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Wednesday, 06 December 2017 10:02

Effect of Patient Navigation and Financial Incentives...

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A prospective, unblinded, randomized clinical trial of a cessation intervention focused on the underserved and using financial incentives shows success; “Few interventions have targeted low socioeconomic status (SES) and minority smokers in primary care settings…. Patients who were contemplating or preparing to quit smoking were recruited from general internal medicine

and family medicine practices in a large ‘safety-net’ hospital in Boston, Massachusetts.”
“Patients were randomized to a control group that received an enhancement of usual care (n = 175 participants) or to an intervention group that received up to 4 hours of patient navigation delivered over 6 months in addition to usual care, as well as financial incentives for biochemically confirmed smoking cessation at 6 and 12 months following enrollment (n = 177 participants).”
“At 12 months following enrollment, 21 participants [11.9%] in the navigation and incentives group, compared with 4 participants [2.3%] in the control group, had quit smoking (odds ratio, 5.8; 95% CI, 1.9-17.1; number needed to treat, 10.4; P < .001). In prespecified subgroup analyses, the intervention was particularly beneficial for older participants (19 [19.8%] vs 1 [1.0%]; P < .001), women (17 [16.8%] vs 2 [2.2%]; P < .001), participants with household yearly income of $20 000 or less (15 [15.5%] vs 3 [3.1%]; P = .003), and nonwhite participants (21 [15.2%] vs 4 [3.0%]; P < .001).”
Hospital

  • https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2659556
  • https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2659556
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