Evidence map›Paper›PMID 22227223›Full record

ReviewPreventive medicine2012

Financial incentives for smoking cessation among pregnant and newly postpartum women.

Stephen T Higgins, Yukiko Washio, Sarah H Heil, Laura J Solomon, Diann E Gaalema, Tara M Higgins, Ira M Bernstein

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Preventive medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 93 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 12 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.

NCT02210832 nacompletednot on this mapstarted 2014, after this paper: background citation

Financial Incentives for Smoking Cessation Among Disadvantaged Pregnant

TypeinterventionalSponsorUniversity of VermontRan2014 to 2020Enrolled257ConditionsCigarette SmokingArmsBest practices, financial incentives
NCT03338829 nacompletednot on this mapstarted 2016, after this paper: background citation

Incentive Models on Testing Adherence for Women With Diabetes During Pregnancy

TypeinterventionalSponsorUniversity of IowaRan2016 to 2022Enrolled130ConditionsDiabetes in PregnancyArmsPositive incentive, Loss aversion
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Pooled it
  2. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Competitions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  7. 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
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Contingency Management Versus Psychotherapy for Prenatal Smoking Cessation: A Meta-Analysis of Randomized Controlled Trials.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Pooled it
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

33 more citing papers are in PubMed but not listed here.

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

7 authors.

Stephen T HigginsDepartment of Psychiatry, University of Vermont, University Health Center Campus, 1 S. Prospect St, Burlington, VT 05401, USA. Stephen.Higgins@uvm.edu
Yukiko Washio
Sarah H Heil
Laura J Solomon
Diann E Gaalema
Tara M Higgins
Ira M Bernstein

Funding

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
TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHR37DA009378 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2001 to 2007
$4.1M
TREATING COCAINE ABUSE: A BEHAVIORAL APPROACHR01DA009378 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 1994 to 2012
$3.9M
PHARMACOLOGY OF OPIOID RECEPTOR SUBTYPESR37DA007242 · NIDA · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PASTERNAK, GAVRIL W · 1996 to 2004
$1.5M
NCRR NIH HHS M01RR109NIDA NIH HHS DA07242NIDA NIH HHS DA09378NIDA NIH HHS DA14028NIDA NIH HHS R01 DA007242NIDA NIH HHS R01 DA009378NIDA NIH HHS R01 DA014028NIDA NIH HHS R37 DA007242NIDA NIH HHS R37 DA009378NIDA NIH HHS T32 DA007242
6 · The paper itself

Abstract

objectiveSmoking during pregnancy is the leading preventable cause of poor pregnancy outcomes in the U.S., causing serious immediate and longer-term adverse effects for mothers and offspring. In this report we provide a narrative review of research on the use of financial incentives to promote abstinence from cigarette smoking during pregnancy, an intervention wherein women earn vouchers exchangeable for retail items contingent on biochemically-verified abstinence from recent smoking.

methodsPublished reports based on controlled trials are reviewed. All of the reviewed research was conducted by one of two research groups who have investigated this treatment approach.

resultsResults from six controlled trials with economically disadvantaged pregnant smokers support the efficacy of financial incentives for increasing smoking abstinence rates antepartum and early postpartum. Results from three trials provide evidence that the intervention improves sonographically estimated fetal growth, mean birth weight, percent of low-birth-weight deliveries, and breastfeeding duration.

conclusionsThe systematic use of financial incentives has promise as an efficacious intervention for promoting smoking cessation among economically disadvantaged pregnant and recently postpartum women and improving birth outcomes. Additional trials in larger and more diverse samples are warranted to further evaluate the merits of this treatment approach.

Indexed as

MotivationPostpartum PeriodRewardFemaleFinancial SupportHealth PromotionHumansPovertyPregnancyPregnancy ComplicationsSmoking CessationUnited States

Identifiers

PMID22227223
PMCPMC3399924

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.