Financial incentives for smoking cessation in pregnancy: a single-arm intervention study assessing cessation and gaming.
Financial incentives for smoking cessation in pregnancy: a single-arm intervention study assessing cessation and gaming.
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DOI：
10.1111/add.12817
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发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Marteau TM
中科院分区：
文献类型：
--
作者：
Ierfino D;Mantzari E;Hirst J;Jones T;Aveyard P;Marteau TM
在最近的Cochrane综述中，经济激励是怀孕期间戒烟的唯一最有效的干预措施，但基于美国的一些小型试验，仅使用7天的戒烟点流行测量。本研究估计(a)在未选择的英国怀孕吸烟者人群中长期戒烟，他们获得戒烟的经济激励；(b)“游戏”，即虚假报告吸烟状况以进入计划或获得奖励。单臂干预研究产前诊所和社区共有239名怀孕的吸烟者参加了财政激励计划，在42周的时间里，在英格兰一个高度贫困地区的一家医院接受产科护理。分娩和产后6个月戒烟，使用唾液可替宁评估；在入组时、妊娠28周和36周以及产后2天和6个月时，使用尿液和唾液可替宁进行游戏评估。39%（615人中的239人）的吸烟者参加了该计划，其中60%（239人中的143人）尝试戒烟。在这些参与者中，20%（239人中的48人）；95%可信区间(CI) = 14.9%， 25.1%]在分娩时戒烟，10% （25 / 239;95% CI = 6.2%, 13.8%）在产后6个月戒烟。没有证据表明女性通过玩游戏进入该计划，但有证据表明，在239名参与者中，有4%（10人）通过玩游戏一次或多次获得代金券。在未选择的英国怀孕吸烟者队列中加入激励计划与延长戒烟率相关，与美国试验报告的戒烟率相当。游戏率还不足以使这种方案失效。
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. There was no evidence that women gamed to enter the scheme, but evidence that 4% (10 of 239) of those enrolled gamed on one or more occasions to gain vouchers. Enrolment on an incentive scheme in an unselected English cohort of pregnant smokers was associated with prolonged cessation rates comparable to those reported in US trials. Rates of gaming were arguably insufficiently high to invalidate the use of such schemes.
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影响因子：
4.7
作者：
Reid, Jessica L.;Hammond, David;Siahpush, Mohammad
通讯作者：
Siahpush, Mohammad
DOI：
10.1111/j.1749-6632.2011.06202.x
发表时间：
2012-01-01
期刊：
ADDICTION REVIEWS
影响因子：
--
作者：
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通讯作者：
Munafo, Marcus
影响因子：
4.2
作者：
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通讯作者：
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影响因子：
5.2
作者：
Borland, R.;Yong, H-H;Fong, G. T.
通讯作者：
Fong, G. T.
影响因子：
2.8
作者：
Gallagher, Sandra M.;Penn, Patricia E.;Layne, Wendy
通讯作者：
Layne, Wendy