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Using incentives to encourage smoking abstinence among pregnant indigenous women? A feasibility study

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Authors:
Summary:

Outcomes are reported from a feasibility study that sought to determine the likely effectiveness of an incentives-based cessation trial among pregnant Māori women that smoked. The study recruited 24 pregnant smokers aged ≥16 years (mean age 25 years) who self-identified as Māori, were 2–30 weeks pregnant, and currently smoked. A total of 74 women were approached through health practitioners, print media, and radio adverts in Auckland, New Zealand; 50 declined involvement in the study. Participants were randomised to (1) usual cessation support, including information about different cessation products and services, and access to nicotine replacement therapy (n=8; controls), (2) usual cessation support plus a retail voucher to the value of NZ$25 for each ‘abstinent from smoking’ week for 8 weeks (n=8; voucher), or (3) usual cessation support plus product to the value of NZ$25 for each ‘abstinent from smoking’ week for 8 weeks (n=8; product). Outcomes measures included weekly self-reported and monthly biochemically verified smoking status, and acceptability. Overall, 5 women (21%) were abstinent from smoking for at least 6 weeks of the 8-week study period; 1 woman from the control group, 6 from the product group and 3 from the voucher group.

Comment:
Further research exploring the high rate of ‘decline participation’ would also be useful.
Reference: Matern Child Health J. 2014 Nov 27. [Epub ahead of print]
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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