Increasing support for smoking cessation during pregnancy and postpartum: Results of a randomized controlled pilot study
Increasing support for smoking cessation during pregnancy and postpartum: Results of a randomized controlled pilot study
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DOI：
10.1016/j.ypmed.2010.01.003
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发表时间：
2010-03-01
影响因子：
5.1
通讯作者：
Dunn, Caroline
中科院分区：
文献类型：
--
作者：
Hennrikus, Deborah;Pirie, Phyllis;Dunn, Caroline
目标。我们检验了一项干预的可行性和有效性，以动员怀孕吸烟者的社会网络中的妇女支持戒烟。本研究于2005年至2007年在明尼苏达州的圣保罗和俄亥俄州的哥伦布进行。怀孕的吸烟者（n = 82）在他们的社交网络中找到一位帮助他们戒烟的女性。结果二人组随机分为干预组（n = 54）和对照组（n = 28）。干预的支持者受试者每月收到咨询师关于提供有效支持的联系；没有联系到对照组的支持者。在基线、妊娠结束和产后3个月对受试者和支持者进行访谈。与对照组受试者相比，干预组受试者报告说，他们的支持者提供支持行为的频率更高，更致力于帮助他们戒烟。干预组在妊娠末期有更多有效戒烟的趋势，没有显著性差异：13.0%对3.6%。产后3个月，干预组的戒烟率下降到9.3%，对照组的戒烟率下降到0%。在吸烟者的社会网络中增加女性支持的频率和质量是一种很有前途的产前戒烟策略。(C) 2010爱思唯尔公司版权所有。
Objectives. We examined the feasibility and effectiveness of an intervention to mobilize women in the social networks of pregnant smokers to support smoking cessation.Methods. This Study was conducted in St. Paul, Minnesota, and Columbus, Ohio, from 2005 through 2007. Pregnant smokers (n = 82) identified a woman in their social network to help them quit smoking. The resulting dyads were randomized to either intervention (n = 54) or control (n = 28) conditions. Supporters of intervention Subjects received monthly contacts from a counselor about providing effective support; supporters in the control condition were not contacted. Interviews with subjects and supporters were conducted at baseline, end of pregnancy and 3 months postpartum.Results. Compared with control subjects, intervention group subjects reported that their supporters had provided support behaviors more frequently and were More committed to helping them quit. There was a non-significant trend for More validated quits in the intervention group at the end of pregnancy: 13.0% vs. 3.6% among the controls. Quit rates decreased to 9.3% in the intervention group and 0% in the control group at 3 months postpartum.Conclusions. Increasing the frequency and quality of support from a woman in the smoker's social network is a promising prenatal smoking cessation strategy. (C) 2010 Elsevier Inc. All rights reserved.