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Supporting expectant mothers to quit smoking: Does it pay to pay partners?

Citation

Frandsen, M and Thorpe, M and Ferguson, SG, Supporting expectant mothers to quit smoking: Does it pay to pay partners?, The Thoracic Society of Australia and New Zealand. Tasmanian Annual General Meeting, 7-8 November, 2016, Four Mile Creek, Tasmania, Australia (2016) [Conference Extract]

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Abstract

Introduction/Aim: Smoking during pregnancy remains the number one modifiable cause of poor pregnancy outcomes in the developed world. While many women spontaneously quit when they find out they are pregnant, some do not and most return to smoking within 6 months of having their baby. Interventions which include incentives (e.g., vouchers) have been shown to be not only effective in increasing cessation rates but also cost effective compared to other forms of treatments (e.g., motivational interviewing, NRT). However, even incentives programs have difficulty demonstrating long term cessation. A review of post-partum relapse prevention strategies suggested programs that involved the pregnant smokers’ partner were necessary to maximise long-term cessation success. While a number of studies have reported on the efficacy (mixed results) of social support (e.g., ‘quit buddies’) in assisting smoking cessation, very few trials have been conducted exploring partner (e.g., husband) support in assisting pregnant smokers to give up. Further, studies exploring the effect of partner support on promoting smoking cessation in non-pregnant women have found that it is not just partner support, but the quality of that support that influences success. As such, neglecting the role of partner support, and the quality of that support, may be what is missing from smoking in pregnancy incentives programs, and effecting long term cessation outcomes.

Methods: Here we present a brief review of the literature and describe a protocol for a clinical trial combining quit contingent incentives and partner support. This novel trial will determine whether providing a quit incentive to both the partner and expectant mother who smokes is more effective than providing an incentive to the pregnant smoker alone at promoting long-term abstinence – in other words, can we incentivise ("pay") partners to be more effective quit buddies? Furthermore, the study will explore whether, regardless of incentives, women who receive more positive partner support, are more likely to quit and stay quit.

Item Details

Item Type:Conference Extract
Keywords:maternal health, smoking cessation, partner support, incentives
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health Promotion
Objective Division:Expanding Knowledge
Objective Group:Expanding Knowledge
Objective Field:Expanding Knowledge in Psychology and Cognitive Sciences
Author:Frandsen, M (Dr Mai Frandsen)
Author:Thorpe, M (Ms Mona Thorpe)
Author:Ferguson, SG (Associate Professor Stuart Ferguson)
ID Code:115628
Year Published:2016
Deposited By:Health Sciences
Deposited On:2017-04-03
Last Modified:2017-04-03
Downloads:0

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