Discrete Choice Experiment on Financial Incentives for Engaging Young Adults in Vaping Cessation Programs.

IF 1.8 4区医学 Q3 PSYCHIATRY Substance Use & Misuse Pub Date : 2025-01-01 Epub Date: 2024-10-31 DOI:10.1080/10826084.2024.2422954

Tzeyu L Michaud, Kaeli Samson, Su-Hsin Chang, Christopher R Gustafson, Hongying Daisy Dai

{"title":"Discrete Choice Experiment on Financial Incentives for Engaging Young Adults in Vaping Cessation Programs.","authors":"Tzeyu L Michaud, Kaeli Samson, Su-Hsin Chang, Christopher R Gustafson, Hongying Daisy Dai","doi":"10.1080/10826084.2024.2422954","DOIUrl":null,"url":null,"abstract":"Introduction: Contingency management involves rewarding individuals based on objective evidence of behavioral changes. This study explores preferences for financial incentives in vaping cessation programs.Methods: A discrete choice experiment (DCE) was conducted among young adult current e-cigarette users aged 19-29. DCE attributes (and levels) included reward amount ($100, $300), reward schedule (consistent value, escalating value), reward procedure (gain-framed, loss-framed), vaping education modules (yes, no), text messaging support (yes, no), and cost ($30, $100). Participants were randomized into one of the four blocks, each containing four choice sets. Each choice set presented two hypothetical vaping cessation programs. Choice data (n × choice sets × alternative programs = 154 × 4 × 2 = 1,232 observations) were analyzed using generalized estimation equation models.Results: Participants showed a preference for vaping cessation programs offering a higher reward amount (odds ratio [OR] = 11.5; 95% CI,7.0-19.2), gain-framed rewards for sustained abstinence (OR = 1.4; 95% CI,1.0-1.8), text messaging support (OR = 1.9; 95% CI,1.4-2.5), and a lower program cost (OR = 2.6; 95% CI,1.8-3.8). Interaction tests showed significant effects of the rewards procedure among daily e-cigarette users (adjusted OR [AOR] = 2.1; 95% CI,1.3-3.5), but not some-day users; and among those with no quit attempts in the past six months (AOR = 2.7; 95% CI,1.5-4.7), but not those with previous quit attempts. Female participants preferred text messaging support (AOR = 3.6; 95% CI,2.3-5.4), whereas male participants did not show this preference.Conclusion: A multifaceted vaping cessation intervention augmented with financial incentives might improve participation and engagement among young adults. Future studies should investigate how these attributes can enhance program reach and vaping abstinence outcomes in real-world settings.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"219-227"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710986/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Substance Use & Misuse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10826084.2024.2422954","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Contingency management involves rewarding individuals based on objective evidence of behavioral changes. This study explores preferences for financial incentives in vaping cessation programs.

Methods: A discrete choice experiment (DCE) was conducted among young adult current e-cigarette users aged 19-29. DCE attributes (and levels) included reward amount ($100, $300), reward schedule (consistent value, escalating value), reward procedure (gain-framed, loss-framed), vaping education modules (yes, no), text messaging support (yes, no), and cost ($30, $100). Participants were randomized into one of the four blocks, each containing four choice sets. Each choice set presented two hypothetical vaping cessation programs. Choice data (n × choice sets × alternative programs = 154 × 4 × 2 = 1,232 observations) were analyzed using generalized estimation equation models.

Results: Participants showed a preference for vaping cessation programs offering a higher reward amount (odds ratio [OR] = 11.5; 95% CI,7.0-19.2), gain-framed rewards for sustained abstinence (OR = 1.4; 95% CI,1.0-1.8), text messaging support (OR = 1.9; 95% CI,1.4-2.5), and a lower program cost (OR = 2.6; 95% CI,1.8-3.8). Interaction tests showed significant effects of the rewards procedure among daily e-cigarette users (adjusted OR [AOR] = 2.1; 95% CI,1.3-3.5), but not some-day users; and among those with no quit attempts in the past six months (AOR = 2.7; 95% CI,1.5-4.7), but not those with previous quit attempts. Female participants preferred text messaging support (AOR = 3.6; 95% CI,2.3-5.4), whereas male participants did not show this preference.

Conclusion: A multifaceted vaping cessation intervention augmented with financial incentives might improve participation and engagement among young adults. Future studies should investigate how these attributes can enhance program reach and vaping abstinence outcomes in real-world settings.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

关于吸引青少年参与戒烟计划的经济激励措施的离散选择实验。

简介应急管理包括根据行为改变的客观证据对个人进行奖励。本研究探讨了在电子烟戒烟计划中对经济激励的偏好：在 19-29 岁的年轻成人电子烟使用者中进行了离散选择实验（DCE）。离散选择实验的属性（和水平）包括奖励金额（100 美元、300 美元）、奖励时间表（价值一致、价值递增）、奖励程序（收益框架、损失框架）、电子烟教育模块（是、否）、短信支持（是、否）和成本（30 美元、100 美元）。参与者被随机分配到四个区块中的一个，每个区块包含四个选择集。每个选择集展示两个假设的戒烟计划。选择数据（n × 选择集 × 备选方案 = 154 × 4 × 2 = 1,232 个观测值）采用广义估计方程模型进行分析：结果表明：参与者倾向于选择奖励金额较高的戒烟计划（几率比 [OR] = 11.5；95% CI，7.0-19.2）、持续戒烟的收益型奖励（OR = 1.4；95% CI，1.0-1.8）、短信支持（OR = 1.9；95% CI，1.4-2.5）和较低的计划成本（OR = 2.6；95% CI，1.8-3.8）。交互测试表明，奖励程序对每天吸电子烟者（调整 OR [AOR] = 2.1；95% CI，1.3-3.5）有明显影响，但对偶尔吸电子烟者无明显影响；对过去六个月未尝试过戒烟者（AOR = 2.7；95% CI，1.5-4.7）有明显影响，但对曾经尝试过戒烟者无明显影响。女性参与者更喜欢短信支持（AOR = 3.6; 95% CI,2.3-5.4），而男性参与者没有表现出这种偏好：结论：以经济激励措施为辅助的多方面停止吸食电子烟干预措施可能会提高年轻成年人的参与度和投入度。未来的研究应该调查这些特性如何在现实世界的环境中提高项目的覆盖率和禁烟效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Substance Use & Misuse 医学-精神病学

CiteScore

3.20

自引率

5.00%

发文量

200

审稿时长

3 months

期刊介绍： For over 50 years, Substance Use & Misuse (formerly The International Journal of the Addictions) has provided a unique international multidisciplinary venue for the exchange of original research, theories, policy analyses, and unresolved issues concerning substance use and misuse (licit and illicit drugs, alcohol, nicotine, and eating disorders). Guest editors for special issues devoted to single topics of current concern are invited. Topics covered include: Clinical trials and clinical research (treatment and prevention of substance misuse and related infectious diseases) Epidemiology of substance misuse and related infectious diseases Social pharmacology Meta-analyses and systematic reviews Translation of scientific findings to real world clinical and other settings Adolescent and student-focused research State of the art quantitative and qualitative research Policy analyses Negative results and intervention failures that are instructive Validity studies of instruments, scales, and tests that are generalizable Critiques and essays on unresolved issues Authors can choose to publish gold open access in this journal.