Dataset Information

Integrating Financial Coaching and Referrals into a Smoking Cessation Program for Low-income Smokers: a Randomized Waitlist Control Trial.

ABSTRACT:

Background

Financial distress is a barrier to cessation among low-income smokers.

Objective

To evaluate an intervention that integrated financial coaching and benefits referrals into a smoking cessation program for low-income smokers.

Design

Randomized waitlist control trial conducted from 2017 to 2019.

Participants

Adult New York City residents were eligible if they reported past 30-day cigarette smoking, had income below 200% of the federal poverty level, spoke English or Spanish, and managed their own funds. Pregnant or breastfeeding people were excluded. Participants were recruited from two medical centers and from the community.

Intervention

The intervention (n = 208) offered smoking cessation coaching, nicotine replacement therapy, money management coaching, and referral to financial benefits and empowerment services. The waitlist control (n=202) was usual care during a 6-month waiting period.

Main measures

Treatment engagement, self-reported 7-day abstinence, and financial stress at 6 months.

Key results

At 6 months, intervention participants reported higher abstinence (17% vs. 9%, P=0.03), lower stress about finances (β, -0.8 [SE, 0.4], P=0.02), and reduced frequency of being unable to afford activities (β, -0.8 [SE, 0.4], P=0.04). Outcomes were stronger among participants recruited from the medical centers (versus from the community). Among medical center participants, the intervention was associated with higher abstinence (20% vs. 8%, P=0.01), higher satisfaction with present financial situation (β, 1.0 [SE, 0.4], P=0.01), reduced frequency of being unable to afford activities (β, -1.0 [SE, 0.5], P=0.04), reduced frequency in getting by paycheck-to-paycheck (β, -1.0 [SE, 0.4], P=0.03), and lower stress about finances in general (β, -1.0 [SE, 0.4], P = 0.02). There were no group differences in outcomes among people recruited from the community (P>0.05).

Conclusions

Among low-income smokers recruited from medical centers, the intervention produced higher abstinence rates and reductions in some markers of financial distress than usual care. The intervention was not efficacious with people recruited from the community.

Trial registration

ClinicalTrials.gov Identifier: NCT03187730.

SUBMITTER: Rogers ES

PROVIDER: S-EPMC9485413 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Integrating Financial Coaching and Referrals into a Smoking Cessation Program for Low-income Smokers: a Randomized Waitlist Control Trial.

Rogers Erin S ES Rosen Marc I MI Elbel Brian B Wang Binhuan B Kyanko Kelly K Vargas Elizabeth E Wysota Christina N CN Sherman Scott E SE

Journal of general internal medicine 20220111 12

<h4>Background</h4>Financial distress is a barrier to cessation among low-income smokers.<h4>Objective</h4>To evaluate an intervention that integrated financial coaching and benefits referrals into a smoking cessation program for low-income smokers.<h4>Design</h4>Randomized waitlist control trial conducted from 2017 to 2019.<h4>Participants</h4>Adult New York City residents were eligible if they reported past 30-day cigarette smoking, had income below 200% of the federal poverty level, spoke Eng ...[more]

PMID: 35018561

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Dataset Information

Integrating Financial Coaching and Referrals into a Smoking Cessation Program for Low-income Smokers: a Randomized Waitlist Control Trial.

Background

Objective

Design

Participants

Intervention

Main measures

Key results

Conclusions

Trial registration

Publications

Integrating Financial Coaching and Referrals into a Smoking Cessation Program for Low-income Smokers: a Randomized Waitlist Control Trial.

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