Trial Outcomes & Findings for Small Financial Incentives to Promote Smoking Cessation (NCT NCT02737566)

NCT ID: NCT02737566

Last Updated: 2024-07-17

Results Overview

The primary outcome measure is carbon monoxide (CO)-verified 7-day point prevalence abstinence at 26 weeks post-quit (intent-to-treat; missing=smoking).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

320 participants

Primary outcome timeframe

26 weeks post-quit

Results posted on

2024-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Care + Financial Incentives
Participants randomized to Standard Care + Financial Incentives for Abstinence will be offered smoking cessation counseling and pharmacotherapy (standard care) and they will have the opportunity to earn small gift cards for biochemically-verified abstinence through 12 weeks post-quit. The amount of the gift cards will escalate each week from the quit date through 4 weeks post-quit with continuous abstinence. Participants who are non-abstinent at any visit may earn incentives for abstinence at the next visit, but the amount will reset to the starting level. Participants may additionally earn an additional gift card for abstinence at the 8 and 12 weeks post-quit visits. Standard Care + Financial Incentives: Tobacco cessation counseling plus pharmacotherapy and financial incentives for quitting.
Standard Care
Participants randomized to Standard Care will be offered weekly smoking cessation counseling and pharmacotherapy. Standard Care: Tobacco cessation counseling plus pharmacotherapy.
Overall Study
STARTED
159
161
Overall Study
COMPLETED
104
105
Overall Study
NOT COMPLETED
55
56

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Missing age for 1 participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Care + Financial Incentives
n=159 Participants
Participants randomized to Standard Care + Financial Incentives for Abstinence will be offered smoking cessation counseling and pharmacotherapy (standard care) and they will have the opportunity to earn small gift cards for biochemically-verified abstinence through 12 weeks post-quit. The amount of the gift cards will escalate each week from the quit date through 4 weeks post-quit with continuous abstinence. Participants who are non-abstinent at any visit may earn incentives for abstinence at the next visit, but the amount will reset to the starting level. Participants may additionally earn an additional gift card for abstinence at the 8 and 12 weeks post-quit visits. Standard Care + Financial Incentives: Tobacco cessation counseling plus pharmacotherapy and financial incentives for quitting.
Standard Care
n=161 Participants
Participants randomized to Standard Care will be offered weekly smoking cessation counseling and pharmacotherapy. Standard Care: Tobacco cessation counseling plus pharmacotherapy.
Total
n=320 Participants
Total of all reporting groups
Age, Continuous
49.0 years
STANDARD_DEVIATION 11.1 • n=158 Participants • Missing age for 1 participant.
48.9 years
STANDARD_DEVIATION 12.2 • n=161 Participants • Missing age for 1 participant.
48.9 years
STANDARD_DEVIATION 11.6 • n=319 Participants • Missing age for 1 participant.
Sex: Female, Male
Female
106 Participants
n=159 Participants
96 Participants
n=161 Participants
202 Participants
n=320 Participants
Sex: Female, Male
Male
53 Participants
n=159 Participants
65 Participants
n=161 Participants
118 Participants
n=320 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=159 Participants
8 Participants
n=161 Participants
15 Participants
n=320 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
152 Participants
n=159 Participants
153 Participants
n=161 Participants
305 Participants
n=320 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=159 Participants
0 Participants
n=161 Participants
0 Participants
n=320 Participants
Race (NIH/OMB)
American Indian or Alaska Native
9 Participants
n=159 Participants
4 Participants
n=161 Participants
13 Participants
n=320 Participants
Race (NIH/OMB)
Asian
0 Participants
n=159 Participants
0 Participants
n=161 Participants
0 Participants
n=320 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=159 Participants
1 Participants
n=161 Participants
2 Participants
n=320 Participants
Race (NIH/OMB)
Black or African American
36 Participants
n=159 Participants
46 Participants
n=161 Participants
82 Participants
n=320 Participants
Race (NIH/OMB)
White
101 Participants
n=159 Participants
99 Participants
n=161 Participants
200 Participants
n=320 Participants
Race (NIH/OMB)
More than one race
12 Participants
n=159 Participants
11 Participants
n=161 Participants
23 Participants
n=320 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=159 Participants
0 Participants
n=161 Participants
0 Participants
n=320 Participants
Region of Enrollment
United States
159 participants
n=159 Participants
161 participants
n=161 Participants
320 participants
n=320 Participants
Cigarettes Smoked Per Day (pre-quit)
19.1 Cigarettes smoked per day
STANDARD_DEVIATION 10.2 • n=158 Participants • Missing cigarettes smoked per day for 1 participant.
19.2 Cigarettes smoked per day
STANDARD_DEVIATION 10.1 • n=161 Participants • Missing cigarettes smoked per day for 1 participant.
19.1 Cigarettes smoked per day
STANDARD_DEVIATION 10.1 • n=319 Participants • Missing cigarettes smoked per day for 1 participant.

