Contingency Management for Smoking in Substance Abusers

NCT ID: NCT00683033

Last Updated: 2011-11-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2010-10-31

Brief Summary

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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.

Detailed Description

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Conditions

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Cigarette Smoking

Keywords

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Contingency Management Cigarette Smoking Cessation Substance Abusers

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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A

Brief counseling based on public health service guidelines.

Group Type ACTIVE_COMPARATOR

Brief smoking cessation counseling

Intervention Type BEHAVIORAL

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.

B

Brief counseling based on public health service guidelines for quitting smoking plus prize-based contingency management

Group Type EXPERIMENTAL

Contingency Management

Intervention Type BEHAVIORAL

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).

Brief smoking cessation counseling

Intervention Type BEHAVIORAL

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.

Interventions

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Contingency 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).

Intervention Type BEHAVIORAL

Brief 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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

UConn Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sheila M Alessi, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

UConn Health

Locations

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University of Connecticut Health Center

Farmington, Connecticut, United States

Site Status

Countries

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United States

Other Identifiers

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R21DA021836-01A2

Identifier Type: NIH

Identifier Source: secondary_id

View Link

08-081-2

Identifier Type: -

Identifier Source: org_study_id