reference Type DERIVED
PMID: 19817561 (View on PubMed)

Related Links

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http://www.grap.ca/

Click here for more information about this study about the virtual arm

http://w3.uqo.ca/cyberpsy

Click here for more information about clinical applications of virtual reality

http://www.virtuallybetter.com/

For more information about using VR to treat smoking

Other Identifiers

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GRAP-CRC-cyberpsychologie

Identifier Type: -

Identifier Source: org_study_id

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