Functional brain activation changes associated with practice in delaying smoking among moderate to heavy smokers: study protocol and rationale of a randomized trial (COPE)

• Published in: Current controlled trials in cardiovascular medicine Vol. 19; no. 1; p. 623
• Main Authors: Fox, Andrew T, Catley, Delwyn, Richter, Kimber P, Ellerbeck, Edward F, Brucks, Morgan G, Papa, Vlad B, Martin, Laura E
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 12.11.2018; BioMed Central; BMC
• Subjects: Abstinence; Addictions; Addictive behaviors; Adolescent; Adult; Behavior; Behavior modification; Brain - physiology; Cigarettes; Cognition; Electronic Data Processing; Functional magnetic resonance imaging; Humans; Magnetic Resonance Imaging; Middle Aged; Nicotine; Prevention; Randomized Controlled Trials as Topic; Randomized trial; Research Design; Sample Size; Smokers; Smoking; Smoking - psychology; Smoking Cessation; Study Protocol; Young Adult; United States; Functional magnetic resonance imaging; Randomized trial; Study protocol; Smoking
• ISSN: 1745-6215; 1745-6215
• DOI: 10.1186/s13063-018-2984-x

Most smokers struggle to overcome tobacco addiction. Neuroscientific models of addiction emphasize the importance of brain regions associated with cognitive control and reward to understand the cycle of addiction and relapse. During an attempt at abstinence, the cognitive control system appears to be underpowered to override the heightened reward system of the addicted brain. Thus, one neural target for treatment is to strengthen the cognitive control system. It may be possible to improve the functioning of the cognitive control system via deliberate practice. This study will determine the effects of practicing delaying smoking on brain and behavioral measures of cognitive control. Smoking patterns will be monitored for 1 week and then smokers (N = 80) will be randomized to either practice cognitive control by delaying their first cigarette of the day for 2 weeks (practice group) or they will continue monitoring only (no practice group). Functional magnetic resonance imaging will be performed while smokers regulate their responses to smoking images (i) at baseline and (ii) after 2 weeks of practice (or no practice). The primary aim of this study will be to identify the impact of practicing cognitive control on functional brain activation changes in response to smoking cues. If successful, this project will establish a neurobiological biomarker for increasing cognitive control and demonstrate the feasibility of neuroimaging methods to predict the efficacy of an intervention without a large clinical trial. ClinicalTrials.gov, NCT03080844 . Registered March 15, 2017.