Reducing tobacco smoking among low-SES smokers: A RCT to improve compliance with treatment, smoking cessation and health economic outcomes

April 2015

Dr Ryan Courtney
Prof Richard Mattick
Prof Anthony Shakeshaft
Prof Michael Farrell

Other investigators: 

Prof Ron Borland (Cancer Council Victoria)

Other Collaborators: 

NSW Government/ Cancer Institute NSW
Department of Human Services

Project description: 

Recent National Drug Strategy Household Survey data show that persons from disadvantaged areas are three times more likely to smoke daily compared to those from most advantaged areas (20% vs. 7%).

Less change in smoking rates occurred for the most disadvantaged quintile between 2001 (26%) and 2013 (20%), than the large (close to three-fold) decrease for the most advantaged quintile over the same time period (19% and 7% respectively). These differences in smoking prevalence between the most and least advantaged Australians contributes to health inequalities.

Nicotine Replacement Therapy (NRT) can improve the likelihood of successful cessation but low-SES smokers comply poorly and discontinue NRT use earlier than high-SES smokers.

Facilitating smoking cessation among low-SES smokers is a national priority. Yet, no evidence-based interventions to improve treatment compliance with NRT have been found.

This study will evaluate the cost-effectiveness of enhanced compliance instruction (via text message) as a strategy for increasing smoking cessation in low-SES smokers.