为什么经济上的刺激不能有效影响吸烟者戒烟？来自评价经济刺激在戒烟中作用的“现场试验过程评价”结果
2011/03/23
摘要
目的：在现场干预的过程评价中，给予受雇者$750，要求其完成一项戒烟计划，旨在戒烟。
方法：对来自美国公司的878名吸烟者进行一项随机对照试验，评价其对经济刺激的意识和态度。
结果：与对照组相比，经济刺激组戒烟项目的参与者较多(20.2% vs 7.1%, P < 0.01)。经济刺激组的吸烟者，大部分(69.8%)愿意戒烟，而且主诉更少的钱也会戒烟，而且经济刺激对戒烟根本不重要或仅在某种程度上重要。经济刺激组的一些非戒烟者表明，即使是$1500美元的经济刺激，也不会使其戒烟。
结论：经济刺激对于一些吸烟者并不能有效促使其戒烟。只有在内在动机和有戒烟意愿足够高时，才能产生中等程度的动机，促使吸烟者戒烟。
（林江涛 审校）
J Occup Environ Med. 2010 Dec 23. [Epub ahead of print]
Why are Financial Incentives not Effective at Influencing Some Smokers to Quit? Results of a Process Evaluation of a Worksite Trial Assessing the Efficacy of Financial Incentives for Smoking Cessation.
Kim A, Kamyab K, Zhu J, Volpp K.
From the Public Health Policy Research Program (Dr Kim and Mr Kamyab), RTI International, Research Triangle Park, NC; Center for Health Incentives (Mr Zhu and Dr Volpp), Leonard Davis Institute of Health Economics; School of Medicine (Mr Zhu and Dr Volpp), Department of Health Care Systems; Wharton School (Dr Volpp); and Center for Health Equity Research and Promotion (Dr Volpp), University of Pennsylvania.
Abstract
OBJECTIVE: Process evaluation of a worksite intervention in which employees were offered $750 to complete a cessation program and to quit smoking.
METHODS: Awareness and attitudes about financial incentives were assessed following a randomized controlled trial of 878 smokers at a US-based company.
RESULTS: Cessation program attendance was higher in incentive group versus control (20.2% vs 7.1%, P < 0.01). Most quitters (69.8%) in the incentive group who were already motivated to quit and reported that they would have quit for less money, said incentives were "not at all" or only "somewhat" important. Most nonquitters in the incentive group reported that even $1500 would not have motivated them to quit.
CONCLUSIONS: Financial incentives are ineffective at motivating some smokers to quit. Internal motivation and readiness to quit need to be sufficiently high for relatively modest incentives to be effective.
J Occup Environ Med. 2010 Dec 23. [Epub ahead of print]
目的：在现场干预的过程评价中，给予受雇者$750，要求其完成一项戒烟计划，旨在戒烟。
方法：对来自美国公司的878名吸烟者进行一项随机对照试验，评价其对经济刺激的意识和态度。
结果：与对照组相比，经济刺激组戒烟项目的参与者较多(20.2% vs 7.1%, P < 0.01)。经济刺激组的吸烟者，大部分(69.8%)愿意戒烟，而且主诉更少的钱也会戒烟，而且经济刺激对戒烟根本不重要或仅在某种程度上重要。经济刺激组的一些非戒烟者表明，即使是$1500美元的经济刺激，也不会使其戒烟。
结论：经济刺激对于一些吸烟者并不能有效促使其戒烟。只有在内在动机和有戒烟意愿足够高时，才能产生中等程度的动机，促使吸烟者戒烟。
（林江涛 审校）
J Occup Environ Med. 2010 Dec 23. [Epub ahead of print]
Why are Financial Incentives not Effective at Influencing Some Smokers to Quit? Results of a Process Evaluation of a Worksite Trial Assessing the Efficacy of Financial Incentives for Smoking Cessation.
Kim A, Kamyab K, Zhu J, Volpp K.
From the Public Health Policy Research Program (Dr Kim and Mr Kamyab), RTI International, Research Triangle Park, NC; Center for Health Incentives (Mr Zhu and Dr Volpp), Leonard Davis Institute of Health Economics; School of Medicine (Mr Zhu and Dr Volpp), Department of Health Care Systems; Wharton School (Dr Volpp); and Center for Health Equity Research and Promotion (Dr Volpp), University of Pennsylvania.
Abstract
OBJECTIVE: Process evaluation of a worksite intervention in which employees were offered $750 to complete a cessation program and to quit smoking.
METHODS: Awareness and attitudes about financial incentives were assessed following a randomized controlled trial of 878 smokers at a US-based company.
RESULTS: Cessation program attendance was higher in incentive group versus control (20.2% vs 7.1%, P < 0.01). Most quitters (69.8%) in the incentive group who were already motivated to quit and reported that they would have quit for less money, said incentives were "not at all" or only "somewhat" important. Most nonquitters in the incentive group reported that even $1500 would not have motivated them to quit.
CONCLUSIONS: Financial incentives are ineffective at motivating some smokers to quit. Internal motivation and readiness to quit need to be sufficiently high for relatively modest incentives to be effective.
J Occup Environ Med. 2010 Dec 23. [Epub ahead of print]
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产后生活方式干预对体重下降、戒烟和预防复吸的影响：系统综述
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执业医师的戒烟模式：对强化的常规戒烟支持进行的一项整群随机试验
