Wisconsin Tobacco Quit Line Medicaid Incentive Evaluation

NCT02713594 | Completed Results

• 1 other identifier: 2013-0056 (400025710)
• Study Type: interventional
• Target: 1,900
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study is designed to test the hypotheses that financial incentives can increase both participation in smoking cessation treatment and resulting cessation rates, when they are offered to BadgerCare Plus (Medicaid) smokers as part of their health care.

Conditions

Smoking; Smoking Cessation; Nicotine Dependence

Outcome Measures

Primary Outcomes (1)

• Abstinence From Smoking

  The primary outcome data will be the biochemically confirmed abstinence using urine (measured cotinine) or exhaled (breath) carbon monoxide (CO).

  Measured 6 months after enrollment at follow-up assessment

Secondary Outcomes (2)

• Engagement in Treatment

  Measured 6 months after enrollment at follow-up assessment

• Cost-effectiveness

  Measured 6 months after enrollment

Study Arms (2)

Control

PLACEBO COMPARATOR

Counseling from WTQL

Behavioral: Counseling from WTQL

Incentive

EXPERIMENTAL

Counseling from WTQL; Financial incentive to participate

Behavioral: Counseling from WTQL; Other: Financial incentive to participate

Interventions

Counseling from WTQL BEHAVIORAL

Counseling from the Wisconsin Tobacco Quit Line (WTQL) consisted of 5 proactive calls to the participant to help them successfully quit tobacco use, plus ad hoc calls at the participant's initiation; also, WTQL coaches encouraged participants to see their health care provider to obtain Medicaid-approved smoking cessation medications to help them quit smoking.

Control; Incentive

Financial incentive to participate OTHER

Participants in the Incentive condition received $30 per call for up to five WTQL calls taken; in addition, Incentive condition participants received $40 for producing biochemical evidence of abstinence at the 6-month follow-up visit. (Note that participants in both the Control condition and the Incentive condition received $40 for completing the baseline biochemical smoking status assessment visit and $40 for completing the 6-month follow-up biochemical smoking status assessment visit.) Compensation was in the form of prepaid Visa gift cards mailed approximately 2-4 weeks after the point of contact.

Incentive

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• enrollment in Wisconsin Medicaid (BadgerCare Plus)
• resides in study area (one of 25 counties)
• or older
• English or Spanish speaking
• has smoked daily (at least 5 cigarettes each day) over the last week
• willingness to attend visits at his/her PCC (primary care clinic) or go to a testing site at baseline and 6 months (2 times over a 6 month period), provide urine samples or participate in exhaled carbon monoxide testing, and complete follow-up phone calls from the WTQL
• willingness to inform the WTQL as to any change in address, phone number, clinic attended, or health plan.

You may not qualify if:

• not enrolled in Wisconsin Medicaid (BadgerCare Plus)
• not reside in study area
• less than 18 years of age
• not English or Spanish speaking
• does not smoke daily (at least 5 cigarettes each day) over the last week
• not willing to attend visits at his/her PCC (primary care clinic) or alternative testing site at baseline and 6 months (2 times over a 6 month period), provide urine or exhaled carbon monoxide samples, and complete follow-up phone calls.
• not willing to inform the WTQL as to any change in address, phone number, clinic attended, or health plan.

Sponsors & Collaborators

• University of Wisconsin, Madison: lead

Related Publications (1)

• Fraser DL, Fiore MC, Kobinsky K, Adsit R, Smith SS, Johnson ML, Baker TB. A Randomized Trial of Incentives for Smoking Treatment in Medicaid Members. Am J Prev Med. 2017 Dec;53(6):754-763. doi: 10.1016/j.amepre.2017.08.027. Epub 2017 Nov 2.

  PMID: 29079405 DERIVED

MeSH Terms

Conditions

Smoking; Smoking Cessation; Tobacco Use Disorder

Condition Hierarchy (Ancestors)

Behavior; Health Behavior; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Results Point of Contact

• Title: Stevens S. Smith, Ph.D.
• Organization: University of Wisconsin School of Medicine and Public Health

sss@ctri.wisc.edu

6082627563

Study Officials

• Timothy b Baker, PhD

  University of Wisconsin--CTRI

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 16, 2016
• First Posted: March 18, 2016
• Study Start: April 1, 2013
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2017
• Last Updated: April 21, 2017
• Results First Posted: April 21, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share