BIBS

BIBS: Benefits of Incentives for Breastfeeding and Smoking cessation. A platform study for a trial

Research objectives:

  1. To determine the evidence for the effectiveness of incentive interventions delivered within or outside the NHS, to (a) individuals, families or (b) organisations that aim to increase and sustain smoking cessation and breastfeeding during pregnancy.

  2. To determine the acceptability and feasibility of a shortlist of promising incentive strategies and potential harms or adverse consequences.

  3. To develop an incentive taxonomy.
  4. To design a feasible trial.

There were three key stages to the research:

Stage 1. Evidence synthesis to meet the knowledge gap on the use of incentives in this underdeveloped field and to integrate evidence on two behaviours; smoking in pregnancy and breastfeeding. It aimed to assess incentives at an individual recipient level as well as at provider and organisational levels.

Stage 2. Primary qualitative research and web surveys to assess the acceptability and feasibility of a shortlist of candidate incentives.

Stage 3. A discrete choice experiment (DCE) to inform the design of a trial.

 

Outcome and Translation

The research identified a range of potential interventions using different forms of incentives, to individuals or organisations, to encourage healthy behaviours. The feasibility and acceptability of promising interventions was assessed and the effect of different levels of incentive was assessed through the DCE. 

The DCE identified the level of incentive required to increase the likelihood of quitting smoking. This will be used to inform intervention studies, including trials.

Further details on this project are available at the NIHR site project page.

HERU researchers involved in this research project: Anne Ludbrook, Shelley Farrar and Deokhee Yi

External Collaborators: P Hoddinott (University of Stirling); M Campbell (HSRU, University of Aberdeen); L Bauld (UK Centre for Tobacco Control Studies); F Sniehotta (Newcastle University); F Dykes (University of Central Lancashire) and D Tappin (University of Glasgow)

Publications

Hoddinott, P., Morgan, H., MacLennan, G., Sewel, K., Thomson, G., Bauld, L., Yi, D., Ludbrook, A. and Campbell, M. K. (2014) 'Public acceptability of financial incentives for smoking cessation in pregnancy and breast feeding: a survey of the British public', BMJ Open, 4(7), e005524.

Morgan, H., Hoddinott, P., Thomson, G., Crossland, N., Farrar, S., Yi, D., Hislop, J., Moran, V. H., MacLennan, G., Dombrowski, S. U., Rothnie, K., Stewart, F., Bauld, L., Ludbrook, A., Dykes, F., Sniehotta, F. F., Tappin, D. and Campbell, M. (2015) 'Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design', Health Technology Assessment, 19(30).

Farrar, S., Yi, D., Morgan, H., Ludbrook, A. and Hoddinott, P. (2016) Financial incentives to support smoking cessation in pregnant women – size matters', HERU Policy Brief, University of Aberdeen, May 2016.

Presentations

Morgan, H., Hislop, J., Rothnie, K., Stewart, F., Hoddinott, P. and Farrar, S. (2012) 'Incentives for smoking in pregnancy: are they the way forward?', Health Challenge Wales, Cardiff, June 2012.

Hoddinott, P., Hislop, J., Morgan, H., Stewart, F., Rothnie, K., Bauld, L., Thomson, G. and Farrar, S. (2012) 'BIBS: Benefits of Incentives for Breastfeeding and smoking cessation: a platform study for a trial', Public Health Agency, Belfast, November 2012.

Hoddinott, P., Hislop, J., Morgan, H., Stewart, F., Farrar, S., Rothnie, K., Bauld, L. and Thomson, G. (2012) 'A mixed methods evidence synthesis of incentive interventions for smoking cessation in pregnancy', Faculty of Public Health Scotland, Crieff, November 2012.

Hoddinott, P., Hislop, J., Morgan, H., Stewart, F., Farrar, S., Rothnie, K., Bauld, L. and Thomson, G. (2012) 'A mixed methods evidence synthesis [poster]', Royal Society of Medicine. Public Health Science: a National Conference Dedicated to New Research in Public Health. London, November 2012.

Morgan, H., Hoddinott, P., Hislop, J., Stewart, F., Rothnie, K., Bauld, L., Thomson, G. and Farrar, S. (2012) 'More questions than answers: the role of incentives around childbirth', Faculty of Public Health Scotland, Crieff, November 2012.

Hoddinott, P., Morgan, H., Thomson, G., Crossland, N., Craig, L., Britten, J., Farrar, S., Newlands, R., Kiezebrink, K. and Coyle, J. (2013), 'Intervention vignettes as a qualitative tool to refine complex intervention design', 2nd Clinical Trials Methodology Conference, EICC, Edinburgh, 18-19 November 2013.

Hoddinott, P., Morgan, H., MacLennan, G., Sewel, K., Thomson, G., Bauld, L., Yi, D., Ludbrook, A. and Campbell, M. K. (2014) 'Public acceptability of financial incentives for smoking cessation in pregnancy and breastfeeding', Scottish School of Primary Care (SSPC), Cumbernauld, 29-30 April 2014.

Hoddinott, P., Morgan, H., MacLennan, G., Sewel, K., Thomson, G., Bauld, L., Yi, D., Ludbrook, A. and Campbell, M. K. (2014) 'Public acceptability of financial incentives for smoking cessation in pregnancy and breastfeeding', 13th International Congress of Behavioral Medicine, Groningen, Netherlands, 20-23 August 2014.

Hoddinott, P., Morgan, H., MacLennan, G., Sewel, K., Thomson, G., Bauld, L., Yi, D., Ludbrook, A. and Campbell, M. (2014) 'Public acceptability of financial incentives for smoking cessation in pregnancy and breastfeeding', Society for Research on Nicotine and Tobacco (SRNT) Europe Annual Meeting, Santiago de Compostela, Spain, 18-20 September 2014.

Hoddinott, P., Morgan, H., Thomson, G., Crossland, N., Farrar, S., Yi, D., Hislop, J., Hall Moran, V., MacLennan, G., Dombrowski, S. U., Rothnie, K., Stewart, F., Bauld, L., Ludbrook, A., Dykes, F., Sniehotta, F. F., Tappin, D. and Campbell, M. (2014) 'The 'push me-pull you' of financial incentives and health inequalities: a mixed methods study investigating smoking cessation in pregnancy and breastfeeding [Poster]', Public Health Science: a National Conference Dedicated to New Research in UK Public Health, Glasgow, 19-22 November 2014.

Morgan, H. on behalf of the BIBS Study Team (Ludbrook, A. and Farrar, S. are members of the BIBS Study Team) (2015) 'Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design' [Poster], 3rd Annual Healthcare Improvement Scotland Research Symposium: Bringing Evidence Together, The Merchants' Hall, Edinburgh, 26 March 2015.

Hoddinott, P. on behalf of the BIBS Study Team (Ludbrook, A. and Farrar, S. are members of the BIBS Study Team) (2015) 'Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS): a mixed-methods study to inform trial design' [Poster], Researching Complex Interventions in Health: the State of the Art, Rougemont Hotel, Exeter, 14-15 October 2015.