Baseline |
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Up to 5 days |
Samples to be submitted once daily
Average CO level calculated from results
Provision of baseline samples will not be incentivised
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Shaping |
Provides incentives for intermediate criteria between tobacco smoking and abstinence
Improves treatment effectiveness while fostering learning and reinforcement prior to quitting100
This phase is optional for those not wishing to stop smoking immediately
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Up to 4 weeks |
Weekly reduction of CO targets will be calculated using baseline CO levels and the estimated number of weeks until target abstinence
Incentives for smoking reductions are based on a fixed schedule of $A2.50 per verified sample, with two submissions per day permitted (morning and afternoon)
Participants are encouraged to set a quit date within 4 weeks of study enrolment
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Abstinence |
Provides an incentive for every verified sample indicating a CO of ≤5 ppm
High-frequency monitoring is required in the early stages of a quit attempt. Any smoking during the initial weeks of abstinence is predictive of negative long-term smoking outcomes in general populations and pregnant women101 102
Higher magnitude incentives are provided for abstinence as these exert more influence over behavioural change than those of lower magnitude103
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Period from post baseline or reduction phase through to commencement of thinning phase |
Incentives start at $A3.00, increasing by $A0.10 for every verified negative and are capped at $A20.00. Escalating schedules of reinforcement induce longer periods of continuous abstinence than fixed schedules104 105
Samples to be provided twice daily (defined as 24:00 till 23:59) separated by a minimum of 8 hours70 for the initial 4 weeks of non-smoking. After this time, they will reduce to once daily
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Thinning |
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4 weeks prior to expected delivery date |
Samples to be completed every second day at varying time points to verify abstinence
Due to varying treatment length, this will only apply to those who have been abstinent for 6 weeks (defined as completion of 4 weeks of twice daily + 2 weeks of once-daily CO samples)
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Contingency reset |
Incentives will not be provided for missed samples or those >5 ppm and the value of subsequent samples <6 ppm will be reduced
To encourage abstinence after relapse, incentive values can be reset after a period of abstinence71 76
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Following a positive sample, the reinforcement value of the next negative CO sample will be reset to its initial rate ($A3.00)
Two consecutive negative samples will revert the incentive to its pre-reset value
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