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Article: Active referral plus a small financial incentive upon cessation services use on smoking abstinence: a community-based, cluster-randomised controlled trial

TitleActive referral plus a small financial incentive upon cessation services use on smoking abstinence: a community-based, cluster-randomised controlled trial
Authors
KeywordsSmoking cessation
Service use
Financial incentives
Active referral
Community
Smoker
Chinese
Issue Date2021
PublisherElsevier: Creative Commons Licenses. The Journal's web site is located at https://www.thelancet.com/regional-health/western-pacific
Citation
The Lancet Regional Health - Western Pacific, 2021, v. 13, article no. 100189 How to Cite?
AbstractBackground Many smokers do not use existing free or low-cost smoking cessation services, cost-effective interventions to increase use are needed. Methods We did a 2-armed cluster randomised controlled trial (cRCT) in Hong Kong, China, to evaluate the effectiveness of active referral plus a small financial incentive on abstinence. Chinese adult smokers who smoked at least 1 cigarette per day were proactively recruited from 70 community sites (clusters). Random allocation was concealed until the recruitment started. The intervention group received an offer of active referral to cessation services at baseline plus an incentive (HK$300/US$38) after using any cessation services within 3 months. The control group received general brief cessation advice. The primary outcomes were biochemically validated abstinence at 3 and 6 months. Operating costs in real-world implementation was calculated. Trial Registry: ClinicalTrials.gov NCT03565796. Findings Between June and September 2018, 1093 participants were randomly assigned to the intervention (n=563) and control (n=530) groups. By intention-to-treat, the intervention group showed higher validated abstinence than the control group at 3 months (8.4% vs. 4.5%, risk ratio [RR] 1.88, 95% CI 1.01-3.51, P=0.046) and 6 months (7.5% vs. 4.5%, RR 1.72, 95% CI 1.01-2.93, P=0.046). Average cost per validated abstinence was lower in the intervention (US$ 421) than control (US$ 548) group. Interpretation This cRCT has first shown that a simple, brief, and low-cost intervention with active referral plus a small monetary incentive was effective in increasing smoking abstinence and smoking cessation service use in community smokers. Funding Hong Kong Council on Smoking and Health.
Persistent Identifierhttp://hdl.handle.net/10722/300342
ISSN
2021 Impact Factor: 8.559
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWeng, X-
dc.contributor.authorWu, Y-
dc.contributor.authorLuk, TT-
dc.contributor.authorLi, WHC-
dc.contributor.authorCheung, DYT-
dc.contributor.authorTong, HSC-
dc.contributor.authorLai, V-
dc.contributor.authorLam, TH-
dc.contributor.authorWang, MP-
dc.date.accessioned2021-06-04T08:41:33Z-
dc.date.available2021-06-04T08:41:33Z-
dc.date.issued2021-
dc.identifier.citationThe Lancet Regional Health - Western Pacific, 2021, v. 13, article no. 100189-
dc.identifier.issn2666-6065-
dc.identifier.urihttp://hdl.handle.net/10722/300342-
dc.description.abstractBackground Many smokers do not use existing free or low-cost smoking cessation services, cost-effective interventions to increase use are needed. Methods We did a 2-armed cluster randomised controlled trial (cRCT) in Hong Kong, China, to evaluate the effectiveness of active referral plus a small financial incentive on abstinence. Chinese adult smokers who smoked at least 1 cigarette per day were proactively recruited from 70 community sites (clusters). Random allocation was concealed until the recruitment started. The intervention group received an offer of active referral to cessation services at baseline plus an incentive (HK$300/US$38) after using any cessation services within 3 months. The control group received general brief cessation advice. The primary outcomes were biochemically validated abstinence at 3 and 6 months. Operating costs in real-world implementation was calculated. Trial Registry: ClinicalTrials.gov NCT03565796. Findings Between June and September 2018, 1093 participants were randomly assigned to the intervention (n=563) and control (n=530) groups. By intention-to-treat, the intervention group showed higher validated abstinence than the control group at 3 months (8.4% vs. 4.5%, risk ratio [RR] 1.88, 95% CI 1.01-3.51, P=0.046) and 6 months (7.5% vs. 4.5%, RR 1.72, 95% CI 1.01-2.93, P=0.046). Average cost per validated abstinence was lower in the intervention (US$ 421) than control (US$ 548) group. Interpretation This cRCT has first shown that a simple, brief, and low-cost intervention with active referral plus a small monetary incentive was effective in increasing smoking abstinence and smoking cessation service use in community smokers. Funding Hong Kong Council on Smoking and Health.-
dc.languageeng-
dc.publisherElsevier: Creative Commons Licenses. The Journal's web site is located at https://www.thelancet.com/regional-health/western-pacific-
dc.relation.ispartofThe Lancet Regional Health - Western Pacific-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectSmoking cessation-
dc.subjectService use-
dc.subjectFinancial incentives-
dc.subjectActive referral-
dc.subjectCommunity-
dc.subjectSmoker-
dc.subjectChinese-
dc.titleActive referral plus a small financial incentive upon cessation services use on smoking abstinence: a community-based, cluster-randomised controlled trial-
dc.typeArticle-
dc.identifier.emailWeng, X: wengxue@connect.hku.hk-
dc.identifier.emailWu, Y: yongdang@connect.hku.hk-
dc.identifier.emailLuk, TT: lukkevin@hku.hk-
dc.identifier.emailLi, WHC: william3@hkucc.hku.hk-
dc.identifier.emailCheung, DYT: takderek@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.authorityLuk, TT=rp02827-
dc.identifier.authorityLi, WHC=rp00528-
dc.identifier.authorityCheung, DYT=rp02262-
dc.identifier.authorityLam, TH=rp00326-
dc.identifier.authorityWang, MP=rp01863-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1016/j.lanwpc.2021.100189-
dc.identifier.pmid34527982-
dc.identifier.pmcidPMC8358160-
dc.identifier.scopuseid_2-s2.0-85109083272-
dc.identifier.hkuros322682-
dc.identifier.volume13-
dc.identifier.spagearticle no. 100189-
dc.identifier.epagearticle no. 100189-
dc.identifier.isiWOS:000690384700007-
dc.publisher.placeUnited Kingdom-

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