Cost-effectiveness analysis of a mobile phone SMS text-based smoking cessation intervention

Main Article Content

Jabali Wells


Tobacco Cessation, cost-effectiveness analysis, mobile-based intervention


Objective: To examine the cost-effectiveness of a mobile phone SMS text-based smoking cessation intervention of young adult smokers in the United Kingdom.

Design: A Markov model was constructed to examine data from British and international literature. The SMS text-based intervention is compared with a NHS behavioral modification smoking cessation program.

Setting: Community setting in the United Kingdom.

Participants: 200 people, average age of 37, in the London metropolitan area.

Main Outcome Measures: Cost per life years gained.

Results: The SMS text-based smoking intervention is more advantageous from the health care payer and societal viewpoints. Sensitivity analyses illustrate robust results. The incremental cost-effectiveness ratio (ICER) is ₤1.86 per life year gained, far below the NICE willingness to pay cost-effectiveness threshold of ₤20,000.

Discussion: Cost-effectiveness modeling for smoking cessation intervention programs is a daunting challenge. However, even with the limitations of SMS text-based smoking cessation interventions, further research should be conducted with this burgeoning, innovative mode of facilitating behavioral modification through the use technology.