Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21414
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dc.contributor.authorCrossland, Nicolaen_UK
dc.contributor.authorThomson, Gillen_UK
dc.contributor.authorMorgan, Heatheren_UK
dc.contributor.authorDombrowski, Stephan Uen_UK
dc.contributor.authorHoddinott, Paten_UK
dc.date.accessioned2017-06-08T22:57:07Z-
dc.date.available2017-06-08T22:57:07Z-
dc.date.issued2015-03en_UK
dc.identifier.urihttp://hdl.handle.net/1893/21414-
dc.description.abstractFinancial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by providing insights into incentive acceptability and mechanisms of action. Systematic evidence syntheses of incentive intervention studies for smoking cessation in pregnancy or breastfeeding identified incentive characteristics, which were developed into initial categories. Little published qualitative data on user perspectives and acceptability was available. Qualitative interviews and focus groups conducted in three UK regions with a diverse socio-demographic sample of 88 women and significant others from the target population, 53 service providers, 24 experts/decision makers, and conference attendees identified new potential incentives and providers, with and without experience of incentives. Identified incentives (published and emergent) were classified into eight categories: cash and shopping vouchers, maternal wellbeing, baby and pregnancy-related, behaviour-related, health-related, general utility, awards and certificates, and experiences. A typology was refined iteratively through concurrent data collection and thematic analysis to explore participants' understandings of ‘incentives' and to compare and contrast meanings across types. Our typology can be understood in three dimensions: the degree of restriction, the extent to which each is hedonic and/or utilitarian, and whether each has solely monetary value versus monetary with added social value. The layers of autonomy, meanings and the social value of incentive types influence their acceptability and interact with structural, social, and personal factors. Dimensions of incentive meaning that go beyond the simple incentive description should inform incentive programme design and are likely to influence outcomes.en_UK
dc.language.isoenen_UK
dc.publisherElsevieren_UK
dc.relationCrossland 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. Social Science and Medicine, 128, pp. 10-17. https://doi.org/10.1016/j.socscimed.2014.12.019en_UK
dc.rights© 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_UK
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_UK
dc.subjectIncentivesen_UK
dc.subjectBreastfeedingen_UK
dc.subjectSmoking cessationen_UK
dc.subjectTypologyen_UK
dc.subjectBehaviour changeen_UK
dc.subjectHealth behaviouren_UK
dc.subjectAcceptabilityen_UK
dc.subjectMotivationen_UK
dc.titleIncentives for breastfeeding and for smoking cessation in pregnancy: An exploration of types and meaningsen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1016/j.socscimed.2014.12.019en_UK
dc.identifier.pmid25569610en_UK
dc.citation.jtitleSocial Science and Medicineen_UK
dc.citation.issn0277-9536en_UK
dc.citation.issn0277-9536en_UK
dc.citation.volume128en_UK
dc.citation.spage10en_UK
dc.citation.epage17en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailp.m.hoddinott@stir.ac.uken_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.identifier.isiWOS:000351323500033en_UK
dc.identifier.scopusid2-s2.0-84935119905en_UK
dc.identifier.wtid606968en_UK
dc.contributor.orcid0000-0001-9832-2777en_UK
dc.contributor.orcid0000-0002-4372-9681en_UK
dcterms.dateAccepted2015-03-31en_UK
dc.date.filedepositdate2015-01-29en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorCrossland, Nicola|en_UK
local.rioxx.authorThomson, Gill|en_UK
local.rioxx.authorMorgan, Heather|en_UK
local.rioxx.authorDombrowski, Stephan U|0000-0001-9832-2777en_UK
local.rioxx.authorHoddinott, Pat|0000-0002-4372-9681en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2015-03-31en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2015-03-31en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by-nc-nd/4.0/|2015-03-31|en_UK
local.rioxx.filenameHoddinott_Social Science and Medicine 2015.pdfen_UK
local.rioxx.filecount2en_UK
local.rioxx.source0277-9536en_UK
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