The WERO group stop smoking competition: main outcomes of a pre- and post- study

BMC Public Health

Warren Moetara³  Chris Paton¹  Nathan Cowie²  Dudley Gentles²  Anette Kira²  Marewa Glover² 

[1]George Centre for Healthcare Innovation, University of Oxford, Richard Doll Building, Old Road Campus, Roosevelt Drive, Oxford OX3 7LF, England

[2]Centre for Tobacco Control Research, Social and Community Health, University of Auckland, Auckland, New Zealand

[3]Healthy Lifestyles Team, Northland District Health Board, Auckland, New Zealand

关键词: Culturally informed;    Indigenous people;    Team quit and win contest;    Smoking cessation;   

Others  :  1129479
DOI  :  10.1186/1471-2458-14-599

 received in 2013-11-13, accepted in 2014-06-04,  发布年份 2014

【 摘 要 】

Background

One potential promising strategy for increasing smoking cessation for Māori (Indigenous New Zealanders) and New Zealand resident Pacific Island people is Quit and Win competitions. The current uncontrolled pre and post study, WERO (WERO in Māori language means challenge), differs from previous studies in that it aims to investigate if a stop smoking contest, using both within team support, external support from a team coach and cessation experts, and technology, would be effective in prompting and sustaining quitting.

Method

Fifteen teams, recruited from urban Māori, rural Māori and urban Pacific communities, competed to win a NZ$5000 (about €3,000, £2600) prize for a charity or community group of their choice. People were eligible if they were aged 18 years and over and identified as smokers. Smoking status was biochemically validated at the start and end of the 3 month competition. At 3-months post competition self-reported smoking status was collected.

Results

Fourteen teams with 10 contestants and one team with eight contestants were recruited. At the end of the competition the biochemically verified quit rate was 36%. The 6 months self-reported quit rate was 26%. The Pacific and rural Māori teams had high end of competition and 6 months follow-up quit rates (46% and 44%, and 36% and 29%).

Conclusion

WERO appeared to be successful in prompting quitting among high smoking prevalence groups. WERO combined several promising strategies for supporting cessation: peer support, cessation provider support, incentives, competition and interactive internet and mobile tools. Though designed for Māori and Pacific people, WERO could potentially be effective for other family- and community-centred cultures.

【 授权许可】

   
2014 Glover et al.; licensee BioMed Central Ltd.

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