Financial Incentives for Smoking Cessation Among Mothers

Investigators will examine whether adding financial incentives and nicotine replacement dual therapy to current best practices for smoking cessation (i.e. referral to counseling using a telephone quit line) increases cessation rates in mothers and reduces second-hand smoke exposure in children. While perhaps more expensive upfront compared to best practices alone, the investigators hypothesize that this treatment approach will be a more cost-effective cessation intervention.

Inclusion Criteria:Expresses interest in quitting smokingExpress willingness to initiate NRTMother is ≥ 18 years of ageSelf-reported smoking ≥ 10 cigarettes per day for ≥ 1 year, biochemically verifiedMother has a child < 12 years of ageChild resides with mother full-timeNot currently using any other tobacco cessation medications (e.g. Chantix) or NRT, or willing to stop use prior to participation in the studyLives in Chittenden County, Vermont or surrounding countiesPlans on remaining in the geographical area for the next 12 monthsEnglish-speakingWilling to let child participate in the studyExclusion Criteria:Failing to meet any of the above criteriaHas medical contraindications to NRT productsMeeting Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for moderate or severe alcohol or drug dependence other than nicotine in the prior 12 months (those on opioid substitution therapy are allowed)Current/past psychotic disorderBeing suicidalCurrently pregnant or trying to become pregnant in the next 12 monthsIncarcerationRefusal to participate in study