Efficacy and cost-effectiveness of a clinic-based counseling intervention tested in an ethnically diverse sample of pregnant smokers
Efficacy and cost-effectiveness of a clinic-based counseling intervention tested in an ethnically diverse sample of pregnant smokers
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DOI：
10.1016/j.pec.2006.03.015
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发表时间：
2006-12-01
影响因子：
3.5
通讯作者：
Gregonis, Elizabeth
中科院分区：
文献类型：
--
作者：
Dornelas, Ellen A.;Magnavita, Jeffrey;Gregonis, Elizabeth
目的：通过公共资助的产前诊所接受产科护理的女性吸烟率更高。这项研究比较了105名孕妇(n=105)的吸烟结果，她们被随机分为两组，一组接受常规护理(来自卫生保健提供者的标准戒烟建议)，另一组在产前诊所进行干预，包括1.5h的咨询和由准备好的心理健康顾问提供的电话随访。方法：受试者是城市产前诊所的105名低收入、以西班牙裔为主的孕妇。结果：在随访时，实验干预组和常规护理组分别有28.3%和9.4%的患者和9.6%的患者在妊娠结束(p=.015)和产后6个月(p=.251)戒烟。每名患者的干预成本为56美元，孕末培养一名非吸烟者的成本为299美元。结论：这种干预模式具有成本效益，并与妊娠末吸烟率显著降低有关。实际意义：如果这些发现被重复，产前诊所可以通过培训心理健康顾问提供一次延长戒烟咨询课程来提供强化戒烟治疗的选择。(C)2006爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: Rates of cigarette smoking are higher among women who receive obstetric care through publicly funded prenatal clinics. This study compared smoking outcomes for pregnant women (n = 105) who were randomized to receive either usual care (standard cessation advice from the health care provider) or an intervention conducted in the prenatal clinic consisting of 1.5 h of counseling plus telephone follow-up delivered by a masters prepared mental health counselor.Methods: Subjects were 105 low income, predominantly Hispanic, pregnant patients in an urban prenatal clinic. Smoking outcomes were assessed at end of pregnancy and 6 months post-partum.Results: At follow-up, 28.3% and 9.4% of participants in the experimental intervention and 9.6% and 3.8% of patients in usual care were abstinent at end of pregnancy (p = .015) and 6 months post-partum, respectively (p = .25 1). Cost of the intervention was $56 per patient and cost to produce a non-smoker at end of pregnancy was $299.Conclusions: This model for intervention was cost-effective and was associated with significantly lower smoking rates at end of pregnancy.Practical implications: If these findings are replicated, prenatal clinics could offer the option for intensive smoking cessation treatment by training mental health counselors to deliver one extended smoking cessation counseling session. (c) 2006 Elsevier Ireland Ltd. All rights reserved.