Evidence map›Paper›PMID 20840188›Full record

Trial reportAddiction (Abingdon, England)2010

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

Stephen T Higgins, Ira M Bernstein, Yukiko Washio, Sarah H Heil, Gary J Badger, Joan M Skelly, Tara M Higgins, Laura J Solomon

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Competitions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Associations of maternal obesity and smoking status with perinatal outcomes.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2018
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Financial Incentives for Smoking Abstinence in Homeless Smokers: A Pilot Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
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  16. A randomized trial of computer-delivered brief intervention and low-intensity contingency management for smoking during pregnancy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2012
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephen T HigginsDepartment of Psychiatry, University of Vermont, 1 South Prospect Street, Burlington, VT 05401, USA. stephen.higgins@uvm.edu
Ira M Bernstein
Yukiko Washio
Sarah H Heil
Gary J Badger
Joan M Skelly
Tara M Higgins
Laura J Solomon

Funding

WEIGHT MAINTENANCE AND PSYCHOLOGICAL BENEFITS OF EXERCISEM01RR000109 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI STAPLETON, RENEE D · 1985 to 2010
$24.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Voucher-based incentives to treat pregnant smokersR01DA014028 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2001 to 2010
$6.0M
PHARMACOLOGY OF OPIOID RECEPTOR SUBTYPESR01DA007242 · NIDA · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAN, YING-XIAN · 1991 to 2022
$6.0M
PHARMACOLOGY OF OPIOID RECEPTOR SUBTYPESR37DA007242 · NIDA · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PASTERNAK, GAVRIL W · 1996 to 2004
$1.5M
NCRR NIH HHS M01 RR000109NCRR NIH HHS M01RR109NIDA NIH HHS DA007242NIDA NIH HHS DA14028NIDA NIH HHS R01 DA007242NIDA NIH HHS R01 DA014028NIDA NIH HHS R37 DA007242NIDA NIH HHS T32 DA007242
6 · The paper itself

Abstract

aimsThis study examined whether smoking cessation using voucher-based contingency management (CM) improves birth outcomes.

designData were combined from three controlled trials.

settingEach of the trials was conducted in the same research clinic devoted to smoking and pregnancy.

participantsParticipants (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.

findingsAntepartum abstinence was greater in the contingent than non-contingent condition, with late-pregnancy abstinence being 34.1% versus 7.4% (P<0.001). Mean birth weight of infants born to mothers treated in the contingent condition was greater than infants born to mothers treated in the non-contingent condition (3295.6 ± 63.8 g versus 3093.6 ± 67.0 g, P = 0.03) and the percentage of low birth weight (<2500 g) deliveries was less (5.9% versus 18.5%, P = 0.02). No significant treatment effects were observed across three other outcomes investigated, although each was in the direction of improved outcomes in the contingent versus the non-contingent condition: mean gestational age (39.1 ± 0.2 weeks versus 38.5 ± 0.3 weeks, P = 0.06), percentage of preterm deliveries (5.9 versus 13.6, P = 0.09), and percentage of admissions to the neonatal intensive care unit (4.7% versus 13.8%, P = 0.06).

conclusionsThese results provide evidence that smoking-cessation treatment with voucher-based CM may improve important birth outcomes.

Indexed as

Birth WeightToken EconomyAdolescentChildFemaleGestational AgeHumansInfant, Low Birth WeightInfant, NewbornIntensive Care Units, NeonatalLinear ModelsPatient AdmissionPilot ProjectsPregnancyPremature BirthSmoking

Identifiers

PMID20840188
PMCPMC2970671

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.