A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth
Nicotine vaping among youth has increased, warranting concern from tobacco control proponents. Many youth who vape indicate interest in quitting; however, few empirically supported vaping cessation interventions exist. This pilot feasibility study adapted an established behavioral intervention, cont...
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| Veröffentlicht in: | Drug and alcohol dependence 2022-03, Vol.232, p.109311-109311, Article 109311 |
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| creator | Palmer, Amanda M. Tomko, Rachel L. Squeglia, Lindsay M. Gray, Kevin M. Carpenter, Matthew J. Smith, Tracy T. Dahne, Jennifer Toll, Benjamin A. McClure, Erin A. |
| description | Nicotine vaping among youth has increased, warranting concern from tobacco control proponents. Many youth who vape indicate interest in quitting; however, few empirically supported vaping cessation interventions exist. This pilot feasibility study adapted an established behavioral intervention, contingency management (CM), delivered via telehealth to promote vaping cessation among young adults.
Participants (N = 27; ages 17–21) vaping nicotine regularly were recruited via social media and digital advertisements from across the US (June 2020–January 2021). Participants were randomized at approximately 4:1 to CM or Monitoring control (22:5). CM was delivered through DynamiCare Health’s smartphone app for 4 weeks, in which financial incentives were delivered contingent on abstinent cotinine samples after the quit day until the end of treatment (EOT; Days 7–28; 10 expected submissions). Control participants earned incentives for submitting cotinine, regardless of abstinence. Feasibility, acceptability, and abstinence was collected throughout treatment, at EOT, and at 1-month follow-up.
The majority of enrolled participants completed treatment (Monitoring: 5/5; CM: 20/22), and intervention components were rated favorably overall (> 80%). CM participants submitted 112/220 (55%) abstinent cotinine samples throughout the quit attempt, while the Monitoring group submitted 4/50 (8%) negative samples. There were no differences in abstinence between groups at EOT or follow-up.
This pilot study of a telehealth-based youth vaping cessation intervention demonstrated preliminary feasibility and acceptability. These results suggest that CM for young adult vaping cessation, delivered remotely, is a promising direction for future work and fully powered trials are warranted to assess intervention efficacy.
•We evaluated a short-term remote vaping cessation intervention for young adults.•24/27 (89%) participants completed the 2-month study.•Intervention components were rated favorably overall (> 80%).•The CM group submitted 112/220 negative cotinine samples during treatment.•Telehealth-delivered CM for young adult vaping cessation is a promising future area. |
| doi_str_mv | 10.1016/j.drugalcdep.2022.109311 |
| format | Article |
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Participants (N = 27; ages 17–21) vaping nicotine regularly were recruited via social media and digital advertisements from across the US (June 2020–January 2021). Participants were randomized at approximately 4:1 to CM or Monitoring control (22:5). CM was delivered through DynamiCare Health’s smartphone app for 4 weeks, in which financial incentives were delivered contingent on abstinent cotinine samples after the quit day until the end of treatment (EOT; Days 7–28; 10 expected submissions). Control participants earned incentives for submitting cotinine, regardless of abstinence. Feasibility, acceptability, and abstinence was collected throughout treatment, at EOT, and at 1-month follow-up.
The majority of enrolled participants completed treatment (Monitoring: 5/5; CM: 20/22), and intervention components were rated favorably overall (> 80%). CM participants submitted 112/220 (55%) abstinent cotinine samples throughout the quit attempt, while the Monitoring group submitted 4/50 (8%) negative samples. There were no differences in abstinence between groups at EOT or follow-up.
This pilot study of a telehealth-based youth vaping cessation intervention demonstrated preliminary feasibility and acceptability. These results suggest that CM for young adult vaping cessation, delivered remotely, is a promising direction for future work and fully powered trials are warranted to assess intervention efficacy.
