A randomized controlled trial of financial incentives for smoking cessation
A randomized controlled trial of financial incentives for smoking cessation
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DOI：
10.1158/1055-9965.epi-05-0314
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发表时间：
2006-01-01
影响因子：
3.8
通讯作者：
Lerman, C
中科院分区：
文献类型：
--
作者：
Volpp, KG;Levy, AG;Lerman, C
虽然每年有435，000美国人死于与烟草有关的疾病，但每年只有3%的吸烟者戒烟。经济激励措施已被证明在高度结构化的环境中（如药物治疗计划）有效地改变行为，但在结构化程度较低的环境中治疗慢性病时尚未显示出这一点。本研究的目的是确定是否适度的经济激励措施增加戒烟计划的入学率，完成率和戒烟率在门诊clinical setting.Methods：179吸烟者在费城退伍军人事务部医疗中心谁报告吸烟至少10支香烟，每天被随机分为激励和非激励组。这两组人都在费城退伍军人事务医疗中心接受了免费的五级戒烟计划。激励组还提供20美元的每节课参加和100美元，如果他们戒烟30天后完成计划。自我报告的戒烟证实与尿可替宁tests.Results：激励组有较高的计划入学率（43.3%比20.2%; P < 0.001）和完成率（25.8%比12.2%; P = 0.02）。75天的戒烟率在激励组为16.3%，对照组为4.6%（P = 0.01）。6个月时，激励组的戒烟率（6.5%）与对照组（4.6%）相比无显著性差异（P > 0.20）。结论：适度的经济激励可显著提高戒烟计划的登记率、完成率和短期戒烟率。未来的研究应考虑包括长期戒烟的激励措施。
Background: Although 435,000 Americans die each year of tobacco-related illness, only similar to 3% of smokers quit each year. Financial incentives have been shown to be effective in modifying behavior within highly structured settings, such as drug treatment programs, but this has not been shown in treating chronic disease in less structured settings. The objective of this study was to determine whether modest financial incentives increase the rate of smoking cessation program enrollment, completion, and quit rates in a outpatient clinical setting.Methods: 179 smokers at the Philadelphia Veterans Affairs Medical Center who reported smoking at least 10 cigarettes per day were randomized into incentive and nonincentive groups. Both groups were offered a free five-class smoking cessation program at the Philadelphia Veterans Affairs Medical Center. The incentive group was also offered $20 for each class attended and $100 if they quit smoking 30 days post program completion. Self-reported smoking cessation was confirmed with urine cotinine tests.Results: The incentive group had higher rates of program enrollment (43.3% versus 20.2%; P < 0.001) and completion (25.8% versus 12.2%; P = 0.02). Quit rates at 75 days were 16.3% in the incentive group versus 4.6% in the control group (P = 0.01). At 6 months, quit rates in the incentive group were not significantly higher (6.5%) than in the control group (4.6%; P > 0.20).Conclusion: Modest financial incentives are associated with significantly higher rates of smoking cessation program enrollment and completion and short-term quit rates. Future studies should consider including an incentive for longer-term cessation.