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Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial.
Trials. 2012 Jun 21; 13:88.T

Abstract

BACKGROUND

Tobacco smoking is the leading avoidable cause of death in high-income countries. The smoking-related disease burden is borne primarily by the least educated and least affluent groups. Thus, there is a need for effective smoking cessation interventions that reach to, and are effective in this group. Research suggests that modest financial incentives are not very effective in helping smokers quit. What is not known is whether large financial incentives can enhance longer-term (1 year) smoking cessation rates, outside clinical and workplace settings.

TRIAL DESIGN

A randomized, parallel groups, controlled trial.

METHODS

PARTICIPANTS

Eight hundred low-income smokers in Switzerland (the less affluent third of the population, based on fiscal taxation).

INTERVENTION

A smoking cessation program including: (a) financial incentives given during 6 months; and (b) Internet-based counseling. Financial rewards will be offered for biochemically verified smoking abstinence after 1, 2, and 3 weeks and 1, 3, and 6 months, for a maximum of 1,500 CHF (1,250 EUR, 1,500 USD) for those abstinent at all time-points. All participants, including controls, will receive Internet-based, individually-tailored, smoking cessation counseling and self-help booklets, but there will be no in-person or telephone counseling, and participants will not receive medications. The control group will not receive financial incentives.

OBJECTIVE

To increase smoking cessation rates.

OUTCOME

Smoking abstinence after 6 and 18 months, not contradicted by biochemical tests. We will assess relapse after the end of the intervention, to test whether 6-month effects translate into sustained abstinence 12 months after the incentives are withdrawn.Randomization: Will be done using sealed envelopes drawn by participants.Blinding: Is not possible in this context.

DISCUSSION

Smoking prevention policies and interventions have been least effective in the least educated, low-income groups. Combining financial incentives and Internet-based counseling is an innovative approach that, if proven acceptable and effective, could be later implemented on a large scale at a reasonable cost, decrease health disparities, and save many lives.

TRIAL REGISTRATION

Current Controlled Trials ISRCTN04019434.

Authors+Show Affiliations

Institute of Social and Preventive Medicine, Faculty of Medicine, University of Geneva, CMU - 1 rue Michel-Servet, 1211, Geneva 4, Switzerland. Jean-Francois.Etter@unige.ch

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22721577

Citation

Etter, Jean-François. "Financial Incentives for Smoking Cessation in Low-income Smokers: Study Protocol for a Randomized Controlled Trial." Trials, vol. 13, 2012, p. 88.
Etter JF. Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial. Trials. 2012;13:88.
Etter, J. F. (2012). Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial. Trials, 13, 88. https://doi.org/10.1186/1745-6215-13-88
Etter JF. Financial Incentives for Smoking Cessation in Low-income Smokers: Study Protocol for a Randomized Controlled Trial. Trials. 2012 Jun 21;13:88. PubMed PMID: 22721577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial. A1 - Etter,Jean-François, Y1 - 2012/06/21/ PY - 2012/01/26/received PY - 2012/05/25/accepted PY - 2012/6/23/entrez PY - 2012/6/23/pubmed PY - 2013/5/31/medline SP - 88 EP - 88 JF - Trials JO - Trials VL - 13 N2 - BACKGROUND: Tobacco smoking is the leading avoidable cause of death in high-income countries. The smoking-related disease burden is borne primarily by the least educated and least affluent groups. Thus, there is a need for effective smoking cessation interventions that reach to, and are effective in this group. Research suggests that modest financial incentives are not very effective in helping smokers quit. What is not known is whether large financial incentives can enhance longer-term (1 year) smoking cessation rates, outside clinical and workplace settings. TRIAL DESIGN: A randomized, parallel groups, controlled trial. METHODS: PARTICIPANTS: Eight hundred low-income smokers in Switzerland (the less affluent third of the population, based on fiscal taxation). INTERVENTION: A smoking cessation program including: (a) financial incentives given during 6 months; and (b) Internet-based counseling. Financial rewards will be offered for biochemically verified smoking abstinence after 1, 2, and 3 weeks and 1, 3, and 6 months, for a maximum of 1,500 CHF (1,250 EUR, 1,500 USD) for those abstinent at all time-points. All participants, including controls, will receive Internet-based, individually-tailored, smoking cessation counseling and self-help booklets, but there will be no in-person or telephone counseling, and participants will not receive medications. The control group will not receive financial incentives. OBJECTIVE: To increase smoking cessation rates. OUTCOME: Smoking abstinence after 6 and 18 months, not contradicted by biochemical tests. We will assess relapse after the end of the intervention, to test whether 6-month effects translate into sustained abstinence 12 months after the incentives are withdrawn.Randomization: Will be done using sealed envelopes drawn by participants.Blinding: Is not possible in this context. DISCUSSION: Smoking prevention policies and interventions have been least effective in the least educated, low-income groups. Combining financial incentives and Internet-based counseling is an innovative approach that, if proven acceptable and effective, could be later implemented on a large scale at a reasonable cost, decrease health disparities, and save many lives. TRIAL REGISTRATION: Current Controlled Trials ISRCTN04019434. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/22721577/Financial_incentives_for_smoking_cessation_in_low_income_smokers:_study_protocol_for_a_randomized_controlled_trial_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/1745-6215-13-88 DB - PRIME DP - Unbound Medicine ER -