At a glance
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Financial Incentives for Homeless Smokers: A Community-based RCT
In Brief
A clinical study evaluating Financial incentives, Varenicline, and 1 other intervention for Tobacco Smoking. Completed, enrolled 184 participants across 1 site.
Detailed Summary
This community-based randomized controlled trial will test the effect of contingent financial rewards on smoking abstinence among homeless-experienced adult cigarette smokers. Participants will be recruited from 3 Boston Health Care for the Homeless Program locations: a shelter clinic, a day center clinic, and a medical center clinic. All participants will be offered a varenicline prescription and tobacco coaching. Incentive arm participants will receive escalating financial rewards for saliva cotinine levels \<30 ng/ml, assessed 10 times over 12 weeks. Embedded qualitative interviews will explore the mechanisms of on-treatment and post-treatment effects of financial incentives on smoking abstinence in the context of homelessness.
Study Details
Timeline
Interventions
Escalating financial rewards for saliva cotinine levels \<30 ng/mL, assessed 10 times over 12 weeks
* Day 1 - 3: 0.5 mg daily * Day 4 - 7: 0.5 mg twice daily * Day 8 - Week 12: 1 mg twice daily * Dose/schedule may be adjusted based on medical history and clinician judgement
5 one-on-one tobacco cessation coaching sessions over 12 weeks