Effects of smoking cessation with voucher-based contingency management on birth outcomes

ABSTRACT Aims  This study examined whether smoking cessation using voucher‐based contingency management (CM) improves birth outcomes. Design  Data were combined from three controlled trials. Setting  Each of the trials was conducted in the same research clinic devoted to smoking and pregnancy. Parti...

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Bibliographic Details
Published in:Addiction (Abingdon, England) England), 2010-11, Vol.105 (11), p.2023-2030
Main Authors: Higgins, Stephen T., Bernstein, Ira M., Washio, Yukiko, Heil, Sarah H., Badger, Gary J., Skelly, Joan M., Higgins, Tara M., Solomon, Laura J.
Format: Article
Language:English
Subjects:
Addiction
Addictive behaviors
Adolescent
Adult and adolescent clinical studies
Biological and medical sciences
Birth
Birth outcomes
Birth Weight
Births
Child
cigarette smoking
Clinical trials
contingency management
Diseases of mother, fetus and pregnancy
Female
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Infant, Low Birth Weight
Infant, Newborn
Infants
Intensive Care Units, Neonatal
Linear Models
low birth weight
Medical sciences
Mothers
Patient Admission - statistics & numerical data
Pilot Projects
Pregnancy
Pregnancy. Fetus. Placenta
Premature Birth - epidemiology
preterm birth
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Smoking
Smoking - adverse effects
Smoking - therapy
Smoking cessation
Smoking Cessation - methods
Tobacco
Tobacco smoking
Tobacco, tobacco smoking
Token Economy
Toxicology
Treatment Outcome
Vouchers
Young Adult
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Summary:ABSTRACT Aims  This study examined whether smoking cessation using voucher‐based contingency management (CM) improves birth outcomes. Design  Data were combined from three controlled trials. Setting  Each of the trials was conducted in the same research clinic devoted to smoking and pregnancy. Participants  Participants (n = 166) were pregnant women who participated in trials examining the efficacy of voucher‐based CM for smoking cessation. Women were assigned to either a contingent condition, wherein they earned vouchers exchangeable for retail items by abstaining from smoking, or to a non‐contingent condition where they received vouchers independent of smoking status. Measurement  Birth outcomes were determined by review of hospital delivery records. Findings  Antepartum abstinence was greater in the contingent than non‐contingent condition, with late‐pregnancy abstinence being 34.1% versus 7.4% (P 
ISSN:0965-2140
1360-0443
DOI:10.1111/j.1360-0443.2010.03073.x