RAND Corporation.
Department of Clinical Pharmacology and Toxicology.
Exp Clin Psychopharmacol. 2022 Oct;30(5):642-652. doi: 10.1037/pha0000487. Epub 2021 Jun 10.
Contingency management is an effective treatment for cigarette smoking cessation but feasibility and acceptability concerns have been barriers to implementation. We conducted a pilot test of QuitBet, a commercial, digital (smartphone) social game for smoking cessation during which participants earned financial incentives for abstinence. QuitBet included a social feed for posting messages and entirely participant-funded incentives in the form of a deposit contract (the "bet"). QuitBet had a bet of $30 and lasted for 28 days. After a week to prepare for quitting, the quit day was Day 8. Between Day 9-28 (a 20-day period), participants earned back $1 of their $30 bet for each day of carbon monoxide (CO)-verified abstinence (≤ 6 ppm). Remaining bet money was pooled into a "grand prize" pot. Participants who were abstinent on at least 19 of the 20 days (1 "lapse" day allowed) were declared "winners" and split the grand prize pot equally. A game host posted a daily message containing evidence-based education about smoking cessation or a discussion topic. Recruitment goals were met. Among the players ( = 50 U.S. adults, 78% female), 17 (34%) were winners. Thirty-seven participants (74%) responded to a post-QuitBet survey, of whom 95% said they would be interested in playing another QuitBet and would recommend QuitBet to others. Overall, feedback was positive with some suggestions for improvement. In conclusion, a digital social game for smoking cessation with a deposit contract was feasible and acceptable. Next steps include conducting a randomized trial to establish efficacy and a sustainable business model. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
应急管理是一种有效的戒烟治疗方法,但可行性和可接受性问题一直是实施的障碍。我们对 QuitBet 进行了一项试点测试,这是一种用于戒烟的商业化数字(智能手机)社交游戏,参与者可以通过戒除吸烟获得财务奖励。QuitBet 有一个社交Feed 供发布消息,以及完全由参与者资助的激励措施,即存款合同(“赌注”)。QuitBet 的赌注为 30 美元,持续 28 天。在准备戒烟一周后,戒烟日为第 8 天。在第 9 天到第 28 天(20 天的时间)之间,参与者每确认一天一氧化碳(CO)验证的戒烟(≤6ppm),就可以收回 30 美元赌注中的 1 美元。剩余的赌注资金将汇集到一个“大奖”池中。如果在 20 天中有至少 19 天(允许 1 天“失误”)戒烟,参与者将被宣布为“赢家”,并平分大奖池。一名游戏主持人每天发布一条包含戒烟的循证教育或讨论主题的信息。我们达到了招募目标。在这些参与者(=50 名美国成年人,78%为女性)中,有 17 名(34%)是赢家。37 名参与者(74%)对戒烟后调查做出了回应,其中 95%表示他们有兴趣再玩一次 QuitBet,并会向他人推荐 QuitBet。总的来说,反馈是积极的,也有一些改进建议。总之,带有存款合同的数字社交游戏戒烟是可行且可接受的。下一步包括进行随机试验以建立疗效和可持续的商业模式。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。