Randomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down
Randomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down
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DOI：
10.1136/bmj.331.7513.373
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发表时间：
2005-08-13
影响因子：
105.7
通讯作者：
Mohammed, E
中科院分区：
文献类型：
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作者：
Tappin, DM;Lumsden, MA;Mohammed, E
目的为了确定是否动机访谈-成瘾行为疗法-在家里提供的专门训练的助产士帮助怀孕的吸烟者戒烟。设计随机对照非盲试验分析的意向治疗。设置诊所附属于两个妇产医院在格拉斯哥。参与者762/1684孕妇谁是经常吸烟者在产前预约：干预组351例，对照组411例。干预组的妇女在家里接受了动机访谈。结果干预组351名妇女中有17名（4.8%）停止吸烟（根据自我报告和血清可替宁浓度<13.7ng/ml），对照组411名妇女中有19名（4.6%）停止吸烟。干预组中有15名（4.2%）妇女减少了（自我报告和可替宁浓度不到预订时的一半），而对照组有26名（6.3%）。干预组中报告吸烟的女性较少（18（5.1%）v 44（10.7%）;相对风险0.48，95%置信区间0.28至0.81）。出生体重没有显着差异（平均3078 g v 3048 g）。结论高质量的动机访谈并没有显着增加孕妇戒烟。
Objective To determine whether motivational interviewing-a behavioural therapy for addictions-provided at home by specially trained midwives helps pregnant smokers to quit.Design Randomised controlled non-blinded trial analysed by intention to treat. Setting Clinics attached to two maternity hospitals in Glasgow.Participants 762/1684 pregnant women who were regular smokers at antenatal booking: 351 in intervention group and 411 in control group.Interventions All women received standard health promotion information. Women in the intervention group were offered motivational interviewing at home. All interviews were recorded.Main outcome measures Self reported smoking cessation verified by plasma or salivary cotinine concentration.Results 17/351 (4.8%) women in the intervention group stopped smoking (according to self report and serum cotinine concentration < 13.7 ng/ml) compared with 19/411(4.6%) in the control group. Fifteen (4.2%) women in the intervention group cut down (self report and cotinine concentration less than half that at booking) compared with 26 (6.3%) in the control group. Fewer women in the intervention group reported smoking more (18 (5.1%) v 44 (10.7%); relative risk 0.48, 95% confidence interval 0.28 to 0.81). Birth weight did not differ significantly (mean 3078 g v 3048 g).Conclusion Good quality motivational interviewing did not significantly increase smoking cessation among pregnant women.