Home > Perceived facilitators and barriers of a co-designed financial incentive intervention for smoking cessation in Ireland: a qualitative investigation.

Downey, Cheyenne and Doyle, Brian and Lasheen, Reham A and Stanistreet, Debbi and Allwright, Shane and Bauld, Linda and Blake, Martina and Burke, Sara and Byrne, Molly and Coyne, Jane and Frankland, Fran and Gordon, Claire and Halpin, Sarah and Lowry, Roisin and McAvoy, Helen and Moore, Steve and Murphy, Edward and O'Keeffe, Gabrielle and O'Reilly, Tony and Reynolds, Caitríona and Reynolds, Ciara and Sheridan, Aishling and Siersbaek, Rikke and Smith, Susan M and Sørensen, Jan and Straton, Greg and Tighe, Sarah and Ward, Kenneth D and Williams, Pauline and Kavanagh, Paul and Doyle, Frank (2026) Perceived facilitators and barriers of a co-designed financial incentive intervention for smoking cessation in Ireland: a qualitative investigation. Journal of Health Psychology, Early online, 13591053261499098. https://doi.org/10.1177/13591053261499098.

Financial incentive interventions for promoting smoking cessation are complex, but effective. We conducted workshops with 59 community members and Stop Smoking Professionals (SSPs) to co-design a pilot financial incentive intervention for smoking cessation targeting disadvantaged communities in Ireland. Following contributions from 27 participants (mostly SSPs), we qualitatively examined perceived facilitators and barriers to implementation. Results aligned with 8 out of 14 domains of the Theoretical Domains Framework (TDF) - a validated framework to understand implementation determinants of health behaviour change. Example facilitators included: establishing clear guidelines, providing staff training, appropriate targeting for public defensibility. Example barriers included: an inability to account for all potential challenges, disruption to work dynamics if training is insufficient, biological-testing concerns, public disapproval, limited technology. Eligibility precision, staff role clarity, objective cessation verification and media management were particularly salient. Identifying perceived facilitators and barriers aligned to theory allows for more specific strategies for design and implementation.


Item Type
Article
Publication Type
Irish-related, Article
Drug Type
Tobacco / Nicotine
Intervention Type
Prevention, Harm reduction
Date
30 October 2026
Identification #
https://doi.org/10.1177/13591053261499098
Publisher
Sage
Volume
Early online
EndNote
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