•We evaluated a short-term remote vaping cessation intervention for young adults.•24/27 (89%) participants completed the 2-month study.•Intervention components were rated favorably overall (> 80%).•The CM group submitted 112/220 negative cotinine samples during treatment.•Telehealth-delivered CM for young adult vaping cessation is a promising future area.</description><identifier>ISSN: 0376-8716</identifier><identifier>ISSN: 1879-0046</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2022.109311</identifier><identifier>PMID: 35123362</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Abstinence ; Acceptability ; Adolescent ; Adult ; Adults ; Advertisements ; Behavior modification ; Contingency ; Contingency learning ; Contingency management ; Cotinine ; Efficacy ; Electronic cigarettes ; Electronic Nicotine Delivery Systems ; Feasibility ; Feasibility Studies ; Financial incentives ; Humans ; Incentives ; Intervention ; Nicotine ; Pilot Projects ; Smoking Cessation - methods ; Social media ; Telehealth ; Telemedicine ; Tobacco ; Treatment ; Vaping ; Young Adult ; Young adults ; Youth</subject><ispartof>Drug and alcohol dependence, 2022-03, Vol.232, p.109311-109311, Article 109311</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 1, 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-b235a0ed8bdc46f0adbc4d4275c9cd6d75f9b7bf26e9fd2910e80bb2ce32849e3</citedby><cites>FETCH-LOGICAL-c507t-b235a0ed8bdc46f0adbc4d4275c9cd6d75f9b7bf26e9fd2910e80bb2ce32849e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2022.109311$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,30978,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35123362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palmer, Amanda M.</creatorcontrib><creatorcontrib>Tomko, Rachel L.</creatorcontrib><creatorcontrib>Squeglia, Lindsay M.</creatorcontrib><creatorcontrib>Gray, Kevin M.</creatorcontrib><creatorcontrib>Carpenter, Matthew J.</creatorcontrib><creatorcontrib>Smith, Tracy T.</creatorcontrib><creatorcontrib>Dahne, Jennifer</creatorcontrib><creatorcontrib>Toll, Benjamin A.</creatorcontrib><creatorcontrib>McClure, Erin A.</creatorcontrib><title>A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>Nicotine vaping among youth has increased, warranting concern from tobacco control proponents. Many youth who vape indicate interest in quitting; however, few empirically supported vaping cessation interventions exist. This pilot feasibility study adapted an established behavioral intervention, contingency management (CM), delivered via telehealth to promote vaping cessation among young adults.
Participants (N = 27; ages 17–21) vaping nicotine regularly were recruited via social media and digital advertisements from across the US (June 2020–January 2021). Participants were randomized at approximately 4:1 to CM or Monitoring control (22:5). CM was delivered through DynamiCare Health’s smartphone app for 4 weeks, in which financial incentives were delivered contingent on abstinent cotinine samples after the quit day until the end of treatment (EOT; Days 7–28; 10 expected submissions). Control participants earned incentives for submitting cotinine, regardless of abstinence. Feasibility, acceptability, and abstinence was collected throughout treatment, at EOT, and at 1-month follow-up.
The majority of enrolled participants completed treatment (Monitoring: 5/5; CM: 20/22), and intervention components were rated favorably overall (> 80%). CM participants submitted 112/220 (55%) abstinent cotinine samples throughout the quit attempt, while the Monitoring group submitted 4/50 (8%) negative samples. There were no differences in abstinence between groups at EOT or follow-up.
This pilot study of a telehealth-based youth vaping cessation intervention demonstrated preliminary feasibility and acceptability. These results suggest that CM for young adult vaping cessation, delivered remotely, is a promising direction for future work and fully powered trials are warranted to assess intervention efficacy.
•We evaluated a short-term remote vaping cessation intervention for young adults.•24/27 (89%) participants completed the 2-month study.•Intervention components were rated favorably overall (> 80%).•The CM group submitted 112/220 negative cotinine samples during treatment.•Telehealth-delivered CM for young adult vaping cessation is a promising future area.</description><subject>Abstinence</subject><subject>Acceptability</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Advertisements</subject><subject>Behavior modification</subject><subject>Contingency</subject><subject>Contingency learning</subject><subject>Contingency management</subject><subject>Cotinine</subject><subject>Efficacy</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Financial incentives</subject><subject>Humans</subject><subject>Incentives</subject><subject>Intervention</subject><subject>Nicotine</subject><subject>Pilot Projects</subject><subject>Smoking Cessation - methods</subject><subject>Social media</subject><subject>Telehealth</subject><subject>Telemedicine</subject><subject>Tobacco</subject><subject>Treatment</subject><subject>Vaping</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>Youth</subject><issn>0376-8716</issn><issn>1879-0046</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkUuPFCEUhStG47Sjf8GQuHFTLY8qitqYjBNfySRudE143OqmQ0MJVCW9m58uY4_jYyMLCNzvHjicpkEEbwkm_M1ha9OyU95YmLcUU1qPR0bIo2ZDxDC2GHf8cbPBbOCtGAi_aJ7lfMB18BE_bS5YTyhjnG6a2ys0Ox8LmkBlp5135YRyWewJxQkppGGvVheT8siFAmmFUFwMaIoJBWdicQHQqmYXdshAzupnVR1j3Z_iUmdlF18ysuDdCgksWp1CBTzsQfmyf948mZTP8OJ-vWy-fXj_9fpTe_Pl4-frq5vW9HgoraasVxis0NZ0fMLKatPZjg69GY3lduinUQ96ohzGydKRYBBYa2qAUdGNwC6bt2fdedFHsKb6qKbknNxRpZOMysm_K8Ht5S6uUgjRCz5Ugdf3Ail-XyAXeXTZgPcqQFyypJxyjBljoqKv_kEPcUmh2qtUx4e-H3teKXGmTIo5J5geHkOwvItZHuTvmOVdzPIcc219-aeZh8ZfuVbg3RmA-qWrgySzcRAMWJfAFGmj-_8tPwCsLcLE</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Palmer, Amanda M.