Cost effectiveness of different recruitment strategies for self-help smoking cessation programs

Abstract
The Pawtucket Heart Health Program has used a variety of recruitment strategies to enhance participation in its smokingcessation programs. The current report provides cost effectiveness data for worksites and for a major community event (Octoberfest) in terms of participants recruited and successful quit rates for five annual community-wide smoking cessation campaigns beginning in 1983. Adapted from the Quit and Win contest developed by the Minnesota Heart Health Program, these campaigns relied primarily upon a short but intensive recruitment effort for a smoking cessation program based on self-help strategies. The winner was determined by a lottery drawing that included the names of all those who had successfully abstained from smoking for a 1-month period. Even though only one component of PHHP's diverse efforts to affect the smoking rates of Pawtucket, the contest approach appears to be one of the best suited for large-scale adoption. The data clearly indicate that while the cost per participant is much less for recruitment during a large public event, the cost per quitter was much less for worksites. Also, while the cost per quitter at worksites is important, focused ‘staff’ involvement appears to be important both in the recruitment of worksites for participation and in guiding the volunteers from worksites in their recruitment efforts.