None listed
Conditions
Brief summary
Reducing tobacco use is an urgent national health priority in Australia, as it is the leading cause of preventable death and disability. The Incentive to Quit (I2Q) pilot aims to reduce harms associated with smoking and vaping by; i) training health professionals on delivering brief smoking cessation advice, ii) providing eligible smokers and vapers with financial incentives, iii) referring participants to the Quitline counselling service, and iv) providing pocket-sized resources with content to facilitate and support quit attempts. For health professionals, four levels of education + training will be available to develop skills, knowledge, and confidence in providing brief advice, and understanding issues specific to priority group support. Participants will be offered several sources of support to increase chances of success in their quit smoking journey at three time-points: baseline, 3-months, and 6-months. Milestone achievements include attempts to quit smoking, participation in Quitline counselling, and successful quitting confirmed through biochemical validation. Feasibility and acceptability of the program will be evaluated through the systematic, rigorous RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework. The primary outcome is to determine potential efficacy of the I2Q program to encourage smoker/vaper abstinence as an adjunct to standard health service delivery, evaluated by the number of smokers with biochemically validated abstinence at 3-month and 6-month follow-up, and the number of smokers that enrolled into the I2Q program. Secondary outcomes are to determine the feasibility and acceptability of the I2Q program to support smoker quit attempts, and potential for up-scale and expansion.
Interventions
The Incentive to Quit (I2Q) pilot aims to reduce harms associated with smoking and vaping by; i) training health professionals (HPs) on delivering brief smoking cessation advice, ii) providing eligible smokers and vapers with financial incentives, iii) referring participants to the Quitline counselling service (via hard copy recommendation, encouragement to contact Quitline by HP or by research staff, or by direct link), and iv) providing pocket-sized resources developed for this program (hard c
The Incentive to Quit (I2Q) pilot aims to reduce harms associated with smoking and vaping by; i) training health professionals (HPs) on delivering brief smoking cessation advice, ii) providing eligible smokers and vapers with financial incentives, iii) referring participants to the Quitline counselling service (via hard copy recommendation, encouragement to contact Quitline by HP or by research staff, or by direct link), and iv) providing pocket-sized resources developed for this program (hard copy) and links to existing online resources with content to facilitate and support quit attempts. For health professionals, four levels of education + training will be available to develop skills, knowledge, and confidence in providing brief advice, and understanding issues specific to priority group support: • 5-minute I2Q program education: Outline the I2Q program, explain how to enrol smokers/vapers & provide resources • 15-minute I2Q education + training: Outline + basic tips discussion for supporting smoker/vaper quit attempts • 60-minute I2Q education + population group tailored training: Outline + basic tips + tailored support and education relevant for individual population groups • 30- to 60-minute “Essentials training for HPs”: Extended training support to equip HPs with the skills, confidence, and knowledge to support smokers/vapers to quit Training will be delivered in person by Houd Research Group personnel who have experience in delivering smoking cessation services across local health networks. This training has been/will be made available throughout November 2022 to December 2024 to account for HP staff turnover. Participants will be offered several sources of cessation support on their quit smoking journey at three time-points: baseline ($20), 3-months ($20 if tried to quit, $50 if have quit OR had >4 Quitline talks), and 6-months ($20 if tried to quit, $80 if have quit). Milestone achievements include attempts to quit smoking, participation in Quitline counselling, and successful quitting confirmed through biochemical validation.
Sponsors
Houd Research Group
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Smokers, vapers and dual users are eligible for the I2Q program if they are: • Attending one of the 4 participating NALHN services as an inpatient or outpatient between 03/04/2024 and 31/12/2024: • Aboriginal health • Mental health • Cardiac health • Respiratory health • Daily smoker of at least 1 cigarette or equivalent (e.g. cigarillo, cigar, snuff) per day, OR 10 cigarettes per week • OR “regular” electronic cigarette (e-cig) user/vaper (noting “regular” is self-reported by the patient as we do not yet have a clear definition of what constitutes regular vaping) • At least 18 years of age • Willing to make a quit attempt to stop smoking and/or vaping within 2 weeks of enrolment
Exclusion criteria
Participants who are unable to communicate effectively in English will be excluded from the study.
Outcome results
None listed