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A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence

Tobacco consumption is a pressing global issue, leading to more than five million deaths each year. In South Africa, the smoking prevalence rate is stubbornly high, implying that a successful smoking cessation programme could have large social benefits, particularly if it targets young smokers. Cont...

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Main Author: Rusch, Olivia
Other Authors: Kincaid, Harold
Format: Thesis
Language:English
Published: School of Economics 2019
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access_status_str Open Access
author Rusch, Olivia
author2 Kincaid, Harold
author_browse Kincaid, Harold
Rusch, Olivia
author_facet Kincaid, Harold
Rusch, Olivia
author_sort Rusch, Olivia
collection Thesis
description Tobacco consumption is a pressing global issue, leading to more than five million deaths each year. In South Africa, the smoking prevalence rate is stubbornly high, implying that a successful smoking cessation programme could have large social benefits, particularly if it targets young smokers. Contingency management interventions, which provide cash transfers conditional on biochemically-verified abstinence, have been effective in bringing about increased smoking cessation rates. However, contingency management programmes are typically very costly and involve frequent monitoring. This dissertation presents results of randomised controlled trial evaluating a low-cost, low-intensity contingency management smoking cessation programme conducted on a sample of treatment-seeking student smokers at the University of Cape Town in 2017. There is a statistically significant treatment effect, that is robust across multiple specifications, which increases the likelihood of abstinence by 13- 20%. In addition, the programme as a whole decreased the smoking intensity of non-abstainers. This study suggests, therefore, that a low-cost, low-intensity contingency management smoking cessation programme is efficacious in promoting abstinence amongst treatment-seeking students, and that it should be added to the tobacco control toolkit in South Africa.
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institution University of Cape Town (South Africa)
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2019
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publisher School of Economics
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spelling oai:open.uct.ac.za:11427/29362 A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence Rusch, Olivia Kincaid, Harold Economics Tobacco consumption is a pressing global issue, leading to more than five million deaths each year. In South Africa, the smoking prevalence rate is stubbornly high, implying that a successful smoking cessation programme could have large social benefits, particularly if it targets young smokers. Contingency management interventions, which provide cash transfers conditional on biochemically-verified abstinence, have been effective in bringing about increased smoking cessation rates. However, contingency management programmes are typically very costly and involve frequent monitoring. This dissertation presents results of randomised controlled trial evaluating a low-cost, low-intensity contingency management smoking cessation programme conducted on a sample of treatment-seeking student smokers at the University of Cape Town in 2017. There is a statistically significant treatment effect, that is robust across multiple specifications, which increases the likelihood of abstinence by 13- 20%. In addition, the programme as a whole decreased the smoking intensity of non-abstainers. This study suggests, therefore, that a low-cost, low-intensity contingency management smoking cessation programme is efficacious in promoting abstinence amongst treatment-seeking students, and that it should be added to the tobacco control toolkit in South Africa. 2019-02-06T12:36:18Z 2019-02-06T12:36:18Z 2018 2019-02-06T09:23:42Z Master Thesis Masters MCom http://hdl.handle.net/11427/29362 eng application/pdf School of Economics Faculty of Commerce University of Cape Town
spellingShingle Economics
Rusch, Olivia
A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
thesis_degree_str Master's
title A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
title_full A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
title_fullStr A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
title_full_unstemmed A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
title_short A low-cost, low-intensity contingency management smoking cessation programme with students: Experimental evidence
title_sort low cost low intensity contingency management smoking cessation programme with students experimental evidence
topic Economics
url http://hdl.handle.net/11427/29362
work_keys_str_mv AT ruscholivia alowcostlowintensitycontingencymanagementsmokingcessationprogrammewithstudentsexperimentalevidence
AT ruscholivia lowcostlowintensitycontingencymanagementsmokingcessationprogrammewithstudentsexperimentalevidence