{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:40:40Z","timestamp":1792428040430,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key challenges included limited public and political support, legal and financial barriers, and logistical and design\u2010related 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70893","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:25:03Z","timestamp":1791804303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholder Perspectives on National Implementation of Financial Incentives for Smoking Cessation Before, During and After Pregnancy: A Policy Lab Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0021-8603","authenticated-orcid":false,"given":"Linda","family":"van der Spek","sequence":"first","affiliation":[{"name":"Division of Neonatology, Department of Neonatal and Paediatric Intensive Care, Erasmus MC Sophia Children's Hospital University Medical Centre Rotterdam Rotterdam The Netherlands"},{"name":"Department of Epidemiology Trimbos Institute Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0299-5852","authenticated-orcid":false,"given":"Niek","family":"Mouter","sequence":"additional","affiliation":[{"name":"Department of Engineering Systems and Services, Faculty of Technology Policy and Management Delft University of Technology Delft The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa","family":"Scheffers\u2010van Schayck","sequence":"additional","affiliation":[{"name":"Department of Tobacco Control Trimbos Institute Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7788-6511","authenticated-orcid":false,"given":"Leonieke J.","family":"Breunis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Erasmus MC Sophia Children's Hospital University Medical Centre Rotterdam Rotterdam The Netherlands"},{"name":"Department of Paediatrics, Erasmus MC Sophia Children's Hospital University Medical Centre Rotterdam Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3297-5059","authenticated-orcid":false,"given":"Hans","family":"van Kippersluis","sequence":"additional","affiliation":[{"name":"Erasmus School of Economics Erasmus University Rotterdam Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3139-9472","authenticated-orcid":false,"given":"Stijn","family":"Hooijman","sequence":"additional","affiliation":[{"name":"Erasmus School of Economics Erasmus University Rotterdam Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4907-6466","authenticated-orcid":false,"given":"Jasper V.","family":"Been","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Neonatal and Paediatric Intensive Care, Erasmus MC Sophia Children's Hospital University Medical Centre Rotterdam Rotterdam The Netherlands"},{"name":"Department of Obstetrics and Gynaecology, Erasmus MC Sophia Children's Hospital University Medical Centre Rotterdam Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease","author":"U.S. Department of Health and Human Services","year":"2014"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17062034"},{"key":"e_1_2_13_4_1","author":"Scheffers\u2010van Schayck T.","year":"2024","journal-title":"Monitor Middelengebruik en Zwangerschap 2023 [Dutch Monitor on Substance Use During Pregnancy 2023]. 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