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The effect of financial incentives on top of behavioral support on quit rates in tobacco smoking employees: study protocol of a cluster-randomized trial.
BMC Public Health. 2016 10 06; 16(1):1056.BP

Abstract

BACKGROUND

Stimulating successful tobacco cessation among employees has multiple benefits. Employees who quit tobacco are healthier, more productive, less absent from work, and longer employable than employees who continue to use tobacco. Despite the evidence for these benefits of tobacco cessation, a successful method to stimulate employees to quit tobacco is lacking. The aim of this study is to evaluate whether adding a financial incentive to behavioral support (compared with no additional incentive) is effective and cost-effective in increasing abstinence rates in tobacco smoking employees participating in a smoking cessation group training.

METHODS/DESIGN

In this cluster-randomized trial employees in the intervention and control group both participate in a smoking cessation group training consisting of seven weekly counseling sessions of ninety minutes each. In addition to the training, employees in the intervention group receive a voucher as an incentive for being abstinent from smoking at the end of the training (€50), after three months (€50), after six months (€50), and after one year (€200). The control group does not receive any incentive. The primary outcome is carbon monoxide validated 12-month continuous abstinence from smoking (Russel's standard). Additionally, an economic evaluation is performed from a societal and an employer perspective.

DISCUSSION

The present paper describes the methods and design of this cluster-randomized trial in detail. We hypothesize that the financial incentive for abstinence in the form of vouchers increases abstinence rates over and above the group training. The results of this study can provide important recommendations for enhancement of employee tobacco cessation.

TRIAL REGISTRATION

Dutch Trial Register: NTR5657 . First received 27-01-2016.

Authors+Show Affiliations

Department of Family Medicine, Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA, Maastricht, Netherlands. f.vandenbrand@maastrichtuniversity.nl.Department of Health Promotion/Family Medicine, Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA, Maastricht, Netherlands.Department of Methodology and Statistics, Maastricht University, P. Debyeplein 1, 6229 HA, Maastricht, Netherlands.Department of Health Services Research, Maastricht University (CAPHRI), Duboisdomein 30, 6229 GT, Maastricht, Netherlands. Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Centre for Economic Evaluations, Utrecht, Netherlands.Department of Family Medicine, Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA, Maastricht, Netherlands. Department of Institute of General Practice, Heinrich-Heine University, P.O. Box 101007, 40001, Düsseldorf, Germany.Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2333 ZD, Leiden, Netherlands.Department of Family Medicine, Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA, Maastricht, Netherlands.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27716132

Citation

van den Brand, F A., et al. "The Effect of Financial Incentives On Top of Behavioral Support On Quit Rates in Tobacco Smoking Employees: Study Protocol of a Cluster-randomized Trial." BMC Public Health, vol. 16, no. 1, 2016, p. 1056.
van den Brand FA, Nagelhout GE, Winkens B, et al. The effect of financial incentives on top of behavioral support on quit rates in tobacco smoking employees: study protocol of a cluster-randomized trial. BMC Public Health. 2016;16(1):1056.
van den Brand, F. A., Nagelhout, G. E., Winkens, B., Evers, S. M., Kotz, D., Chavannes, N. H., & van Schayck, C. P. (2016). The effect of financial incentives on top of behavioral support on quit rates in tobacco smoking employees: study protocol of a cluster-randomized trial. BMC Public Health, 16(1), 1056.
van den Brand FA, et al. The Effect of Financial Incentives On Top of Behavioral Support On Quit Rates in Tobacco Smoking Employees: Study Protocol of a Cluster-randomized Trial. BMC Public Health. 2016 10 6;16(1):1056. PubMed PMID: 27716132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of financial incentives on top of behavioral support on quit rates in tobacco smoking employees: study protocol of a cluster-randomized trial. AU - van den Brand,F A, AU - Nagelhout,G E, AU - Winkens,B, AU - Evers,S M A A, AU - Kotz,D, AU - Chavannes,N H, AU - van Schayck,C P, Y1 - 2016/10/06/ PY - 2016/09/17/received PY - 2016/09/28/accepted PY - 2016/10/8/entrez PY - 2016/10/8/pubmed PY - 2017/6/16/medline KW - Employees KW - Incentives KW - Intervention KW - Reward KW - Smoking cessation KW - Tobacco SP - 1056 EP - 1056 JF - BMC public health JO - BMC Public Health VL - 16 IS - 1 N2 - BACKGROUND: Stimulating successful tobacco cessation among employees has multiple benefits. Employees who quit tobacco are healthier, more productive, less absent from work, and longer employable than employees who continue to use tobacco. Despite the evidence for these benefits of tobacco cessation, a successful method to stimulate employees to quit tobacco is lacking. The aim of this study is to evaluate whether adding a financial incentive to behavioral support (compared with no additional incentive) is effective and cost-effective in increasing abstinence rates in tobacco smoking employees participating in a smoking cessation group training. METHODS/DESIGN: In this cluster-randomized trial employees in the intervention and control group both participate in a smoking cessation group training consisting of seven weekly counseling sessions of ninety minutes each. In addition to the training, employees in the intervention group receive a voucher as an incentive for being abstinent from smoking at the end of the training (€50), after three months (€50), after six months (€50), and after one year (€200). The control group does not receive any incentive. The primary outcome is carbon monoxide validated 12-month continuous abstinence from smoking (Russel's standard). Additionally, an economic evaluation is performed from a societal and an employer perspective. DISCUSSION: The present paper describes the methods and design of this cluster-randomized trial in detail. We hypothesize that the financial incentive for abstinence in the form of vouchers increases abstinence rates over and above the group training. The results of this study can provide important recommendations for enhancement of employee tobacco cessation. TRIAL REGISTRATION: Dutch Trial Register: NTR5657 . First received 27-01-2016. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/27716132/The_effect_of_financial_incentives_on_top_of_behavioral_support_on_quit_rates_in_tobacco_smoking_employees:_study_protocol_of_a_cluster_randomized_trial_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3729-y DB - PRIME DP - Unbound Medicine ER -