Randomized controlled trial of a midwife-delivered brief smoking cessation intervention in pregnancy
Randomized controlled trial of a midwife-delivered brief smoking cessation intervention in pregnancy
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DOI：
10.1046/j.1360-0443.2001.96348511.x
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发表时间：
2001-03-01
期刊：
影响因子：
6
通讯作者：
Main, N
中科院分区：
文献类型：
--
作者：
Hajek, P;West, R;Main, N
目标。目的：评价助产士常规对孕妇进行短期戒烟干预的效果。设计。助产士随机接受实验干预或常规护理。10-15分钟的干预基于简短的咨询、书面材料、持续自助支持的安排以及对呼出空气中一氧化碳水平的反馈。这项干预是根据女性的需要量身定做的：不想戒烟的人接受短暂的动机干预，想戒烟的人接受旨在帮助他们的干预，而最近戒烟的人(最近戒烟的人)得到复发预防干预。设置。预约与九家医院和社区信托基金的孕妇进行面谈。受试者。共有1120名怀孕第三个月的孕妇(249名最近戒烟者和871名目前吸烟者)。主要观察指标。收集了三个经过生物化学验证的禁欲指标。产前持续戒酒至少3个月，产后即刻点位戒毒，产前3个月至产后6个月持续戒烟。结果。在有资格参加试验的妇女中，只有一小部分实际上是由178名招聘助产士招募的，缺乏时间被认为是主要障碍。干预组和常规护理组近期戒烟者的产后戒烟率差异有统计学意义(65%比53%，p
Objective. To evaluate the efficacy of a brief smoking cessation intervention with pregnant women practicable routinely by midwives. Design. Midwives were randomized to deliver the experimental intervention or usual care. The 10-15-minute intervention was based on brief counselling, written materials, arrangements for continuing self-help support and feedback on expired-air carbon monoxide levels. The intervention was tailored to the women's needs: those who did not want to stop smoking received a brief motivational intervention, those who wanted to stop received an intervention designed to assist them and those that had stopped recently (recent ex-smokers) received a relapse prevention intervention. Setting. Booking interviews with pregnant women in nine hospital and community trusts. Subjects. A total of 1120 pregnant women in the third month of pregnancy (249 recent ex-smokers and 871 current smokers). Main outcome measures. Three indicators of biochemically validated abstinence were collected. Continuous abstinence for at least 3 months prior to delivery, point prevalence abstinence immediately post-delivery, and continuous abstinence from 3 months pre-delivery to 6 months post-delivery. Results. Only a small proportion of the women who would have been eligible to take part in the trial were actually recruited by 178 recruiting midwives, with lack of time being cited as the main barrier. The intervention and usual care groups differed in post-delivery point prevalence abstinence rates for recent ex-smokers (65% vs. 53%, p