Stakeholder Perspectives on National Implementation of Financial Incentives for Smoking Cessation Before, During and After Pregnancy: A Policy Lab Study.

IF 3.4 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2026-10-01 DOI:10.1111/hex.70893

Linda van der Spek, Niek Mouter, Tessa Scheffers-van Schayck, Leonieke J Breunis, Hans van Kippersluis, Stijn Hooijman, Jasper V Been

{"title":"Stakeholder Perspectives on National Implementation of Financial Incentives for Smoking Cessation Before, During and After Pregnancy: A Policy Lab Study.","authors":"Linda van der Spek, Niek Mouter, Tessa Scheffers-van Schayck, Leonieke J Breunis, Hans van Kippersluis, Stijn Hooijman, Jasper V Been","doi":"10.1111/hex.70893","DOIUrl":null,"url":null,"abstract":"Background: Financial incentives can substantially increase effectiveness of smoking cessation support for pregnant women, their partners, people planning a pregnancy, and parents, yet implementation in routine care remains limited. This study explored how incentives could be implemented within a national cessation programme through collaboration with key stakeholders.Methods: A Policy Lab approach was used to collaboratively identify barriers, opportunities, and policy directions for implementation. Two interactive sessions were held in autumn 2024 with representatives of the Dutch Ministry of Health, the National Health Care Institute, health insurers, researchers, healthcare professionals, a smoking cessation support provider, and a parent. Transcripts and exercise outputs were thematically analysed using the Consolidated Framework for Implementation Research (CFIR). As part of the policy lab process, we developed a policy brief, infographic, and explainer video.Results: Key challenges included limited public and political support, legal and financial barriers, and logistical and design-related issues. Participants recommended clear messaging on health and societal benefits; initiating pilot projects and providing clear insight into the costs, benefits, and timing of returns; and integrating incentives into existing cessation programme structures with accessible and feasible design.Conclusion: This study provides practical guidance for policymakers and health insurers to integrate financial incentives into smoking cessation support for (expectant) parents, while offering transferable insights for implementation in other settings.Patient or public contribution: A parent with lived experience of receiving smoking cessation support with incentives participated in the Policy Lab. In addition, healthcare professionals, smoking cessation programme providers, health insurers, and representatives from public bodies contributed perspectives grounded in their roles representing patient and public interests. These inputs informed the development of recommendations and dissemination materials, including the policy brief and explainer video, to enhance relevance, accessibility, and public acceptability.","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"29 5","pages":"e70893"},"PeriodicalIF":3.4000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656341/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Expectations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/hex.70893","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Financial incentives can substantially increase effectiveness of smoking cessation support for pregnant women, their partners, people planning a pregnancy, and parents, yet implementation in routine care remains limited. This study explored how incentives could be implemented within a national cessation programme through collaboration with key stakeholders.

Methods: A Policy Lab approach was used to collaboratively identify barriers, opportunities, and policy directions for implementation. Two interactive sessions were held in autumn 2024 with representatives of the Dutch Ministry of Health, the National Health Care Institute, health insurers, researchers, healthcare professionals, a smoking cessation support provider, and a parent. Transcripts and exercise outputs were thematically analysed using the Consolidated Framework for Implementation Research (CFIR). As part of the policy lab process, we developed a policy brief, infographic, and explainer video.

Results: Key challenges included limited public and political support, legal and financial barriers, and logistical and design-related issues. Participants recommended clear messaging on health and societal benefits; initiating pilot projects and providing clear insight into the costs, benefits, and timing of returns; and integrating incentives into existing cessation programme structures with accessible and feasible design.

Conclusion: This study provides practical guidance for policymakers and health insurers to integrate financial incentives into smoking cessation support for (expectant) parents, while offering transferable insights for implementation in other settings.

Patient or public contribution: A parent with lived experience of receiving smoking cessation support with incentives participated in the Policy Lab. In addition, healthcare professionals, smoking cessation programme providers, health insurers, and representatives from public bodies contributed perspectives grounded in their roles representing patient and public interests. These inputs informed the development of recommendations and dissemination materials, including the policy brief and explainer video, to enhance relevance, accessibility, and public acceptability.

查看原文本刊更多论文

利益相关者对国家在怀孕前、怀孕期间和怀孕后实施戒烟财政激励的观点：一项政策实验室研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.