This paper compares the effectiveness of three recent smoking cessation interventions in motivating smoking cessation among low income, high risk pregnant smokers attending Oregon WIC. In trial one, (funded by The RWJF's Smoke-Free Families Initiative) we compared a randomized control (best practice) group (N=108) to a randomized treatment group (N=112) in which participants and their selected social supporters received financial incentives (vouchers) of $50.00 monthly/participant and $25.00 monthly/supporter for participant's biochemically confirmed quits (salivary thiocyanate and cotinine). In a second pilot intervention, (funded by The RWJF) (N=62) participants selected a social supporter and the biochemically confirmed quit participants (salivary thiocyanate and cotinine) received $50.00 monthly, but their social supporters were not incentivized. In a third trial, (funded by the Oregon Health Division) we compared a randomized control (best practice) group (N=60) to two randomized treatment group interventions; treatment group A (N=67) participants selected a socal supporter and the biochemically confirmed quit participants received $25.00 monthly, and treatment group B (N=59) participants selected a social supporter and participants received immediate biochemical feedback reinforcement/information about risk/harm for specific levels of CO expired air/monthly, and the biochemically confirmed quit participants (CO and salivary cotinine) received $25.00 monthly. Comparisons among study results provide important lessons about the efficacy of social support, variable levels of incentives and biochemical feedback in smoking cessation interventions.
Learning Objectives: 1. List and discuss the adjuncts to motivating smoking cessation when planning/developing interventions for high risk populations. 2. Describe the three smoking cessation interventions tested in this population. 3. Evaluate and discuss the outcomes (quit rates) from these interventions and assess the efficacy of social support, incentives and biochemical feedback. 4. Identify the biochemical test methods used. 5. Discuss the unique barriers/supports to intervention effectiveness when working with high-risk, low-income populations
Keywords: Pregnancy, Smoking Cessation
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.