1. Small financial incentives increase smoking cessation in homeless smokers: A pilot study.
- Author
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Businelle, Michael S., Kendzor, Darla E., Kesh, Anshula, Cuate, Erica L., Poonawalla, Insiya B., Reitzel, Lorraine R., Okuyemi, Kolawole S., and Wetter, David W.
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SMOKING cessation , *HOMELESS persons , *PILOT projects , *AFRICAN Americans , *LOGISTIC regression analysis , *MIXED methods research , *MONETARY incentives - Abstract
Although over 70% of homeless individuals smoke, few studies have examined the effectiveness of smoking cessation interventions in this vulnerable population. The purpose of this pilot study was to compare the effectiveness of shelter-based smoking cessation clinic usual care (UC) to an adjunctive contingency management (CM) treatment that offered UC plus small financial incentives for smoking abstinence. Sixty-eight homeless individuals in Dallas, Texas (recruited in 2012) were assigned to UC (n =58) or UC plus financial incentives (CM; n =10) groups and were followed for 5 consecutive weeks (1 week pre-quit through 4 weeks post-quit). A generalized linear mixed model regression analysis was conducted to compare biochemically-verified abstinence rates between groups. An additional model examined the interaction between time and treatment group. The participants were primarily male (61.8%) and African American (58.8%), and were 49 years of age on average. There was a significant effect of treatment group on abstinence overall, and effects varied over time. Follow-up logistic regression analyses indicated that CM participants were significantly more likely than UC participants to be abstinent on the quit date (50% vs. 19% abstinent) and at 4 weeks post-quit (30% vs. 1.7% abstinent). Offering small financial incentives for smoking abstinence may be an effective way to facilitate smoking cessation in homeless individuals. [Copyright &y& Elsevier]
- Published
- 2014
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