About this trial
The goal of this subproject is to examine the hypothesized improvement of treatment with chess-based training and sleep enhancement, both together and on their own, in smokers.
Participants will undergo fMRI measurements, sleep monitoring. They will then be assigned to one of the four experimental groups, including high-intensity interval training with or without chess-based training.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
severe tobacco use disorder (TUD) according to DSM-5
sufficient ability to communicate with investigators and answer questions in both written and verbal format
ability to provide fully informed consent and to use self-rating scales
right-handedness
Disqualifiers
severe internal, neurological, and/or psychiatric comorbidities; other Axis I mental disorders other than TUD according to ICD-10 and DSM 5 (except for mild depression, i.e. F32.0, adjustment disorder and specific phobias) in the last 12 months
history of brain injury
severe physical diseases
common exclusion criteria for MRI (e.g. metal, claustrophobia)
Trial design
Factorial
Treatments tested in this trial
Standard smoking cessation program (SCP)
BehavioralEach subject will receive a standard SCP as group treatment once a week (1h) over six weeks. This group therapy is based on behavioural therapy and a psycho-educational approach (for more details see Batra \& Buchkremer, 2004), and will be carried out by a qualified therapist.
Cognitive remediation treatment (CRT)
BehavioralThe cognitive remediation treatment (CRT) employs a chess-based battery of tasks (delivered through an app-based online tool), two times per week over six weeks (60min duration per session).
High-intensity interval training (HIIT evening)
BehavioralThe high-intensity interval training will be delivered through an app environment with several choices of exercise, two times per week over six weeks. The training will include a 5-minutes warm-up and cool down phase. In between, participants will perform four 4-minutes blocks of exercise at high intensity, interspersed with three 3-minute blocks of low intensity (total of 35 minutes exercise).
Treatment groups
Trial outcomes
Primary outcomes
Time until first severe relapse
days until the first severe smoking relapse after treatment
Percentage of abstinent days
Percentage of abstinent days in the 3 months after treatment
Change in smoking urges
questionnaire of smoking urges (QSU, Müller et al. 2001)
Change in neural measures of response inhibition
SST fMRI task (Gan et al., 2014)
Sponsors and contacts
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