A couples-focused intervention for smoking cessation during pregnancy: The study protocol of the Quit Together pilot randomized controlled trial
A couples-focused intervention for smoking cessation during pregnancy: The study protocol of the Quit Together pilot randomized controlled trial
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DOI：
10.18332/tpc/89926
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发表时间：
2018-05-01
影响因子：
1.8
通讯作者：
Blaga, Oana M.
中科院分区：
文献类型：
--
作者：
Meghea, Cristian I.;Brinzaniuc, Alexandra;Blaga, Oana M.
吸烟仍然是全球可预防疾病和死亡的主要原因。在中欧和东欧，孕前和孕期吸烟的比例很高。“一起戒烟”是一所美国大学和一所罗马尼亚大学、罗马尼亚妇产科诊所以及罗马尼亚其他社区合作伙伴之间的合作项目。“一起戒烟”试点研究的目标是调整、加强和测试罗马尼亚基于证据的怀孕和产后夫妇戒烟干预措施的实施可行性和初步效果。一起戒烟建立在动机和问题解决（MAPS）方法的基础上，通过针对夫妇的吸烟行为和关注戒烟的双重功效来加强。该研究是一项正在进行的随机对照试验，涉及120名罗马尼亚怀孕吸烟者及其伴侣。参与者被随机分配到：1)干预组通常由多达8个妇女产前和产后电话咨询电话和4个伴侣电话组成，结合动机策略和解决问题/应对技巧来鼓励妇女戒烟，并鼓励伴侣支持她的决定；2)控制臂（常规护理）。主要结果是产后3个月经生化验证的产妇戒烟。“一起戒烟”有可能确定有效的策略，以增加母亲在怀孕期间戒烟和出生后戒烟。如果有效，预计“一起戒烟”将对儿童、母亲和伴侣的健康产生持续的积极影响，并可能降低卫生系统成本。
Tobacco smoking remains the leading global cause of preventable disease and death. Preconception and pregnancy smoking are high in Central and Eastern Europe. Quit Together is a partnership between a US university and a Romanian university, obstetrics and gynecology clinics in Romania, and other community partners in Romania. The objective of the Quit Together pilot study is to adapt, enhance and test the implementation feasibility and initial efficacy of an evidence-based pregnancy and postnatal couple intervention for smoking cessation in Romania. Quit Together builds on the Motivation and Problem Solving (MAPS) approach, enhanced by targeting the couples' smoking behavior and focusing on dyadic efficacy for smoking cessation. The study is an ongoing randomized controlled trial of 120 Romanian pregnant smokers and their partners. Participants are randomized to: 1) an intervention arm consisting, typically, of up to 8 prenatal and postnatal telephone counseling calls for the women and 4 for their partners, combining motivational strategies and problem-solving/coping skills to encourage the woman to quit smoking and the partner to support her decision; and 2) a control arm (usual care). The primary outcome is maternal biochemically verified smoking abstinence at 3 months postpartum. Quit Together has the potential to identify effective strategies to increase maternal smoking cessation during pregnancy and smoking abstinence after birth. If effective, Quit Together is expected to have a sustainable positive impact on the health of the child, mother and partner, and potentially reduced health system costs.