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Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial.

Publication ,  Journal Article
Wilson, SM; Blalock, DV; Young, JR; Griffin, SC; Hertzberg, JS; Calhoun, PS; Beckham, JC
Published in: Prev Med Rep
October 2023

Tobacco cessation is reduced in U.S. military veterans experiencing homelessness. Mobile contingency management (mCM) is a promising treatment for tobacco use among populations experiencing homelessness, but past CM studies have largely been small, have relied on in-person follow-up, and/or lacked long-term biochemically verified abstinence measures. Veterans who smoked and were experiencing homelessness (N = 127) were randomly assigned to mCM treatment (4 weeks of mCM, 5 weeks of telehealth counseling, and the option of 12 weeks of pharmacotherapy) or VA standard care (3 biweekly group sessions and clinically appropriate pharmacotherapy), and all participants were randomly assigned to a $100 longer-term financial incentive for abstinence at 3-month follow-up. Participants were followed at 3-, 6-, and 12-months post-randomization, with the a priori main outcome designated as biochemically verified prolonged abstinence (with lapses) at 6-month follow-up. At 6-months, participants in the mCM group were significantly more likely to meet criteria for prolonged abstinence (OR = 3.1). Across time points, veterans in the mCM group had twice the odds of prolonged abstinence as those in the standard care group. However, by the 12-month follow-up, there was no statistically significant group difference in abstinence. Cost-effectiveness analysis indicated a modest increase in cost ($1,133) associated with an increase of one quality-adjusted life year saved for the intervention compared to standard care. mCM is a cost-effective approach to smoking cessation among veterans experiencing homelessness. Considering waning potency of this and other tobacco cessation interventions at 12-month follow-up, it is crucial to implement strategies to sustain abstinence for individuals experiencing homelessness.

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Published In

Prev Med Rep

DOI

ISSN

2211-3355

Publication Date

October 2023

Volume

35

Start / End Page

102311

Location

United States

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
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Wilson, S. M., Blalock, D. V., Young, J. R., Griffin, S. C., Hertzberg, J. S., Calhoun, P. S., & Beckham, J. C. (2023). Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial. Prev Med Rep, 35, 102311. https://doi.org/10.1016/j.pmedr.2023.102311
Wilson, Sarah M., Dan V. Blalock, Jonathan R. Young, Sarah C. Griffin, Jeffrey S. Hertzberg, Patrick S. Calhoun, and Jean C. Beckham. “Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial.Prev Med Rep 35 (October 2023): 102311. https://doi.org/10.1016/j.pmedr.2023.102311.
Wilson SM, Blalock DV, Young JR, Griffin SC, Hertzberg JS, Calhoun PS, et al. Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial. Prev Med Rep. 2023 Oct;35:102311.
Wilson, Sarah M., et al. “Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial.Prev Med Rep, vol. 35, Oct. 2023, p. 102311. Pubmed, doi:10.1016/j.pmedr.2023.102311.
Wilson SM, Blalock DV, Young JR, Griffin SC, Hertzberg JS, Calhoun PS, Beckham JC. Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial. Prev Med Rep. 2023 Oct;35:102311.
Journal cover image

Published In

Prev Med Rep

DOI

ISSN

2211-3355

Publication Date

October 2023

Volume

35

Start / End Page

102311

Location

United States

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services