MedPath

Social and Monetary Incentives for Smoking Cessation at Large Employers

Not Applicable
Completed
Conditions
Tobacco Use Disorder
Interventions
Behavioral: Usual Care
Behavioral: Deposits
Behavioral: Teammate
Behavioral: Large Individual Bonus
Behavioral: Small Individual Bonus
Behavioral: Team Bonus
Registration Number
NCT02421224
Lead Sponsor
University of California, Berkeley
Brief Summary

The investigators will conduct a cluster randomized controlled trial of several behavioral interventions for smoking cessation among a sample of employees at large workplaces in the Bangkok metropolitan area. The study aims to test the impacts of different incentive structures for smoking cessation on take-up, effectiveness, and cost-effectiveness. The interventions are designed to elucidate certain principles from the field of behavioral economics.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
4190
Inclusion Criteria
  • Current full-time employee of a participating company
  • Smoker of 100+ cigarettes during lifetime
  • Smoker of 10+ cigarettes per week
  • Individual is aged 18+ years old
  • Smoker wants to quit within the next 6 months
Exclusion Criteria
  • Expects to leave company within the next 12 months
  • Is currently pregnant
  • Are unable to provide informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DepositsDepositsSame as Usual Care, plus participants will have to deposit a certain amount of their own money as an incentive to quit smoking. Participants will be able to make additional voluntary deposits above the minimum amount. The participant will be refunded all deposits if he quits smoking at 3 months, as verified by a urine cotinine test. The participant will forfeit all deposits if he continues to smoke at 3 months, as verified by a urine cotinine test.
Team BonusUsual CareSame as Usual Care, plus each participant will be randomly assigned one teammate to provide social support during the quit attempt. If the participant and assigned teammate both quit smoking at 3 months, as verified by a urine cotinine test, then each will receive a monetary bonus. The team bonus is equal in value to that in the Large Individual Bonus group.
Deposits plus Small Individual BonusSmall Individual BonusSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Small Individual Bonus group.
DepositsUsual CareSame as Usual Care, plus participants will have to deposit a certain amount of their own money as an incentive to quit smoking. Participants will be able to make additional voluntary deposits above the minimum amount. The participant will be refunded all deposits if he quits smoking at 3 months, as verified by a urine cotinine test. The participant will forfeit all deposits if he continues to smoke at 3 months, as verified by a urine cotinine test.
Small Individual BonusSmall Individual BonusSame as Usual Care, plus each participant will receive a monetary bonus from the study investigators if he or she quit smoking, as verified by a urine cotinine test.
Deposits plus Small Individual BonusDepositsSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Small Individual Bonus group.
Small Individual BonusUsual CareSame as Usual Care, plus each participant will receive a monetary bonus from the study investigators if he or she quit smoking, as verified by a urine cotinine test.
Team BonusTeammateSame as Usual Care, plus each participant will be randomly assigned one teammate to provide social support during the quit attempt. If the participant and assigned teammate both quit smoking at 3 months, as verified by a urine cotinine test, then each will receive a monetary bonus. The team bonus is equal in value to that in the Large Individual Bonus group.
Team BonusTeam BonusSame as Usual Care, plus each participant will be randomly assigned one teammate to provide social support during the quit attempt. If the participant and assigned teammate both quit smoking at 3 months, as verified by a urine cotinine test, then each will receive a monetary bonus. The team bonus is equal in value to that in the Large Individual Bonus group.
Deposits plus Large Individual BonusUsual CareSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Large Individual Bonus group.
Usual CareUsual CareParticipants will receive in-person group counseling from a trained smoking cessation counselor. Participants will learn about reasons to quit smoking, strategies for quitting smoking, and additional resources available to support the quit attempt. Participants will also complete a quit plan.
Large Individual BonusUsual CareSame as Usual Care, plus each participant will receive a monetary bonus from the study investigators if he or she quit smoking, as verified by a urine cotinine test. The bonus is twice the value of that in the Small Individual Bonus group.
Large Individual BonusLarge Individual BonusSame as Usual Care, plus each participant will receive a monetary bonus from the study investigators if he or she quit smoking, as verified by a urine cotinine test. The bonus is twice the value of that in the Small Individual Bonus group.
Deposits plus Large Individual BonusDepositsSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Large Individual Bonus group.
Deposits plus TeammateDepositsSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will be randomly assigned one other participant to serve as a teammate who provides social support during the quit attempt.
Deposits plus Small Individual BonusUsual CareSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Small Individual Bonus group.
Deposits plus TeammateUsual CareSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will be randomly assigned one other participant to serve as a teammate who provides social support during the quit attempt.
Deposits plus Team BonusDepositsSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group, will be randomly assigned a teammate, and will follow the protocol for the monetary bonus as described for the Team Bonus group.
Deposits plus Team BonusTeam BonusSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group, will be randomly assigned a teammate, and will follow the protocol for the monetary bonus as described for the Team Bonus group.
Deposits plus Large Individual BonusLarge Individual BonusSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will follow the protocol for the monetary bonus as described for the Large Individual Bonus group.
Deposits plus Team BonusUsual CareSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group, will be randomly assigned a teammate, and will follow the protocol for the monetary bonus as described for the Team Bonus group.
Deposits plus Team BonusTeammateSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group, will be randomly assigned a teammate, and will follow the protocol for the monetary bonus as described for the Team Bonus group.
Deposits plus TeammateTeammateSame as Usual Care, plus the participant will follow the protocol for deposits as described for the Deposits group and will be randomly assigned one other participant to serve as a teammate who provides social support during the quit attempt.
Primary Outcome Measures
NameTimeMethod
Proportion of Participants With Smoking Abstinence at 12 Months12 months after enrollment

7-day point prevalence of abstinence measured 12 months after enrollment using self-reported abstinence and urine cotinine test results

Secondary Outcome Measures
NameTimeMethod
Proportion of Participants With Smoking Abstinence at 3 Months3 months after enrollment

7-day point prevalence of abstinence measured 3 months after enrollment based on self-reported abstinence and urine cotinine test results

Proportion of Participants With Smoking Abstinence at 6 Months6 months after enrollment

7-day point prevalence of abstinence measured 6 months after enrollment based on self-reported abstinence and urine cotinine test results

Program AcceptanceAt 0 months (at enrollment)

Proportion of eligible smokers who consent to participate in the main intervention

Trial Locations

Locations (1)

Mahidol University

🇹🇭

Bangkok, Thailand

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