VOUCHER-BASED INCENTIVES TO TREAT PREGNANT SMOKERS

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 在美国，母亲吸烟是导致不良妊娠结局和儿科发病率和死亡率的主要可预防原因。已制定了有效的干预措施来戒烟，但戒烟率很低，通常不到20%。预防产后复发的有效干预措施尚待开发。在这个项目中，我们将审查以代金券形式提供的物质奖励是否会增加戒烟率和减少旧病复发。我们还将调查吸烟如何影响胎儿发育，并评估妇女对环境烟雾对新生儿和儿童有害影响的知识。 总体而言，拟议的研究有可能为有效治疗我国最令人望而生畏的药物滥用问题之一提供重要的新信息。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Maternal cigarette smoking is the leading preventable cause of poor pregnancy outcomes and pediatric morbidity and mortality in the U.S. Efficacious interventions have been developed for smoking cessation during pregnancy, but cessation rates are low, typically under 20%. Efficacious intervention to prevent postpartum relapse remain to be developed. In this project we will examine whether providing material incentives in the form of vouchers exchangeable for retail items contingent on smoking abstinence will increase rates of quitting and decrease relapse. We will also investigate how smoking affects fetal growth and assess women's knowledge about the harmful effects of environmental smoke on newborns and children. Overall, the proposed studies have the potential to contribute important new information on effective treatments for one of our nation's most daunting drug abuse problems.