</creator><creator>Tomko, Rachel L.</creator><creator>Squeglia, Lindsay M.</creator><creator>Gray, Kevin M.</creator><creator>Carpenter, Matthew J.</creator><creator>Smith, Tracy T.</creator><creator>Dahne, Jennifer</creator><creator>Toll, Benjamin A.</creator><creator>McClure, Erin A.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth</title><author>Palmer, Amanda M. ; Tomko, Rachel L. ; Squeglia, Lindsay M. ; Gray, Kevin M. ; Carpenter, Matthew J. ; Smith, Tracy T. ; Dahne, Jennifer ; Toll, Benjamin A. ; McClure, Erin A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-b235a0ed8bdc46f0adbc4d4275c9cd6d75f9b7bf26e9fd2910e80bb2ce32849e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abstinence</topic><topic>Acceptability</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Advertisements</topic><topic>Behavior modification</topic><topic>Contingency</topic><topic>Contingency learning</topic><topic>Contingency management</topic><topic>Cotinine</topic><topic>Efficacy</topic><topic>Electronic cigarettes</topic><topic>Electronic Nicotine Delivery Systems</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Financial incentives</topic><topic>Humans</topic><topic>Incentives</topic><topic>Intervention</topic><topic>Nicotine</topic><topic>Pilot Projects</topic><topic>Smoking Cessation - methods</topic><topic>Social media</topic><topic>Telehealth</topic><topic>Telemedicine</topic><topic>Tobacco</topic><topic>Treatment</topic><topic>Vaping</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmer, Amanda M.</creatorcontrib><creatorcontrib>Tomko, Rachel L.</creatorcontrib><creatorcontrib>Squeglia, Lindsay M.</creatorcontrib><creatorcontrib>Gray, Kevin M.</creatorcontrib><creatorcontrib>Carpenter, Matthew J.</creatorcontrib><creatorcontrib>Smith, Tracy T.</creatorcontrib><creatorcontrib>Dahne, Jennifer</creatorcontrib><creatorcontrib>Toll, Benjamin A.</creatorcontrib><creatorcontrib>McClure, Erin A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmer, Amanda M.</au><au>Tomko, Rachel L.</au><au>Squeglia, Lindsay M.</au><au>Gray, Kevin M.</au><au>Carpenter, Matthew J.</au><au>Smith, Tracy T.</au><au>Dahne, Jennifer</au><au>Toll, Benjamin A.</au><au>McClure, Erin A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>232</volume><spage>109311</spage><epage>109311</epage><pages>109311-109311</pages><artnum>109311</artnum><issn>0376-8716</issn><issn>1879-0046</issn><eissn>1879-0046</eissn><abstract>Nicotine vaping among youth has increased, warranting concern from tobacco control proponents. Many youth who vape indicate interest in quitting; however, few empirically supported vaping cessation interventions exist. This pilot feasibility study adapted an established behavioral intervention, contingency management (CM), delivered via telehealth to promote vaping cessation among young adults.
Participants (N = 27; ages 17–21) vaping nicotine regularly were recruited via social media and digital advertisements from across the US (June 2020–January 2021). Participants were randomized at approximately 4:1 to CM or Monitoring control (22:5). CM was delivered through DynamiCare Health’s smartphone app for 4 weeks, in which financial incentives were delivered contingent on abstinent cotinine samples after the quit day until the end of treatment (EOT; Days 7–28; 10 expected submissions). Control participants earned incentives for submitting cotinine, regardless of abstinence. Feasibility, acceptability, and abstinence was collected throughout treatment, at EOT, and at 1-month follow-up.
The majority of enrolled participants completed treatment (Monitoring: 5/5; CM: 20/22), and intervention components were rated favorably overall (> 80%). CM participants submitted 112/220 (55%) abstinent cotinine samples throughout the quit attempt, while the Monitoring group submitted 4/50 (8%) negative samples. There were no differences in abstinence between groups at EOT or follow-up.
This pilot study of a telehealth-based youth vaping cessation intervention demonstrated preliminary feasibility and acceptability. These results suggest that CM for young adult vaping cessation, delivered remotely, is a promising direction for future work and fully powered trials are warranted to assess intervention efficacy.
•We evaluated a short-term remote vaping cessation intervention for young adults.•24/27 (89%) participants completed the 2-month study.•Intervention components were rated favorably overall (> 80%).•The CM group submitted 112/220 negative cotinine samples during treatment.•Telehealth-delivered CM for young adult vaping cessation is a promising future area.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>35123362</pmid><doi>10.1016/j.drugalcdep.2022.109311</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Drug and alcohol dependence, 2022-03, Vol.232, p.109311-109311, Article 109311 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Abstinence Acceptability Adolescent Adult Adults Advertisements Behavior modification Contingency Contingency learning Contingency management Cotinine Efficacy Electronic cigarettes Electronic Nicotine Delivery Systems Feasibility Feasibility Studies Financial incentives Humans Incentives Intervention Nicotine Pilot Projects Smoking Cessation - methods Social media Telehealth Telemedicine Tobacco Treatment Vaping Young Adult Young adults Youth |
| title | A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth |
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