The aim of this research is to try and find out which incentives (financial or non-financial), if any, are most likely to help women to stop smoking in pregnancy (and not restart) and to breastfeed their babies until 6 months, to benefit the health of both mothers and babies. There are three stages to BIBS:
Stage 1. We will synthesize the evidence for incentives delivered to women, families and NHS or non NHS providers and their associated theories of behaviour change, using focused research questions to inform the design of a trial. This will produce: i) evidence synthesis reports ii) a taxonomy of incentive characteristics, behaviour change theory, mechanisms of action and the barriers/facilitators to stopping smoking in pregnancy and breastfeeding iii) a short list of promising incentives.
Stage 2. For the incentive short-list we will investigate recipient, provider and public acceptability and any unintended effects. Mixed method data will refine the incentive characteristics, timing, quantity, delivery processes, recipient monitoring, organisational, environmental and contextual factors that are likely to increase effectiveness.
Stage 3. A Discrete Choice Experiment will refine the most promising intervention(s) to trial. The DCE will identify the relative probabilities of behaviour change for different types and level of incentive intervention and inform effect sizes. If probabilities vary across individuals with different characteristics, and affect outcomes, then a range of incentives may be more effective than a 鈥榦ne-size-fits-all鈥� approach. Combining all aspects of this study will enable us to define a trial intervention, recruitment and delivery strategies, provide a sample size calculation, model effect sizes and define outcome measurements. This will inform the design of a trial.
For the complete report see:
Contacts
- Heather Morgan; h.morgan@abdn.ac.uk
Status
CompletedPublications
Morgan H, Hoddinott P, Thomson G, Crossland N, Farrar S, Yi D, Hislop J, Hall Moran V, MacLennan G, Dombrowski SU, Rothnie K, Stewart F, Bauld L, Ludbrook A, Dykes F, Sniehotta FF, Tappin D, Campbell M. Benefits of incentives for breastfeeding and smoking cessation in pregnancy (BIBS): a mixed methods study to inform trial design.听Health Technology Assessment听2014.听听
Crossland, N., Thomson, G., Morgan, H., MacLennan, G., Campbell, M., Dykes, F. & Hoddinott, P. (2016). 'Breast pumps as an incentive for breastfeeding: a mixed methods study of acceptability'.听Maternal and Child Nutrition, vol 12, no. 4, pp. 726-739.听[Online]听顿翱滨:听听[Online]听AURA:听
Morgan, H., Thomson, G., Crossland, N., Dykes, F., Hoddinott, P. & 鈥楤IBS鈥� study team (2016). 'Combining PPI with qualitative research to engage 鈥榟arder-to-reach鈥� populations: service user groups as co-applicants on a platform study for a trial'.听Research Involvement and Engagement, vol 2, 7, pp. 1-26.听[Online]听顿翱滨:听听[Online]听AURA:听
Hoddinott, P., Thomson, G., Morgan, H., Crossland, N., MacLennan, G., Dykes, F., Stewart, F., Bauld, L. & Campbell, MK. (2015). 'Perspectives on financial incentives to health service providers for increasing breastfeeding and smoking quit rates during pregnancy: a mixed methods study'.听BMJ Open, vol 5, no. 11, e008492.听[Online]听顿翱滨:听听[Online]听AURA:听
Morgan, H., Hoddinott, PM., Thomson, G., Crossland, N., Farrar, S., Yi, D., Hislop, JM., Hall Moran, V., MacLennan, GS., Dombrowski, SU., Rothnie, KJ., Stewart, F., Bauld, L., Ludbrook, A., Dykes, F., Sniehotta, FF., Tappin, D. & Campbell, MK. (2015). 'Benefits of incentives for breastfeeding and smoking cessation in pregnancy (BIBS): a mixed methods study to inform trial design'.听Health Technology Assessment, vol 19, no. 30.听[Online]听顿翱滨:听
Crossland, N., Thomson, G., Morgan, H., Dombrowski, SU. & Hoddinott, P. (2015). 'Incentives for breastfeeding and for smoking cessation in pregnancy: An exploration of types and meanings'.听Social Science & Medicine, vol 128, pp. 10-17.听[Online]听顿翱滨:听听[Online]AURA:听
Hall Moran, V., Morgan, H., Rothnie, K., MacLennan, G., Stewart, F., Thomson, G., Crossland, N., Tappin, D., Campbell, M. & Hoddinott, P. (2015). 'Incentives to Promote Breastfeeding: A Systematic Review'.听Pediatrics, vol 135, no. 3, pp. e687-702.听[Online]听顿翱滨:听
Thomson, G., Morgan, H., Crossland, N., Bauld, L., Dykes, F., Hoddinott, P. & BIBS team (2014). 'Unintended Consequences of Incentive Provision for Behaviour Change and Maintenance around Childbirth'.听PLoS ONE, vol 9, no. 10, e111322.听[Online]DOI:听[Online]听AURA:听
Hoddinott, P., Morgan, H., MacLennan, G., Sewel, K., Thomson, G., Bauld, L., Yi, D., Ludbrook, A. & Campbell, MK. (2014). 'Public acceptability of financial incentives for smoking cessation in pregnancy and breast feeding: a survey of the British public'.听BMJ Open, vol 4, no. 7, e005524.听[Online]听顿翱滨:听听[Online]AURA: