Evidence map›Paper›PMID 31147478›Full record

Trial reportTobacco control2020

Financial incentives to Medicaid smokers for engaging tobacco quit line treatment: maximising return on investment.

Marlon P Mundt, Timothy B Baker, Megan E Piper, Stevens S Smith, David L Fraser, Michael C Fiore

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Tobacco control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marlon P MundtFamily Medicine and Community Health, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA marlon.mundt@fammed.wisc.edu.ORCID 0000-0002-0606-6540
Timothy B BakerCenter for Tobacco Research and Intervention, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Megan E PiperCenter for Tobacco Research and Intervention, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Stevens S SmithCenter for Tobacco Research and Intervention, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
David L FraserCenter for Tobacco Research and Intervention, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Michael C FioreCenter for Tobacco Research and Intervention, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Justine Yang Bruce · 1985 to 2026
$142.6M
Transforming The Treatment of Tobacco Use in Health Care: Seizing The Potential of the Electronic Health Record to Deliver Comprehensive Chronic Care Treatment for SmokingR35CA197573 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI MICHAEL C FIORE · 2015 to 2026
$10.7M
NCI NIH HHS P30 CA014520NCI NIH HHS R35 CA197573
6 · The paper itself

Abstract

backgroundLow-income smokers experience greater difficulty in quitting smoking than do other smokers. Providing financial incentives for treatment engagement increases smoking cessation success. This study models the cost-effectiveness of varying levels of financial incentives to maximise return on investment (ROI) for engaging low-income Medicaid recipients who smoke to take calls from a tobacco quit line.

methodsParticipants (N=1900) were recruited from May 2013 to June 2015 through quit line-based (n=980), clinic-based (n=444) or community-based referrals (n=476) into the Wisconsin Medicaid Quit Line Incentive project. Incentive (n=948) and control group participants (n=952) received $30 versus $0 per call, respectively, for taking up to five Wisconsin Tobacco Quit Line (WTQL) calls. Cost-effectiveness analyses estimated the incremental cost-effectiveness ratio for alternative financial incentives for engagement with WTQL calls. Probabilistic sensitivity analysis was employed to determine an optimal strategy for financial incentives to minimise the cost per individual who quit smoking.

resultsUsing fixed payments, the incremental cost-effectiveness ratio of $2316 per smoker who quit in the randomised trial decreased to $2150 per smoker who quit when the incentives were modelled at $20 per each of five WTQL calls taken. Using variable payments, the minimal cost per additional smoker who quit was $2125 when incentives for the first four WTQL calls were set at $20, and the financial payment for the fifth WTQL call was set at $70.

conclusionsModelling suggests that financial incentives in the amount of $20 per call for taking the first four quit line calls and $70 for taking a fifth quit line call maximise ROI to engage low-income smokers with evidence-based smoking cessation treatment.

Indexed as

Cost-Benefit AnalysisMedicaidMotivationPovertyAdultCigarette SmokingCounselingFemaleHealth Care CostsHealth PromotionHumansMaleMiddle AgedNicotianaSmokersSmoking Cessationcessationeconomicssocioeconomic status

Identifiers

PMID31147478
PMCPMC8225401

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.