PRIMARY outcome

Timeframe: 26 weeks post-quit

The primary outcome measure is carbon monoxide (CO)-verified 7-day point prevalence abstinence at 26 weeks post-quit (intent-to-treat; missing=smoking).

Outcome measures

Outcome measures
Measure
Standard Care + Financial Incentives
n=159 Participants
Participants randomized to Standard Care + Financial Incentives for Abstinence will be offered smoking cessation counseling and pharmacotherapy (standard care) and they will have the opportunity to earn small gift cards for biochemically-verified abstinence through 12 weeks post-quit. The amount of the gift cards will escalate each week from the quit date through 4 weeks post-quit with continuous abstinence. Participants who are non-abstinent at any visit may earn incentives for abstinence at the next visit, but the amount will reset to the starting level. Participants may additionally earn an additional gift card for abstinence at the 8 and 12 weeks post-quit visits. Standard Care + Financial Incentives: Tobacco cessation counseling plus pharmacotherapy and financial incentives for quitting.
Standard Care
n=161 Participants
Participants randomized to Standard Care will be offered weekly smoking cessation counseling and pharmacotherapy. Standard Care: Tobacco cessation counseling plus pharmacotherapy.
Biochemically-verified Smoking Cessation
22 Participants
14 Participants

SECONDARY outcome

Timeframe: 12 weeks post-quit

The secondary outcome measure is Carbon Monoxide (CO)-verified 7-day point prevalence abstinence at 12 weeks post-quit (intent-to-treat; missing=smoking).

Outcome measures

Outcome measures
Measure
Standard Care + Financial Incentives
n=159 Participants
Participants randomized to Standard Care + Financial Incentives for Abstinence will be offered smoking cessation counseling and pharmacotherapy (standard care) and they will have the opportunity to earn small gift cards for biochemically-verified abstinence through 12 weeks post-quit. The amount of the gift cards will escalate each week from the quit date through 4 weeks post-quit with continuous abstinence. Participants who are non-abstinent at any visit may earn incentives for abstinence at the next visit, but the amount will reset to the starting level. Participants may additionally earn an additional gift card for abstinence at the 8 and 12 weeks post-quit visits. Standard Care + Financial Incentives: Tobacco cessation counseling plus pharmacotherapy and financial incentives for quitting.
Standard Care
n=161 Participants
Participants randomized to Standard Care will be offered weekly smoking cessation counseling and pharmacotherapy. Standard Care: Tobacco cessation counseling plus pharmacotherapy.
Biochemically-verified Smoking Cessation
45 Participants
18 Participants

Adverse Events

Standard Care + Financial Incentives

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Standard Care

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard Care + Financial Incentives
n=159 participants at risk
Participants randomized to Standard Care + Financial Incentives for Abstinence will be offered smoking cessation counseling and pharmacotherapy (standard care) and they will have the opportunity to earn small gift cards for biochemically-verified abstinence through 12 weeks post-quit. The amount of the gift cards will escalate each week from the quit date through 4 weeks post-quit with continuous abstinence. Participants who are non-abstinent at any visit may earn incentives for abstinence at the next visit, but the amount will reset to the starting level. Participants may additionally earn an additional gift card for abstinence at the 8 and 12 weeks post-quit visits. Standard Care + Financial Incentives: Tobacco cessation counseling plus pharmacotherapy and financial incentives for quitting.
Standard Care
n=161 participants at risk
Participants randomized to Standard Care will be offered weekly smoking cessation counseling and pharmacotherapy. Standard Care: Tobacco cessation counseling plus pharmacotherapy.
Renal and urinary disorders
Blood in Urine
0.00%
0/159 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
0.62%
1/161 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
Product Issues
Fatigue
0.63%
1/159 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
0.00%
0/161 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
Social circumstances
Dissatisfaction with compensation
0.63%
1/159 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
0.00%
0/161 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
Social circumstances
Study smartphone was stolen
0.00%
0/159 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)
0.62%
1/161 • 27 weeks (1 week pre-quit-date through 26 weeks post-quit-date)

Additional Information

Dr. Darla Kendzor

The University of Oklahoma Health Sciences Center

Phone: (405) 271-8001

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place