Financial Incentives Alone Versus Incentivized Partner Support for Promoting Smoking Cessation During Pregnancy and Postpartum: Protocol for a Non-Randomized Single-Blinded Study
Financial Incentives Alone Versus Incentivized Partner Support for Promoting Smoking Cessation During Pregnancy and Postpartum: Protocol for a Non-Randomized Single-Blinded Study
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DOI：
10.2196/resprot.7907
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发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Ferguson, Stuart G.
中科院分区：
文献类型：
--
作者：
Frandsen, Mai;Thow, Megan;Ferguson, Stuart G.
背景资料：吸烟仍然是不良妊娠结局的最重要的可改变原因，并导致持续的孕产妇和婴儿健康不良。对许多人来说，怀孕是一个高度关注健康的时期，主要动机是未出生婴儿的福祉。然而，许多女性在整个怀孕期间继续吸烟。尽管有这种强烈的动机和已知的健康风险，但迄今为止的干预措施并没有有效地遏制怀孕期间的吸烟率，而且仍然与一般人口的吸烟率一样高。一个有希望的策略是激励这些女性戒烟。然而，基于激励的研究尚未显示或报告长期疗效。在这里，我们提出了一项试验的协议，探讨激励性伴侣支持对产前和产后戒烟的影响。Objective：本研究的目的是确定是否提供激励措施，以促进怀孕期间的短期和长期戒烟的准妈妈和她的支持者是更有效的比激励措施，以准妈妈单独。本方案设计为一项非随机、单盲试验，旨在确定与仅激励参与者相比，激励伴侣支持在促进妊娠期和产后戒烟方面的疗效。所有通过塔斯马尼亚健康服务（澳大利亚）接受产前护理的合格孕妇都将被邀请参加。参与者如果通过一氧化碳呼气样本证实戒烟，将有资格获得每月戒烟购物券。参与的妇女将有资格获得代金券，直到产后6个月，并将在产后12个月进行随访。结果预计将于2018年底发表。结论：本研究方案通过评估激励支持伴侣对短期和长期戒烟的影响，扩展了目前关于孕妇激励戒烟干预的文献。讨论了关键的道德考虑因素，包括可能收到（或不收到）对参与者与其合作伙伴的关系产生负面影响的退出或有凭单。这项研究的结果可能对在针对孕妇的戒烟计划中分配的角色支持伙伴具有重要意义。
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 participant's 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.