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. 2023 Apr 3:33:101129.
doi: 10.1016/j.conctc.2023.101129. eCollection 2023 Jun.

Aniqsaaq (To Breathe): Study protocol to develop and evaluate an Alaska Native family-based financial incentive intervention for smoking cessation

Christi A Patten  1 , Kathryn R Koller  2 , Diane K King  3 , Judith J Prochaska  4 , Pamela S Sinicrope  1 , Michael G McDonell  5 , Paul A Decker  6 , Flora R Lee  2 , Janessa K Fosi  2 , Antonia M Young  1 , Corinna V Sabaque  7 , Ashley R Brown  1 , Bijan J Borah  8 , Timothy K Thomas  2
Affiliations

Aniqsaaq (To Breathe): Study protocol to develop and evaluate an Alaska Native family-based financial incentive intervention for smoking cessation

Christi A Patten et al. Contemp Clin Trials Commun. .

Abstract

Background: Alaska Native and American Indian (ANAI) communities in Alaska are disproportionately affected by commercial tobacco use. Financial incentive interventions promote cigarette smoking cessation, but family-level incentives have not been evaluated. We describe the study protocol to adapt and evaluate the effectiveness and implementation of a remotely delivered, family-based financial incentive intervention for cigarette smoking among Alaskan ANAI people.

Methods: The study has 3 phases: 1) qualitative interviews with ANAI adults who smoke, family members, and stakeholders to inform the intervention, 2) beta-test of the intervention, and 3) randomized controlled trial (RCT) evaluating intervention reach and effectiveness on verified, prolonged smoking abstinence at 6- and 12-months post-treatment. In the RCT, adult dyads (ANAI person who smokes [index participant] and family member) recruited throughout Alaska will be randomized to a no-incentives control condition (n = 328 dyads) or a 6-month incentive intervention (n = 328 dyads). All dyads will receive cessation support and family wellness materials. Smoking status will be assessed weekly for four weeks and at three and six months. Intervention index participants will receive escalating incentives for verified smoking abstinence at each time point (maximum $750 total); the family member will receive rewards of equal value.

Results: A community advisory committee contributed input on the study design and methods for relevance to ANAI people, particularly emphasizing the involvement of families.

Conclusion: Our study aligns with the strength and value AIAN people place on family. Findings, processes, and resources will inform how Indigenous family members can support smoking cessation within incentive interventions.

Clinical trials registry: NCT05209451.

Keywords: Alaska Native and American Indian people; Family; Financial incentives; Intervention; Smoking; Smoking cessation.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Unrelated to this project, Dr. Prochaska has provided consultation to pharmaceutical and technology companies that make medications and other treatments for quitting smoking. Dr. Prochaska also has served as an expert witness in lawsuits against tobacco companies. The authors reported no other potential conflict of interest.

Figures

Fig. 1
Fig. 1
Alaska Native family-based financial incentive intervention study overview.
Fig. 2
Fig. 2
ANAI family-based financial incentive intervention for smoking cessation CONSORT trial design.
See this image and copyright information in PMC

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