Incentives for smoking cessation in a rural pharmacy setting: The Tobacco Free Communities program.
2021
Objective: Investigate the smoking-related outcomes and feasibility of a pharmacy led financial incentive program for smoking cessation. Design: Multi-site single-arm trial of the Tobacco Free Communities program.
Setting: Community pharmacies within the Glamorgan Spring Bay (Site 1) and
George Town (Site 2) municipalities of Tasmania. Participants: Adult smokers. Based on funding, the recruitment target was 76
smokers. Interventions: Pharmacy staff provided quitting advice through 7 sessions over
3 months. At 6 sessions, abstinent participants (no cigarettes in the previous week
and expired carbon monoxide ≤4 ppm) were rewarded with AU$50 vouchers. Main outcome measures: Smoking-related outcomes were decreased smoking
(self-reported cigarettes per day and carbon monoxide levels) and abstinence rates.
Feasibility outcomes were meeting the recruitment target, participant retention and
participants' views of the program (measured by interview data from Site 2). Results: Ninety individuals enrolled. Sixty-two participants were included in analyses; remaining participants were excluded from analyses because they did not consent
to use of their data within this study or had carbon monoxide ≤4 ppm at enrolment.
Smoking (carbon monoxide and cigarettes per day) significantly decreased between
enrolment and the first financial incentive session. Twelve participants (19.35%)
were abstinent at the end of the program. Yet retention was poor; only 13 participants
(20.97%) attended all sessions. Interviews suggested participants found the program
beneficial. Conclusions: Providing financial incentive within rural community pharmacies
could be a viable method of encouraging smoking reductions and quit attempts.
Additional work is needed to increase retention and compare effects to usual care
pharmacy practices.
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