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A better way to help high-risk pregnant smokers
Date:6/21/2012

Cigarette smoking among drug dependent pregnant women is alarmingly high, estimated at 77 to 99%. Programs that treat pregnant patients for substance use disorders often fail to address cigarette smoking despite the clear risks to both mother and child, including ectopic pregnancy, spontaneous abortion, preterm delivery, low birth weight, and Sudden Infant Death Syndrome. However, programs to help people quit smoking do not seem to interfere with drug abuse treatment, and may actually improve drug abstinence rates.

One of the most effective methods of helping people to quit smoking is contingency management, which gives smokers monetary incentives for meeting target goals. Researchers at Johns Hopkins University's Center for Addiction and Pregnancy recently used contingency management to shape smoking reduction and abstinence in drug-dependent pregnant women, with promising results.

One hundred and three pregnant smokers who were prescribed methadone maintenance for heroin dependence were enrolled in a study comparing three conditions. A third of the women were enrolled in a contingency management shaping program and received escalating monetary incentives for reducing their level of cigarette smoking or by being abstinent as measured by breath carbon monoxide levels. The smoking reduction targets required for monetary incentives increased over time from minimal reduction in the early phases of treatment to the requirement of total abstinence by week 12. A relapse meant no monetary incentive was earned and the participant returned to the lowest level of payment. A third of the women could earn incentives for reduced smoking according to a schedule of payments not connected to the woman's own smoking behaviour (non-contingent incentives). The final group of women received information about the risks of smoking during pregnancy but received no money for reduced smoking.

All of the groups showed some reduction in smoking levels d
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Contact: Stephanie Desmon
sdesmon1@jhmi.edu
44-141-095-58665
Wiley-Blackwell
Source:Eurekalert

Page: 1 2

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