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The Effect of AAT Training in Smokers

Not Applicable
Completed
Conditions
Tobacco Use
Interventions
Other: SHAM Training
Other: Approach Avoidance Training
Registration Number
NCT02481752
Lead Sponsor
University of Texas at Austin
Brief Summary

The purpose of this research study is to investigate the effect of a brief computer task (Approach Avoidance Task) on smoking cessation. The investigators will use a novel training protocol that works to target automatic thoughts and tendencies that occur outside of conscious control. Previous research suggests that these automatic tendencies may have a direct effect on certain health behaviors- like continuing to smoke despite having previous quit attempts.

The investigators hypothesize that individuals in the AAT training condition will evidence a greater decrease in reaction times to avoid smoking-related stimuli \& approach positive stimuli relative to those in the control condition. The investigators also expect that individuals in the AAT condition will exhibit superior outcomes on several quit-related variables as evidenced by an increase in motivation to quit smoking, an increase in number of days abstinent following a self-guided quit attempt, an increase in self-efficacy, and a decrease in urge to smoke compared to those in the SHAM training condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  • Male and female patients ages 18-65 capable of providing informed consent
  • Willing and able to provide informed consent, attend all study visits, and comply with the protocol
  • Daily smoker for at least 6 months
  • Currently smoke an average of at least 8 cigarettes per day
  • Report a motivation to quit smoking of at least 5 on a 10-point scale
  • Interest in making a serious quit attempt within the next month (without professional assistance or nicotine therapy)
  • Have not decreased their number of cigarettes by more than half in the last six months
Exclusion Criteria
  • Visual or hand-motoric impairments
  • Current use of nicotine replacement therapy
  • Current use of tobacco products other than cigarettes
  • Insufficient command of the English language

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SHAM Training GroupSHAM TrainingIndividuals in this condition will receive four sessions of SHAM training in which they are instructed to approach (pull the joystick) images tilted to the right and avoid (push the joystick) images tilted to the left. They will be told that the purpose of the training is to improve control over these automatic tendencies and that following the training sessions, they will easily be able to push or pull the stimuli regardless of content.
AAT Training GroupApproach Avoidance TrainingIndividuals in this condition will receive four sessions of AAT training in which they are instructed to approach (pull the joystick) images tilted to the right and avoid (push the joystick) images tilted to the left. They will be told that the training may weaken automatic cigarette-approach and strengthen automatic cigarette-avoidance. Furthermore, they will be told that the opposite effect will be true for the stimuli not related to cigarettes (i.e., the positive stimuli).
Primary Outcome Measures
NameTimeMethod
Reaction Time on Approach Avoidance Task2 weeks

The time between the start of the trial and the picture disappearing from the screen will be recorded. The investigators will look at the change in response times for each individual. The investigators hypothesize that there will be a greater decrease in reaction time for those in the AAT training group.

Secondary Outcome Measures
NameTimeMethod
Motivation to Quit Smoking as assessed by having participants rate their motivation to quit smoking on a scale of 1 to 10 (1 being not motivated at all and 10 being extremely motivated to quit).2 weeks

The investigators expect that individuals in the AAT training condition will have a greater motivation to quit smoking relative to those in the SHAM condition.

Self Efficacy as assessed by the Relapse Situation Self-Efficacy questionnaire.2 weeks

The investigators expect to see a greater increase in self-efficacy for the AAT training group relative to the SHAM training group.

Urge to Smoke as assessed by the QSU-brief (Questionnaire of Smoking Urges).2 weeks

The investigators hypothesize that individuals in the AAT training condition will evidence a greater decrease in urge to smoke relative to those in the SHAM condition.

Number of Days Abstinent as assessed by daily cigarette count during a self-guided quit attempt.2 weeks

The investigators hypothesize that individuals in the AAT training condition will be more likely to have a greater number of days abstinent following Quit Day relative to those in the SHAM condition.

Trial Locations

Locations (1)

University of Texas at Austin

🇺🇸

Austin, Texas, United States

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