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Are financial incen...
Are financial incentives more effective than health campaigns to quit smoking? A community-randomised smoking cessation trial in Denmark
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- Pisinger, Charlotta (author)
- University of Copenhagen,Frederiksberg Hospital
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- Toxværd, Cecilie Goltermann (author)
- Frederiksberg Hospital
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- Rasmussen, Mette (author)
- Lund University,Lunds universitet,Kliniskt Centrum för Hälsofrämjande Vård,Forskargrupper vid Lunds universitet,Clinical Health Promotion Centre,Lund University Research Groups,Frederiksberg Hospital
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- English.
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In: Preventive Medicine. - : Elsevier BV. - 0091-7435. ; 154
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Abstract
Subject headings
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- The aim of this community-randomised smoking cessation (SC) trial was to investigate both recruitment and SC-rates in three municipalities offering financial incentives (FIM) to smokers who stop smoking when attending a municipal SC-program and compare these with three municipalities investing in a campaign (CAM) that should encourage smokers to use the SC-program. Furthermore, in a non-randomised matched control design we investigated whether there was a difference in recruitment and SC-rates in the three FIM and the three CAM, comparing each with three matched control municipalities (MCM). Each municipality received approx. $16,000. The FIM rewarded persons who were abstinent when attending the municipal SC-program. The CAM spent the money on a campaign recruiting smokers to the SC-program. Two of three FIM were only partly active in recruiting smokers in the intervention year 2018. An intention-to-treat (ITT) approach was used in analyses. Complete case analyses and multiple imputation were used to address loss to follow-up. No difference in recruitment was found between the CAM and the FIM (p = 0.954), in adjusted analyses. In ITT analyses, FIM achieved significantly higher odds of validated abstinence from smoking at one-year follow-up (OR (95%CI): 1.63(1.1–2.4)), but not of self-reported continuous abstinence after six months than CAM. Compared with no intervention, campaigns increased the recruitment of smokers to the SC-program while financial incentives increased six months abstinence rates. In a randomised trial, no difference was demonstrated in the effect of financial incentives and campaigns to recruit smokers to a SC-program and financial incentives seemed superior to help smokers staying smoke-free for a year. Trial registration: ClinicalTrials.Gov ID: NCT03849092.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Campaigns
- Community trial
- Financial incentives
- Randomised trial
- Smoking cessation
Publication and Content Type
- art (subject category)
- ref (subject category)
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