Financial incentives for smoking cessation in pregnancy: a single-arm intervention study assessing cessation and gaming

Addiction
Diana IerfinoTheresa M Marteau

Abstract

Financial incentives were the single most effective intervention for smoking cessation in pregnancy in a recent Cochrane Review, but based on a few small trials in the United States using only 7-day point prevalence measures of cessation. This study estimates (a) prolonged cessation in an unselected population of English pregnant smokers who are offered financial incentives for quitting and (b) 'gaming', i.e. false reporting of smoking status to enter the scheme or gain an incentive. Single-arm intervention study Antenatal clinic and community A total of 239 pregnant smokers enrolled into the financial incentive scheme, attending for maternity care at one hospital in an area of high deprivation in England over a 42-week period. Smoking cessation at delivery and 6 months postpartum, assessed using salivary cotinine; gaming assessed using urinary and salivary cotinine at enrolment, 28 and 36 weeks gestation, and 2 days and 6 months postpartum. Thirty-nine per cent (239 of 615) of smokers were enrolled into the scheme, 60% (143 of 239) of whom made a quit attempt. Of those enrolled, 20% [48 of 239; 95% confidence interval (CI) = 14.9%, 25.1%] were quit at delivery and 10% (25 of 239; 95% CI = 6.2%, 13.8%) at 6 months postpartum. T...Continue Reading

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Citations

Mar 17, 2015·Addiction·Stephen T Higgins, Sarah H Heil
Mar 17, 2015·Addiction·Linda Bauld, Lesley Sinclair
Sep 21, 2015·Current Psychiatry Reports·Ariadna Forray, Dawn Foster
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Jun 21, 2021·The Australian Journal of Rural Health·Rachel J BreenStuart G Ferguson

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