A Digital Smoking Cessation Intervention for Adults With Substance Use Disorder

Status unconfirmed

Conditions studied: Tobacco Use Disorder, Substance Use Disorders

In brief

Adults with substance use disorder (SUD) tend to have started smoking at a younger age and are more likely to be heavy smokers. Due to the many conflicting priorities in this population, smoking cessation is often relegated and ignored by both patients and their healthcare providers. As of 2008, only 2 out of 5 addiction treatment providers in the US offered behavioral treatment for smoking cessation, and less than 1 in 5 offered pharmacotherapy. However, many researchers have found that smoking cessation has positive effects on abstinence from other drugs, as smoking appears to increase craving for and the likelihood of using drugs. Contingency Management is a highly-effective, evidence based methodology demonstrated to be effective at reducing the use of all types of substances in over 100 randomized controlled trials and 7 meta-analyses. BrightView, an outpatient substance abuse treatment center with several locations across the state of Ohio, has partnered with DynamiCare Health to implement DynamiCare's innovative digital Contingency Management (CM) platform among BrightView's outpatient population of primarily low-income substance use disorder patients with comorbid nicotine dependence/tobacco use disorder. DynamiCare's platform automates Contingency Management to support smoking cessation interventions via smartphone app. This app rewards participants for negative substance tests and appointment attendance (using GPS tracking) to incentivize abstinence and promote engagement in treatment. The goal of this study is to reduce tobacco disparities for low-income adult participants using DynamiCare's digital intervention, and to build a rapidly scalable, sustainable process that makes the field of smoking cessation more effective, accountable, and accessible.

Key facts

Study ID

NCT04419922

Run by

BrightView LLC

People needed

100

Starts

2020-04-02

Expected to finish

2021-01-15

Last updated by the study team

2020-06-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Must be enrolled in a BrightView outpatient substance use disorder program
• Must be active smokers, at least moderate in severity
• Must have substance use disorder as their primary diagnosis
• Must speak and read English adequately to understand smartphone commands and responses
• Must have and use an Android or iOS smartphone with acceptable capability
• Must be willing to participate in breath testing and use of the smartphone

You may not qualify if…

• Non-smokers
• Those without a smartphone or access to a smartphone

Where it is running

• BrightView Colerain Addiction Treatment Center — Cincinnati, Ohio, United States

Full record on ClinicalTrials.gov

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