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.
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 (coaching calls + nicotine replacement therapy) or OTH plus escalating financial incentives (OTH+FI) for completing up to 5 counseling calls over 8 weeks. Feasibility outcomes for the incentives-based intervention will focus on counseling call completions, follow-up assessment completion, smoking cessation, and incentive costs. Potential effectiveness will be evaluated based on comparisons of counseling call completions over the first 8 weeks post-enrollment and rates of self-reported smoking abstinence through 12 weeks post-enrollment (4 weeks after incentives have ended) in OTH+FI relative to OTH alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
165
OTH coaching calls
8 weeks of nicotine replacement therapy
Escalating financial incentives for completing up to 5 coaching calls
TSET Health Promotion Research Center
Oklahoma City, Oklahoma, United States
7-Day Point Prevalence Abstinence
Self-reported smoking abstinence 7-day point prevalence at 12 weeks post-enrollment (missing considered smoking).
Time frame: 12 weeks post-enrollment
7-Day Point Prevalence Abstinence
Self-reported 7-day point prevalence abstinence at 8 weeks post-enrollment (missing considered smoking)
Time frame: 8 weeks post-enrollment
Coaching Calls Completed (Total Number)
The total number of coaching calls completed.
Time frame: First 8 weeks post-enrollment
Completed >=3 Coaching Calls
The proportion of participants who completed at least 3 coaching calls
Time frame: First 8 weeks post-enrollment
Retention
The number of participants who completed the follow-up assessment.
Time frame: 8 weeks post-enrollment
Retention
The number of participants who completed the follow-up assessment.
Time frame: 12 weeks post-enrollment
Incentives Earned
The mean amount of call-contingent incentives earned among participants assigned to the OTH+FI group.
Time frame: First 8 weeks post-enrollment
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