A randomized controlled trial of a smoking cessation intervention for pregnant adolescents
A randomized controlled trial of a smoking cessation intervention for pregnant adolescents
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DOI：
10.1097/00006199-200611000-00004
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发表时间：
2006-11-01
期刊：
影响因子：
2.5
通讯作者：
Mlynarchek, Sara
中科院分区：
文献类型：
--
作者：
Albrecht, Susan A.;Caruthers, Donna;Mlynarchek, Sara
背景资料：据估计，怀孕青少年的吸烟率为59- 62%，这些青少年中有60-80%的人在整个怀孕期间继续吸烟。为怀孕青少年量身定制的戒烟策略，以实现和保持戒烟。具体的目的是检查短期和长期吸烟行为之间的差异，三组：青少年FreshStart（TFS），青少年FreshStart加上好友TFS-B，和口腔护理（UC）controls.Methods：在这个随机对照干预研究中，3组（TFS，TFS-B，和UC）的3个场合（基线，8周后随机化，1年后进入研究）的设计。该研究包括142名年龄在14至19岁之间的怀孕青少年。两个自我报告的吸烟状态收集的吸烟史问卷和唾液可替宁水平被用来确定吸烟behaviors.Results：有三个治疗组在基线的种族，分布，年龄，胎龄，月经开始的年龄，在家庭家庭的家庭，吸烟的家庭成员的数量，或烟草使用方面没有显着差异。在治疗开始后8周测量的吸烟行为中，观察到UC组和TFS-B组之间的显著差异（p = 0.010）。然而，在1年后进入研究，有组之间没有差异，吸烟behaviors.Discussion：TFS-B干预是更有效地实现短期戒烟的怀孕青少年比TFS或UC。研究结果表明，同伴增强编程的效果有限，但不能维持参与者产后（研究进入后1年）。未来的研究应包括复吸预防，以维持戒烟到产后期。
Background: The smoking prevalence rate among pregnant adolescents has been estimated at 59-62%, and 60-80% of these adolescents continue to smoke throughout their pregnancies.Objectives: The aim of this study was to evaluate the short- and long-term effects. of smoking cessation strategies tailored to the pregnant adolescent to attain and maintain abstinence. The specific aim was to examine differences in short- and long-term smoking behaviors among three groups: Teen FreshStart (TFS), Teen FreshStart Plus Buddy TFS-B, and Usual Care (UC) control.Methods: In this randomized controlled intervention study, a 3-group (TFS, TFS-B, and UC) by 3-occasion (baseline, 8 weeks postrandomization, and 1-year following study entry) design was used. The study included 142 pregnant adolescents who were aged 14 to 19 years. Both self-reported smoking status collected on the Smoking History Questionnaire and saliva cotinine levels were used to identify smoking behaviors.Results: There were no significant differences among the three treatment groups at baseline in terms of the racial, distribution, age, gestational age, age of menses initiation, number in family household, number of family members who smoked, or tobacco use. A significant difference be tween the UC group and the TFS-B group (p = .010) was seen in smoking behaviors measured 8 weeks following treatment initiation. At 1 year following study entry, however, there were no differences between the groups in smoking behaviors.Discussion: The TFS-B intervention was more effective in attaining short-term smoking cessation in the pregnant adolescent than TFS or UC. Findings suggest that the peer-enhanced programming had a limited effect but could not sustain the participant beyond postpartum (1 year following study entry). Future studies should include relapse prevention to sustain smoking abstinence into the postpartum period.