Featured Review: Incentives for smoking cessation

Evidence published in the Cochrane Library provides strong evidence thatfinancial incentives helped people to stop smoking and stay stopped long term.The team investigated whether rewards such as cash payments, vouchers, or the return of money deposited by those taking part, worked. The review summarizes the results from 33 randomised controlled trials involving more than 21,600 people from eight countries. They included ten trials that focused on pregnant smokers who were rewarded with vouchers for quitting and staying smoke free.The review was led by University of East Anglia (UK) and involved researchers from the University of Oxford and the University of Stirling. Lead author Dr Caitlin Notley, from UEA ’s Norwich Medical School, said: “Smoking is the leading cause of disease and death worldwide. Most smokers want to quit, but stopping smoking can be really challenging.We found that six months or more after the beginning of the trials, people receiving rewards were approximately 50 per cent more likely to have stopped smoking than those in the control groups.  In people not receiving incentives, approximately 7% had successfully quit for six months or longer, compared to approximately 10.5% of those receiving incentives. This is an important increase when we consider the enormous harms of smoking, and benefits of quitting, and suggests that incentives c an be a useful part of a comprehensive approach to help people quit smoking. Another really important t...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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This study followed up with AN women one to three years postpartum who had participated in a prenatal smoking cessation intervention study (Motivate Alaska Women (MAW) Phase 3) and had consented to be re-contacted for future studies. Of 47 eligible women, 32 (68%) participated. A semi-structured phone interview was conducted a mean of 2.0 years after delivery (range 1.6–2.8). Measures assessed self-reported tobacco use status in the 12 months after delivery, at 12 months postpartum, and at the time of the interview; reasons for maintaining abstinence, continued use, or relapse; and included the Perceived Stress S...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
Treating a pregnant woman who suffers from opioid addiction has no more harmful impact on the newborn compared to receiving no treatment at all, a new study says.
Source: Health News - UPI.com - Category: Consumer Health News Source Type: news
Conclusion Provoked venous thromboembolism is an entity that can be prevented. Malignancy and surgical treatment are the most common risk factors and these patients should be treated with special care. The creation of a register of patients with venous thromboembolism in Bosnia and Herzegovina would enable the development of a preventive strategy in the groups of patients at risk. PMID: 31402639 [PubMed - as supplied by publisher]
Source: Primary Care - Category: Primary Care Authors: Tags: Med Glas (Zenica) Source Type: research
With 1 in 10 Americans saying they misuse drugs, doctors should ask everyone about both illegal and prescription use, the U.S. Preventive Services Task Force said.
Source: NYT - Category: American Health Authors: Tags: Preventive Medicine Drug Abuse and Traffic Drugs (Pharmaceuticals) Addiction (Psychology) Pregnancy and Childbirth Doctors United States Preventive Services Task Force your-feed-healthcare Source Type: news
ConclusionThis study demonstrated a high frequency of pediatric HIV among children aged 5 –15 years in four provinces of Iran. Novel strategies to prevent and eliminate mother-to-child transmission of HIV, diagnostic facilities, and treatment of infected mothers during pregnancy in our country are highly recommended.
Source: Wiener Medizinische Wochenschrift - Category: General Medicine Source Type: research
CHICAGO (AP) — Pregnancy started out rough for Leslie Siu. Morning sickness and migraines had her reeling and barely able to function at a demanding New York marketing job, so like rising numbers of U.S. mothers-to-be, she turned to marijuana. “l was finally able to get out from under my work desk,” said Siu, who later started her own pot company and says her daughter, now 4, is thriving. There’s no proof that cannabis can relieve morning sickness, and mainstream medicine advises against use in pregnancy because of studies suggesting it might cause premature birth, low birthweight and infant brain d...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Marijuana Source Type: news
In this study of cannabis use in large nationally representative samples of United States (US) women aged 12-44 years, we evaluate variation by pregnancy month and by trimester. We also evaluate cannabis dependence, which might explain why some women continue using cannabis during pregnancy. METHODS: Large nationally representative samples drawn for the US National Surveys on Drug Use and Health included 12-44-year-old women asked about pregnancy month, cannabis use, and cannabis dependence (n = 381,199). For this research, we produced month-specific estimates across four-time intervals (2002-2005, 2006-2009, 20...
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research
CONCLUSIONS: There is insufficient evidence to show whether or not MI helps people to stop smoking compared with no intervention, as an addition to other types of behavioural support for smoking cessation, or compared with other types of behavioural support for smoking cessation. It is also unclear whether more intensive MI is more effective than less intensive MI. All estimates of treatment effect were of low certainty because of concerns about bias in the trials, imprecision and inconsistency. Consequently, future trials are likely to change these conclusions. There is almost no evidence on whether MI for smoking cessati...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Regular e-cig users more likely to cut down and to attempt to quit, but also more likely to relapse over two years Related items fromOnMedica Doctors urge government to act on rising alcohol impact Most CCGs missing smoking target for pregnant women NI drug deaths in males double in a decade Philip Morris knew nicotine is just one part of smoking addiction We are ‘sitting on a young people’s health time bomb’
Source: OnMedica Latest News - Category: UK Health Source Type: news
CONCLUSIONS: Overall there is high-certainty evidence that incentives improve smoking cessation rates at long-term follow-up in mixed population studies. The effectiveness of incentives appears to be sustained even when the last follow-up occurs after the withdrawal of incentives. There is also moderate-certainty evidence, limited by some concerns about risks of bias, that incentive schemes conducted among pregnant smokers improve smoking cessation rates, both at the end of pregnancy and post-partum. Current and future research might explore more precisely differences between trials offering low or high cash incentives and...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
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