BACKGROUND Smoking increases the risk of complications and related costs after an orthopaedic fracture. Research in other populations suggests that a one-time payment may incentivize smoking cessation. However, little is known on fracture patients' willingness to accept financial incentives to stop smoking; and the level of incentive required to motivate smoking cessation in this population. This study aimed to estimate the financial threshold required to motivate fracture patients to stop smoking after injury. METHODS This cross-sectional study utilized a discrete choice experiment (DCE) to elicit patient preferences towards financial incentives and reduced complications associated with smoking cessation. We presented participants with 12 hypothetical options with several attributes with varying levels. The respondents' data was used to determine the utility of each attribute level and the relative importance associated with each attribute. RESULTS Of the 130 enrolled patients, 79% reported an interest in quitting smoking. We estimated the financial incentive to be of greater relative importance (ri) (45%) than any of the included clinical benefits of smoking cessations (deep infection (ri: 24%), bone healing complications (ri: 19%), and superficial infections (ri: 12%)). A one-time payment of $800 provided the greatest utility to the respondents (0.64, 95% CI: 0.36 to 0.93), surpassing the utility associated with a single $1000 financial incentive (0.36, 95% CI: 0.18 to 0.55). CONCLUSIONS Financial incentives may be an effective tool to promote smoking cessation in the orthopaedic trauma population. The findings of this study define optimal payment thresholds for smoking cessation programs.

中文翻译：

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财务付款可以激励骨伤科患者短期戒烟吗？离散选择实验的证据。

背景技术在整形外科骨折后，吸烟增加了并发症的风险和相关费用。在其他人群中的研究表明，一次性付款可能会鼓励戒烟。然而，对于骨折患者是否愿意接受经济诱因来戒烟知之甚少。以及激励该人群戒烟所需的激励水平。这项研究旨在估算促使骨折患者受伤后戒烟所需的经济门槛。方法这项横断面研究利用离散选择实验（DCE）来激发患者对经济诱因和减少与戒烟相关的并发症的偏好。我们为参与者提供了12种假设选项，这些选项具有不同级别的几个属性。受访者的 数据用于确定每个属性级别的效用以及与每个属性相关的相对重要性。结果在130名入组患者中，有79％报告有戒烟的兴趣。我们估计，经济诱因的相对重要性（ri）（45％）比戒烟包括的任何临床益处（深部感染（ri：24％），骨愈合并发症（ri：19％）和肤浅的）更为重要。感染（ri：12％））。一次性支付800美元，为受访者提供了最大的效用（0.64，95％CI：0.36至0.93），超过了与一次$ 1000财务激励相关的效用（0.36，95％CI：0.18至0.55）。结论财政激励措施可能是促进骨科创伤人群戒烟的有效工具。