Way to Quit - Comparative Efficacy, Acceptance and Effectiveness of Health Incentive Structures
Way to Quit - Comparative Efficacy, Acceptance and Effectiveness of Health Incentive Structures
Using the NIH-funded Way to Health platform, the investigators will conduct this smoking
cessation randomized controlled trial (RCT) among CVS employees. The investigators will be
able to determine the comparative and absolute efficacy and effectiveness of 4 different
incentive structures that are each grounded in behavioral economic principles. Additionally,
the investigators will measure rates of and reasons for acceptance of each incentive
structure, and examine participant characteristics that modify the efficacy and acceptance
of different incentive structures.
Specific Aim I: Compare the efficacy and effectiveness of 4 financial incentive structures
for improving "quit rates" (rates of prolonged smoking abstinence for 6 months): (a)
individual financial rewards, (b) individual deposit contracts, (c) cooperative rewards, and
(d) competitive deposit contracts
H1: Compared with usual care, all 4 incentive structures will increase quit rates
H2: Compared with individual financial rewards of equivalent size and schedule, individual
deposit contracts, cooperative rewards, and competitive contracts will each increase quit
H3: Group-oriented structures will increase quit rates significantly more than
Specific Aim II: Compare smokers' acceptance of these 4 financial incentive structures for
H4: Uptake rates of reward-based structures will be higher than of structures involving
H5: Uptake rates of group-oriented structures will be higher than of individual-oriented
Specific Aim III: Identify individual characteristics that modify incentive structures'
efficacy and acceptance
H6: Incentives will promote relatively greater quit rates among participants with fewer
H7: Incentives will promote relatively greater quit rates among participants with lower
H8: Higher-income persons will be relatively more likely to accept incentives requiring
Tobacco Use Disorder
Smoking Cessation, Work-site, Incentives, Health Behavior, Smoking
University of Pennsylvania
University of Pennsylvania, National Institutes of Health (NIH), National Cancer Institute (NCI)
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