Smoking cessation and relapse prevention for postpartum women: Results from a randomized controlled trial at 6, 12, 18 and 24 months
Smoking cessation and relapse prevention for postpartum women: Results from a randomized controlled trial at 6, 12, 18 and 24 months
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DOI：
10.1016/j.addbeh.2008.07.021
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发表时间：
2009-01-01
影响因子：
4.4
通讯作者：
Hapke, Ulfert
中科院分区：
文献类型：
--
作者：
Hannoever, Wolfgang;Thyrian, Jochen Rene;Hapke, Ulfert
目的：测试辅助戒烟/预防复发干预措施对产后妇女的功效。方法：双组随机对照试验。在 6、12、18 和 24 个月时进行随访，在产房进行筛查。干预组在产后40天接受面对面咨询，并在4周和12周后接受电话咨询。对照组接受常规护理并为每位家长提供自助材料。 结果：关于戒烟，治疗组在 6、12 和 18 个月时的 4 周点戒烟率较高（分别为 7% vs. 1%、7% vs. 2% 和 9% vs. 1%）。 6 个月随访时，治疗组的持续戒断率较高（3% 与 0%）。在预防复发方面没有观察到差异。讨论：关于辅助戒烟，我们观察到较小的效果，关于预防复发没有效果。为了利用分娩带来的与吸烟有关的机会，需要指导设计干预措施的戒烟复发预防理论。 (C) 2008 Elsevier Ltd. 保留所有权利。
Aim: To test the efficacy of an aid to cessation/relapse prevention intervention for women postpartum.Method: Two-armed randomized controlled trial. Follow-Lips at 6, 12, 18, and 24 months, screenings on maternity wards. Intervention group received face-to-face counseling 40 days postpartum Plus telephone counseling calls 4 and 12 weeks later. Control group received usual care plus self-help material for each parent.Results: With regard to smoking cessation, 4 week point prevalence abstinent rates were higher in the treatment group at 6. 12, and 18 months (7% vs. 1%. 7% vs. 2%, and 9% vs. 1%, respectively). Sustained abstinence was higher in the treatment group at 6 months follow-up (3% vs. 0%). No difference was observed with regard to relapse prevention.Discussion: Regarding aid to cessation we observed small effects, regarding relapse prevention no effect. In order to capitalize on the opportunity childbirth poses with regard to smoking, theories on relapse prevention in smoking cessation that guide in designing interventions are needed. (C) 2008 Elsevier Ltd. All rights reserved.