title: Online smoking cessation program for Korean Americans: Randomized trial to test effects of incentives for program completion and interim surveys.
abstract: BACKGROUND
  Smoking is prevalent among Korean American men. Quitting is Winning, an Internet-based, cognitive-behavioral smoking cessation program, was developed using community-based participatory research principles.
  
  
  METHODS
  A randomized controlled trial was used to evaluate whether participants were more likely to complete the program and quit smoking at 6-months of follow-up with additional reinforcement. The main outcomes were the proportion of participants who completed the online program and the proportion who quit smoking for at least 30days, 26weeks after enrollment, among those randomized into the high-reinforcement (HR) condition compared with those in the low-reinforcement (LR) condition.
  
  
  RESULTS
  The study achieved a final enrollment of 403 participants including 56 women. Program completion was greater for the HR as compared to the LR condition (17% vs. 10%, p=.035). There was no significant difference in 30-day smoking cessation (intent-to-treat [ITT]) between the HR and LR conditions (9% vs. 8%, ns). Smoking cessation was greater among program completers as compared to those who did not complete the program (28% vs. 5%, p<.001).
  
  
  CONCLUSIONS
  The addition of interim surveys and financial incentives for interim survey completion and program completion significantly increased the likelihood of program completion. Moreover, program completers were significantly more likely to quit smoking. Although smoking cessation rates did not significantly differ between the HR and LR conditions, the results suggest that future studies should explore the efficacy of larger financial incentives for program completion (Clinical Trial #NCT02584127).
authors: Center for Family and Community Health, School of Public Health, University of California, Berkeley, Berkeley, CA, USA. Electronic address: jmm@berkeley.edu.
authors: Joel M
authors: JM
authors: Moskowitz
authors: Center for Family and Community Health, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
authors: Diana D
authors: DD
authors: McDonnell
authors: Center for Family and Community Health, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
authors: Gene
authors: G
authors: Kazinets
authors: Center for Family and Community Health, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
authors: Hyun-Ju
authors: HJ
authors: Lee
mesh_terms: D000328:Adult; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D009862:Online Systems; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D056910:Republic of Korea / Q000208:ethnology; D016540:Smoking Cessation / Q000208:ethnology / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Asian Americans; Compliance; Motivation; Online systems; Program evaluation; Smoking cessation