Incentives for Smoking Cessation in Persistent Poverty Counties

Tobacco Use Clinical Trial

Official title:

Monetary Incentives to Promote Engagement With the Oklahoma Tobacco Helpline in Counties Experiencing Persistent Poverty

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05095779
• Other study ID #: 13859
• Status: Completed
• Phase: N/A
• Start date: March 9, 2022
• Est. completion date: August 11, 2023

Study information

• Verified date: January 2024
• Source: University of Oklahoma
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The proposed pilot project is designed to evaluate the feasibility and potential efficacy of offering small financial incentives for the completion of smoking cessation counseling and self-reported abstinence at follow-up among Oklahoma Tobacco Helpline (OTH) callers living in persistent poverty counties (PPCs). The study will enroll at least 160 adults who reside in any of the 16 persistent poverty counties in Oklahoma, who are seeking smoking cessation treatment through the OTH.

Description:

The proposed randomized controlled trial will enroll adults who are seeking smoking cessation treatment through the OTH and who reside in any of the 16 PPCs in Oklahoma. Participants will be randomly assigned to OTH or OTH plus escalating incentives (OTH+I) for completing up to 5 counseling calls over 8 weeks. Feasibility outcomes for the incentives-based intervention will focus on counseling call completion, follow-up assessment completion, smoking cessation, incentive costs, and perceptions of the intervention. Potential effectiveness will be evaluated based on comparisons of counseling call completions and rates of self-reported smoking abstinence at 12 weeks post-enrollment (4 weeks after incentives have ended) in OTH+I relative to OTH alone.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 170
• Est. completion date: August 11, 2023
• Est. primary completion date: August 11, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Contact the OTH seeking smoking cessation treatment

2. Reside in any of the 16 PPCs in Oklahoma (Adair, Caddo, Cherokee, Choctaw, Greer, Harmon, Haskell, Hughes, Johnston, McCurtain, Okfuskee, Payne, Pushmataha, Seminole, Sequoyah, Tillman)

3. Report smoking = 5 cigarettes per day

4. Are = 18 years of age

5. Are able to provide a copy/photo of their ID/driver's license or other documentation of identity and residence

6. Be able to read, speak, and understand English

7. Have no contradictions for NRT

Related Conditions & MeSH terms

• Contingency Management
• Socioeconomic Status
• Tobacco Cessation
• Tobacco Smoking
• Tobacco Use

Intervention

Behavioral:
• Standard Care + Financial Incentives
Participants randomized to Standard Care will be offered weekly counseling calls and pharmacotherapy.

Other:
• Standard Care
Financial Incentives participants will receive standard care for completing counseling calls.

Locations

Country	Name	City	State
United States	TSET Health Promotion Research Center	Oklahoma City	Oklahoma

Sponsors (1)

Lead Sponsor	Collaborator
University of Oklahoma

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Primary Outcome Measure:	The primary outcome measure is self-reported smoking abstinence 7-day point prevalence at 12 weeks post-quit.	12 weeks post-quit-date
Primary	Cost-effectiveness	The incremental cost effectiveness ratio (ICER) calculated as the difference in mean costs between the new (CM) and standard treatment (SC) divided by the difference in mean effectiveness between the two, estimates additional resources needed to achieve an increase of one unit of effectiveness. The ICER is then compared with published threshold values for cost-effective interventions. The cost model will include all necessary personnel, hardware, and material costs.	12 weeks post-quit-date
Secondary	Self-reported smoking abstinence	Self-reported 7-day point prevalence abstinence at 8 weeks post-quit-date.	8 weeks post-quit-date