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1 results

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

  • A Ghosh, G Philiponis, A Bewley, E R Ransom, N Mirza
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue 3 / March 2016
    Published online by Cambridge University Press:
    15 February 2016, pp. 278-283
    Print publication:
    March 2016
  • Objective:

    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.

    Methods:

    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.

    Results:

    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.

    Conclusion:

    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.