Incentives for Oklahoma Tobacco Helpline Engagement in Persistent Poverty Counties (CLIMB)

University of Oklahoma (OU)

Status and phase: Completed; Phase 2

Conditions: Cigarette Smoking; Nicotine Dependence

Treatments: Behavioral: Financial Incentives; Drug: Nicotine replacement therapy; Behavioral: Coaching calls

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05095779

P30CA225520 (U.S. NIH Grant/Contract)

K01MD015295 (U.S. NIH Grant/Contract)

R25MD011564 (U.S. NIH Grant/Contract)

13859

Details and patient eligibility

About

The proposed pilot project is designed to evaluate the feasibility and potential efficacy of offering small financial incentives for the completion of smoking cessation counseling and self-reported abstinence at follow-up among Oklahoma Tobacco Helpline (OTH) callers living in persistent poverty counties (PPCs). The study will enroll at least 160 adults who reside in any of the 16 persistent poverty counties in Oklahoma, who are seeking smoking cessation treatment through the OTH.

Full description

The proposed randomized controlled trial will enroll adults who are seeking smoking cessation treatment through the OTH and who reside in any of the 16 PPCs in Oklahoma. Participants will be randomly assigned to OTH (coaching calls + nicotine replacement therapy) or OTH plus escalating financial incentives (OTH+FI) for completing up to 5 counseling calls over 8 weeks. Feasibility outcomes for the incentives-based intervention will focus on counseling call completions, follow-up assessment completion, smoking cessation, and incentive costs. Potential effectiveness will be evaluated based on comparisons of counseling call completions over the first 8 weeks post-enrollment and rates of self-reported smoking abstinence through 12 weeks post-enrollment (4 weeks after incentives have ended) in OTH+FI relative to OTH alone.

Enrollment: 165 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

1. Contact the OTH seeking smoking cessation treatment
2. Reside in any of the 16 PPCs in Oklahoma (Adair, Caddo, Cherokee, Choctaw, Greer, Harmon, Haskell, Hughes, Johnston, McCurtain, Okfuskee, Payne, Pushmataha, Seminole, Sequoyah, Tillman)
3. Report smoking ≥ 5 cigarettes per day
4. Are ≥ 18 years of age
5. Are able to provide a copy/photo of their ID/driver's license or other documentation of identity and residence
6. Be able to read, speak, and understand English
7. Have no contradictions for NRT

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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165 participants in 2 patient groups

Oklahoma Tobacco Helpline (OTH)

Active Comparator group

Description:

Participants randomized to OTH will be offered coaching calls and nicotine replacement therapy.

Treatment:

Drug: Nicotine replacement therapy

Behavioral: Coaching calls

OTH + Financial Incentives (OTH+FI)

Experimental group

Description:

Participants will receive standard OTH care (coaching calls + nicotine replacement therapy) and escalating financial incentives for completing up to 5 coaching calls.

Treatment:

Drug: Nicotine replacement therapy

Behavioral: Coaching calls

Behavioral: Financial Incentives