The effectiveness of financial incentives for smoking cessation during pregnancy: is it from being paid or from the extra aid?

BMC Pregnancy and Childbirth

Research Article

Theresa M Marteau¹  Eleni Mantzari¹  Florian Vogt¹ 

[1] Department of Psychology (at Guy's), Health Psychology Section, King's College London, 5th floor Bermondsey Wing, SE1 9RT, Guy's Campus, London, UK;

关键词: Smoking Cessation;    Financial Incentive;    Nicotine Replacement Therapy;    Varenicline;    Incentivised Group;   

DOI  :  10.1186/1471-2393-12-24

 received in 2011-10-20, accepted in 2012-04-02,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundFinancial incentives appear to be effective in promoting smoking cessation in pregnancy. The mechanisms by which they might operate however, are poorly understood. The present study examines how financial incentives for smoking cessation during pregnancy may work, by exploring pregnant women's experiences of trying to stop smoking, within and outside of a financial incentives scheme.MethodsThirty-six (n = 36) UK-based pregnant smokers (n = 36), offered standard NHS Stop-Smoking Services, of whom twenty (n = 20) were enrolled in a financial incentives scheme for smoking cessation (n = 20) and sixteen (n = 16) were not, were interviewed about (i) their motivation to stop smoking, and (ii) the factors they perceived as influencing their quitting efforts. Framework Analysis was used to analyse the data.ResultsWomen in the two groups reported similar reasons for wanting to stop smoking during pregnancy. However, they described dissimilar experiences of the Stop-Smoking Services, which they perceived to have differentially influenced their quit attempts. Women who were incentivised reported using the services more than women who were not incentivised. In addition, they described the motivating experience of being monitored and receiving feedback on their progress. Non-incentivised women reported problems receiving the appropriate Nicotine Replacement Therapy, which they described as having a detrimental effect on their quitting efforts.ConclusionWomen participating in a financial incentives scheme to stop smoking reported greater engagement with the Stop-Smoking Services, from which they described receiving more help in quitting than women who were not part of the scheme. These results highlight the complexity of financial incentives schemes and the intricacies surrounding the ways in which they operate to affect smoking cessation. These might involve influencing individuals' motivation and self-regulation, changing engagement with and provision of support services, or a combination of these.

【 授权许可】

Unknown   
© Mantzari et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.