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The cost-effectiveness of three smoking cessation programs.

D G Altman, J A Flora, S P Fortmann

American Journal of Public Health

|February 1, 1987

Summary

The self-help smoking cessation program was most cost-effective, while the smoking cessation class was most effective but least cost-effective. Program selection should consider factors beyond just cost-effectiveness.

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Area of Science:

Public Health
Health Economics
Behavioral Science

Background:

Smoking cessation programs are crucial for public health.
Evaluating the economic viability and effectiveness of different interventions is essential for resource allocation.
Understanding the trade-offs between cost, effectiveness, and participant burden is key.

Purpose of the Study:

To compare the cost-effectiveness of three distinct smoking cessation programs.
To analyze the cost distribution across program stages for each intervention.
To inform decisions regarding the selection of smoking cessation programs in community settings.

Main Methods:

Comparative analysis of cost-effectiveness for three smoking cessation interventions: a class, a contest, and a self-help kit.
Evaluation of program costs, participant time commitment, and quit rates.
Distribution of costs by program stage.

Main Results:

The self-help kit was the most cost-effective, with the lowest cost and participant time, but also the lowest quit rate.
The smoking cessation class was the most effective (highest quit rate) but least cost-effective, requiring the most participant time and highest cost.
The incentive-based contest offered intermediate results in cost, effectiveness, and cost-effectiveness.

Conclusions:

No single smoking cessation program is superior across all metrics (cost, effectiveness, participant burden).
Cost-effectiveness is an important but not the sole determinant for selecting community-based smoking cessation interventions.
A balanced consideration of effectiveness, cost, and participant engagement is recommended for program selection.

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