Financial Motivations to Quit Smoking and Prevent Related Economic Costs

描述（由申请人提供）：总体目标是通过在非医疗场所采取新颖有效的预防措施，预防所有吸烟者，特别是低收入吸烟者未来与烟草相关的发病率、死亡率和医疗费用。我们的目标是通过建立经验基础来实现这一目标，并开始基于戒烟的财务信息开发更有效的戒烟动机。发展这样一种低成本的、以人口为基础的干预措施将扩大提供环境的数量。这些非医疗场所可能包括杂货店、银行、支票兑现处、报税办公室等，每一个场所都可能提供与吸烟成本相关的教育时刻。经济动机可以针对特殊人群量身定制，例如，通过戒烟或为新生儿存钱而使退税加倍。新的场所和采用有效、低成本的干预措施将有助于降低低收入吸烟者的吸烟率，并将解决吸烟、健康和收入方面的差距。通过网络实验和调查，我们将测试戒烟的经济激励是否比健康激励更有效。我们将通过测试引导收件人思考他们的财务状况和根据他们特定的吸烟模式定制的影响来优化财务信息。基于这些发现以及我们在成瘾治疗和行为经济学方面的专业知识，我们将开始为低收入吸烟者开发一种低成本的干预措施。有效的、以人口为基础的方法减轻了负担过重的卫生保健系统的压力，与强调卫生保健改革和为低收入社区提供预防方案相一致。目标1：确定戒烟的经济动机是否比健康动机更有效。1.。分析哪些因素导致了戒烟的财务信息或健康信息相对有效性的差异。个人和当地社区的收入都是一个关键因素，但年龄、性别、教育、吸烟状况、其他社区措施和国家烟草政策也将受到审查。目的2：确定引导吸烟者考虑财务或健康问题是否会使戒烟的信息更有效。2.。分析哪些因素使不同的启动类型更有效，例如，检查收入、年龄、性别、教育程度、吸烟状况和国家烟草政策的差异。探索性目标3：探索量身定制的信息和一般化的信息哪个更有效。3.。探索哪些因素导致了信息类型的有效性差异，目的是了解每种启动类型对谁更有效；同样，收入是一个关键因素，但我们也会研究其他因素。探索性目标4：在认识到吸烟的机会成本的基础上，根据上述发现，并利用我们在吸烟者经济激励方面的专业知识，开始开发可扩展的、以人群为基础的戒烟干预措施。

DESCRIPTION (provided by applicant): The overall goal is to prevent future tobacco-related morbidity, mortality and medical care expenses in all smokers, but especially low-income smokers by adoption of novel, effective prevention measures delivered in non-medical venues. We aim to accomplish this by building the empirical basis and beginning to develop a more effective motivation to quit smoking based on a financial message to quit. Developing such a low-cost, population-based, intervention would expand the number of delivery settings. Such non-medical settings could include grocery stores, banks, check-cashing locations, tax preparation offices, etc., each of which may offer its own teachable moments related to costs of smoking. The financial motivation can be tailored to special populations, e.g., double your tax refund by quitting smoking or save money for your new baby. New venues and use of an effective, low-cost intervention will aid in reducing the smoking rates of low-income smokers and will address disparities in smoking, health and income. Using online web-based experiments and surveys, we will test whether the financial incentive to quit smoking is more effective than the health incentive. We will optimize the financial message by testing the impact of both priming the recipients to think about their financial situation and by tailoring to their specific smoking pattern. Based on the findings and our expertise in addiction treatment and behavioral economics, we will begin to develop a low-cost, intervention for low-income smokers. Effective, population-based approaches reduce the strain on the overburdened health care system, consistent with the emphasis on health care reform and providing prevention programs for low-income communities. Aim 1: Determine whether the financial motivation to stop smoking is more effective than the health motivation. 1.a. Analyze which factors account for differences in the relative effectiveness of the financial or health message to quit smoking. Income of both the individual and the local community is a key factor, but age, gender, education, smoking status, other community measures, and state tobacco policies will be examined. Aim 2: Determine whether priming smokers to consider financial or health issues makes the message to quit more effective. 2.a. Analyze which factors make different priming types more effective, e.g., examine differences by income, age, gender, education, smoking status, and state tobacco policies. Exploratory Aim 3: Explore whether a tailored or general message is more effective. 3.a. Explore which factors account for differences in the effectiveness of message type with the goal of understanding for who each priming type is more effective; again income is a key factor but we will also examine other factors. Exploratory Aim 4: Begin developing a scalable, population-based smoking cessation intervention based on recognizing the opportunity cost of smoking based on findings from above and by using our expertise in economic incentives for smokers.