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Incentives for smoking cessation in a rural pharmacy setting: The Tobacco Free Communities program

Breen, RJ ORCID: 0000-0002-2727-5763, Frandsen, M ORCID: 0000-0001-7027-1445 and Ferguson, SG ORCID: 0000-0001-7378-3497 2021 , 'Incentives for smoking cessation in a rural pharmacy setting: The Tobacco Free Communities program' , Australian Journal of Rural Health , pp. 1-9 , doi: 10.1111/ajr.12724.

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Objective: Investigate the smoking-related outcomes and feasibility of a pharmacy led financial incentive program for smoking cessation.Design: Multi-site single-arm trial of the Tobacco Free Communities program.Setting: Community pharmacies within the Glamorgan Spring Bay (Site 1) andGeorge Town (Site 2) municipalities of Tasmania.Participants: Adult smokers. Based on funding, the recruitment target was 76smokers.Interventions: Pharmacy staff provided quitting advice through 7 sessions over3 months. At 6 sessions, abstinent participants (no cigarettes in the previous weekand expired carbon monoxide ≤4 ppm) were rewarded with AU$50 vouchers.Main outcome measures: Smoking-related outcomes were decreased smoking(self-reported cigarettes per day and carbon monoxide levels) and abstinence rates.Feasibility outcomes were meeting the recruitment target, participant retention andparticipants' views of the program (measured by interview data from Site 2).Results: Ninety individuals enrolled. Sixty-two participants were included in analyses; remaining participants were excluded from analyses because they did not consentto use of their data within this study or had carbon monoxide ≤4 ppm at enrolment.Smoking (carbon monoxide and cigarettes per day) significantly decreased betweenenrolment and the first financial incentive session. Twelve participants (19.35%)were abstinent at the end of the program. Yet retention was poor; only 13 participants(20.97%) attended all sessions. Interviews suggested participants found the programbeneficial.Conclusions: Providing financial incentive within rural community pharmaciescould be a viable method of encouraging smoking reductions and quit attempts.Additional work is needed to increase retention and compare effects to usual carepharmacy practices.

Item Type: Article
Authors/Creators:Breen, RJ and Frandsen, M and Ferguson, SG
Keywords: community pharmacies, contingency management, financial incentives, smoking cessation
Journal or Publication Title: Australian Journal of Rural Health
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1038-5282
DOI / ID Number: 10.1111/ajr.12724
Copyright Information:

Copyright 2021 National Rural Health Alliance Ltd.

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