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

doi:10.1111/add.12669

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 journal › Article › peer-review

13 Citations (Scopus)

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 language	English
Pages (from-to)	1602-1611
Number of pages	10
Journal	Addiction (Abingdon, England)
Volume	109
Issue number	10
DOIs	https://doi.org/10.1111/add.12669
Publication status	Published - 1 Oct 2014
Externally published	Yes

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/add.12669Licence: In Copyright

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Courtney, R. J., Bradford, D., Martire, K. A., Bonevski, B., Borland, R., Doran, C., Hall, W., Farrell, M., Siahpush, M., Sanson-Fisher, R., West, R., & Mattick, R. P. (2014). A randomized clinical trial of a financial education intervention with nicotine replacement therapy (NRT) for low socio-economic status Australian smokers: a study protocol. Addiction (Abingdon, England), 109(10), 1602-1611. https://doi.org/10.1111/add.12669

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

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.",

keywords = "Intervention studies, intervention studies, low income population, randomized controlled trial, smoking cessation, social class, socio-economic factors, socio-economic status",

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

year = "2014",

month = oct,

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doi = "10.1111/add.12669",

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volume = "109",

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Courtney, RJ, Bradford, D, Martire, KA, Bonevski, B, Borland, R, Doran, C, Hall, W, Farrell, M, Siahpush, M, Sanson-Fisher, R, West, R & Mattick, RP 2014, 'A randomized clinical trial of a financial education intervention with nicotine replacement therapy (NRT) for low socio-economic status Australian smokers: a study protocol', Addiction (Abingdon, England), vol. 109, no. 10, pp. 1602-1611. https://doi.org/10.1111/add.12669

A randomized clinical trial of a financial education intervention with nicotine replacement therapy (NRT) for low socio-economic status Australian smokers: a study protocol. / Courtney, Ryan J.; Bradford, Deborah; Martire, Kristy A. et al.
In: Addiction (Abingdon, England), Vol. 109, No. 10, 01.10.2014, p. 1602-1611.

Research output: Contribution to journal › Article › peer-review

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T1 - A randomized clinical trial of a financial education intervention with nicotine replacement therapy (NRT) for low socio-economic status Australian smokers

T2 - a study protocol

AU - Courtney, Ryan J.

AU - Bradford, Deborah

AU - Martire, Kristy A.

AU - Bonevski, Billie

AU - Borland, Ron

AU - Doran, Christopher

AU - Hall, Wayne

AU - Farrell, Michael

AU - Siahpush, Mohammad

AU - Sanson-Fisher, Rob

AU - West, Robert

AU - Mattick, Richard P.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - 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.

AB - 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.

KW - Intervention studies

KW - intervention studies

KW - low income population

KW - randomized controlled trial

KW - smoking cessation

KW - social class

KW - socio-economic factors

KW - socio-economic status

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UR - http://purl.org/au-research/grants/NHMRC/1021862

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AN - SCOPUS:85027926026

SN - 0965-2140

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JO - Addiction (Abingdon, England)

JF - Addiction (Abingdon, England)

IS - 10

ER -

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

Abstract

Keywords

UN SDGs

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