Public Health Department, NHS Tayside, Kings Cross Hospital, Clepington Road, Dundee, UK.
BMC Public Health. 2013 Apr 15;13:343. doi: 10.1186/1471-2458-13-343.
The use of incentives to promote smoking cessation is a promising technique for increasing the effectiveness of interventions. This study evaluated the smoking cessation outcomes and factors associated with success for pregnant smokers who registered with a pilot incentivised smoking cessation scheme in a Scottish health board area (NHS Tayside).
All pregnant smokers who engaged with the scheme between March 2007 and December 2009 were included in the outcome evaluation which used routinely collected data. Data utilised included: the Scottish National Smoking Cessation Dataset; weekly and periodic carbon monoxide (CO) breath tests; status of smoking cessation quit attempts; and amount of incentive paid. Process evaluation incorporated in-depth interviews with a cross-sectional sample of service users, stratified according to level of engagement.
Quit rates for those registering with Give It Up For Baby were 54% at 4 weeks, 32% at 12 weeks and 17% at 3 months post partum (all data validated by CO breath test). Among the population of women identified as smoking at first booking over a one year period, 20.1% engaged with Give It Up For Baby, with 7.8% of pregnant smokers quit at 4 weeks. Pregnant smokers from more affluent areas were more successful with their quit attempt. The process evaluation indicates financial incentives can encourage attendance at routine advisory sessions where they are seen to form part of a wider reward structure, but work less well with those on lowest incomes who demonstrate high reliance on the financial reward.
Uptake of Give It Up For Baby by the target population was higher than for all other health board areas offering specialist or equivalent cessation services in Scotland. Quit successes also compared favorably with other specialist interventions, adding to evidence of the benefits of incentives in this setting. The process evaluation helped to explain variations in retention and quit rates achieved by the scheme.This study describes a series of positive outcomes achieved through the use of incentives to promote smoking cessation amongst pregnant smokers.
激励措施在提高干预措施效果方面是一种很有前途的技术，可用于促进戒烟。本研究评估了在苏格兰医疗保健区（NHS 泰赛德）注册参与一项试点激励性戒烟计划的孕妇吸烟者的戒烟结果和成功相关因素。
所有在 2007 年 3 月至 2009 年 12 月期间参与该计划的孕妇吸烟者都被纳入了该结果评估，该评估使用了常规收集的数据。利用的数据包括：苏格兰国家戒烟数据集；每周和定期的一氧化碳（CO）呼气测试；戒烟尝试的状态；以及支付的激励金额。过程评估包括根据参与程度进行分层的服务使用者横断面样本的深入访谈。
参与“给宝贝戒烟”计划的人在 4 周时的戒烟率为 54%，12 周时为 32%，产后 3 个月时为 17%（所有数据均通过 CO 呼气测试验证）。在一年期间首次预约时被确定为吸烟的女性人群中，有 20.1%的人参与了“给宝贝戒烟”计划，其中有 7.8%的孕妇在 4 周时戒烟。来自较富裕地区的孕妇吸烟者戒烟尝试成功率更高。过程评估表明，经济激励措施可以鼓励孕妇吸烟者参加常规咨询会议，因为这些会议被视为更广泛奖励结构的一部分，但对于收入最低的人效果较差，因为他们高度依赖经济奖励。
在苏格兰提供专家或同等戒烟服务的所有其他医疗保健区中，“给宝贝戒烟”计划的目标人群参与度高于其他地区。戒烟成功率也与其他专家干预措施相比具有优势，进一步证明了在这种环境下激励措施的好处。过程评估有助于解释该计划实现的保留率和戒烟率的差异。本研究描述了通过使用激励措施来促进孕妇吸烟者戒烟而取得的一系列积极成果。
