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Financial Incentives Alone Versus Incentivized Partner Support for Promoting Smoking Cessation During Pregnancy and Postpartum:Protocol for a Non-Randomized Single-Blinded Study


Frandsen, M and Thow, M and Ferguson, SG, Financial Incentives Alone Versus Incentivized Partner Support for Promoting Smoking Cessation During Pregnancy and Postpartum:Protocol for a Non-Randomized Single-Blinded Study, JMIR Research Protocols, 6, (10) Article e209. ISSN 1929-0748 (2017) [Refereed Article]


Copyright Statement

©Mai Frandsen, Megan Thow, Stuart G Ferguson. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

Official URL:

DOI: doi:10.2196/resprot.7907


Background: Smoking tobacco remains the most significant modifiable cause of adverse pregnancy outcomes and contributor to ongoing maternal and infant ill-health. Pregnancy for many is a time of heightened health focus, with the primary motivation being the well-being of the unborn child. Yet, many women continue to smoke throughout their pregnancy. Despite this heightened motivation and known health risks, interventions to date have not effectively curbed the rate of smoking during pregnancy and they remain as high as rates among the general population. One promising strategy has been to incentivize these women to quit. However, incentives-based studies have not shown or reported long-term efficacy. Here, we present the protocol of a trial exploring the effect of incentivized partner support on pre- and postpartum smoking cessation.

Objective: The aim of this study is to determine whether providing incentives to both the expectant mother and her support person in promoting short- and long-term smoking cessation during pregnancy is more effective than incentives to the expectant mother alone.

Methods: This protocol is designed as a non-randomized, single-blinded trial to determine the efficacy of incentivized partner support, compared to participant incentive only, in promoting smoking cessation during pregnancy and postpartum. All eligible pregnant women receiving antenatal care via the Tasmanian Health Service (Australia) will be invited to participate. Participants will be eligible for monthly quit-contingent shopping vouchers if they verify, via carbon monoxide breath sample, as being abstinent from smoking. Participating women will be eligible for vouchers until 6-months postpartum and will be followed up at 12-months postpartum.

Results: The recruitment phase of this study has concluded. Results are expected to be published by the end of 2018.

Conclusions: This study protocol extends the current literature on incentivized smoking cessation interventions for pregnant women by assessing the influence of incentivizing a support partner on short- and long-term abstinence. Key ethical considerations are discussed including potential for receipt (or not) of quit-contingent vouchers impacting negatively on the participantís relationship with their partner. The findings of the study may have important implications for the role support partners are assigned in smoking cessation programs targeting pregnant women.

Item Details

Item Type:Refereed Article
Keywords:smoking, pregnancy, financial incentives, partner support
Research Division:Health Sciences
Research Group:Public health
Research Field:Health promotion
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health education and promotion
UTAS Author:Frandsen, M (Dr Mai Frandsen)
UTAS Author:Thow, M (Dr Megan Thow)
UTAS Author:Ferguson, SG (Professor Stuart Ferguson)
ID Code:122113
Year Published:2017
Web of Science® Times Cited:2
Deposited By:Health Sciences
Deposited On:2017-11-01
Last Modified:2018-09-13
Downloads:79 View Download Statistics

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