| Summary: | Introduction
Quit and Win programs (Q&W) have been shown to improve smoking
cessation rates by offering potential rewards to encourage smoking cessation.
However, few studies have combined Q&W with intensive smoking cessation
programs including behavioral counseling and pharmacotherapy, or studied
Q&W in underserved, minority populations. This study was conducted to assess
the impact on smoking cessation rates of adding a Q&W to intensive smoking
cessation therapy in a largely underserved, minority population.
Methods
This was a single-center, prospective, open-label controlled study. Current
smokers received pharmacist-led behavioral counseling and smoking cessation
pharmacotherapy. Intervention group patients who successfully quit (verified by
self-report and exhaled carbon monoxide) at 1 month and 3 months post-quit
date were entered into a draw for $1000. The control group received the same
smoking cessation services, but without a monetary incentive.
Results
Enrollment was 111 patients (N=85 in the intervention group), made up
of predominantly underserved (82% had annual household income <$25000),
minority (69.1%), and female (58%) patients. Groups were similar except the
intervention group had lower educational and income levels, while the control
group was more likely to smoke more than 1 pack per day. Quit rates at 3 months
were 27% and 19% in the intervention and control groups, respectively (p=0.22).
Female gender (OR=2.84; p=0.04) and Fagerström score (OR=0.71; p<0.01)
were significant predictors of quitting.
Conclusions
The addition of Q&W to intensive smoking cessation services increased
clinic referrals and numerically improved cessation rates, although this difference
was not statistically significant, possibly due to high attrition of the study.
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