You can't pay me to quit: the failure of financial incentives for smoking cessation in head and neck cancer patients

The Journal of Laryngology and Otology
A GhoshN Mirza

Abstract

A prospective randomised study was conducted at a tertiary care hospital to evaluate the effects of financial incentives for smoking cessation targeted at a high-risk population. Patients with a past history of head and neck cancer were voluntarily enrolled over a two-year period. They were randomised to a cash incentives or no incentive group. Subjects were offered enrolment in smoking cessation courses. Smoking by-product levels were assessed at 30 days, 3 months and 6 months. Subjects in the incentive group received $150 if smoking cessation was confirmed. Over 2 years, 114 patients with an established diagnosis of head and neck cancer were offered enrolment. Twenty-four enrolled and 14 attended the smoking cessation classes. Only two successfully quit smoking at six months. Both these patients were in the financially incentivised group and received $150 at each test visit. Providing a financial incentive for smoking cessation to a population already carrying a diagnosis of head and neck cancer in order to promote a positive behaviour change was unsuccessful.

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Citations

May 28, 2016·The Journal of Laryngology and Otology·Edward FisherJonathan Fishman
Jan 1, 2016·Cancers of the Head & Neck·Carolyn Y Fang, Carolyn J Heckman
Feb 16, 2016·The Journal of Laryngology and Otology·Robin YoungsJonathan Fishman
Jul 18, 2019·The Cochrane Database of Systematic Reviews·Caitlin NotleyJamie Hartmann-Boyce
Sep 19, 2020·Clinical Journal of Oncology Nursing·Rachel HirscheyDeborah K Mayer
Dec 20, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Alana M RojewskiBenjamin A Toll
Mar 19, 2021·Journal of Racial and Ethnic Health Disparities·Steven R Cox, Carolann L Daniel

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