A randomized clinical trial of a financial education intervention with nicotine replacement therapy (NRT) for low socio-economic status Australian smokers: a study protocol

Ryan J. Courtney, Deborah Bradford, Kristy A. Martire, Billie Bonevski, Ron Borland, Christopher Doran, Wayne Hall, Michael Farrell, Mohammad Siahpush, Rob Sanson-Fisher, Robert West, Richard P. Mattick

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

BACKGROUND AND AIMS: Reducing smoking prevalence among smokers from low socio-economic status (SES) is a preventative health priority. Financial stress (e.g. shortage of money or inability to pay bills) may be a major barrier to quitting smoking. This study evaluates the efficacy of a financial education and support programme coupled with pharmacotherapy at improving cessation rates at 8-month follow-up among Australian low SES smokers (people receiving a government pension or allowance).

DESIGN: A two-group parallel block randomized (ratio 1 : 1) open-label clinical trial (RCT) with allocation concealment will be conducted. Allocation will be concealed to interviewers at data collection-points.

SETTING: The study will be conducted primarily by telephone with baseline, follow-up interviews and telephone-based support sessions. Nicotine replacement therapy (NRT) delivery will be mail-based.

PARTICIPANTS: Daily smokers who are interested in quitting smoking and are currently in receipt of government benefits (n = 1046) will be recruited through study advertisements placed in newspapers, posters placed in government social assistance agencies and Quitline telephone-based cessation support services. After completion of a baseline computer-assisted telephone interview, participants will be allocated randomly to control or intervention group using a permuted block approach.

INTERVENTION AND COMPARATOR: Participants in both groups will receive 8 weeks of free combination NRT plus Quitline support. Participants in the intervention group will also receive four telephone-delivered financial education and support sessions.

MEASUREMENTS: The primary outcome measure will be prolonged abstinence (at 8-month follow-up) assessed using Russell Standard criteria and biochemically verified (urine cotinine).

COMMENTS: This is the first intervention study to evaluate the potential of co-managing financial stress as a means of enhancing smokers' capacity to quit smoking. Such an intervention may provide a scalable intervention to help low SES smokers to quit.

Original languageEnglish (US)
Pages (from-to)1602-1611
Number of pages10
JournalAddiction (Abingdon, England)
Volume109
Issue number10
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Keywords

  • Intervention studies
  • intervention studies
  • low income population
  • randomized controlled trial
  • smoking cessation
  • social class
  • socio-economic factors
  • socio-economic status

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

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