| Methods | Trial of “Significant Other Supporter” (SOS) program, of bolstered social support and direct financial rewards, for low-income high-risk women in 4 Oregon WIC program sites, US. Conducted between June 1996 and June 1997 | |
| Participants | Women smoking (even a puff in the last 7 days); less than 28 weeks’ gestation; over 15 years of age; literate in English. Participation rate 71%. Mean salivary cotinine at baseline: I: 45.4 (n = 112); C: 45.7 (n = 108). |
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| Interventions | Control group received verbal and written information on the importance of smoking cessation, a pregnancy specific smoking cessation self-help kit, and were telephoned monthly for self-reports on their smoking status. The intervention group received as for the control group plus were asked to designate a social supporter (preferably a female non-smoker), and were advised both she and her supporter would receive an incentive: participants were given $50 voucher for each month biochemically confirmed as quit. Supporter received $50 voucher in first month and at 2 months postpartum, and $25 voucher for other months. The intervention was delivered by trained program staff or research staff. Theoretical basis: rewards and social support. Intensity rating: I = 4, C = 3 |
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| Outcomes | Smoking cessation biochemically validated with salivary cotinine at 34 weeks’ gestation and 2 months postpartum | |
| Notes | Data in outcome tables is inconsistent. | |
| Risk of bias | ||
| Item | Authors’ judgement | Description |
| Adequate sequence generation? | Unclear | No information provided. |
| Allocation concealment? | Unclear | No information provided. |
| Blinding? Women and clinical staff |
No | Neither providers nor women were blinded for this educational intervention with incentives |
| Incomplete outcome data addressed? All outcomes |
Unclear | High attrition rates I = 32%; C = 51.5%, but drop-outs included as smokers in this analysis. Those lost to follow up were considered to be smokers |
| Free of selective reporting? | Yes | Main outcomes reported. |
| Free of detection bias? | Yes | Reported quitting validated by salivary cotinine analysis. |