PREVENTING FETAL/INFANT PASSIVE SMOKE EXPOSURE

预防胎儿/婴儿被动接触烟雾

• 批准号: 2332504
• 负责人: Barbara G. Valanis
• 金额: $ 42.67万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-02-01 至 1999-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2332504
• 关键词: behavioral /social science research tag; clinical trials; education evaluation /planning; embryo /fetus toxicology; health economics; health service demonstration project; human pregnant subject; human subject; managed care; maternal behavior; newborn human (0-6 weeks); passive smoking; pregnancy; prenatal care; smoking cessation; statistics /biometry; tobacco abuse education; tobacco abuse prevention; videotape /videodisc

This is a demonstration study aimed at developing and evaluating a program for reducing cigarette smoking in the population of pregnant women who are members of Northwest Kaiser Permanente (NWKP). The project builds on a firm foundation of our previous work in outpatient, low-intensity smoking cessation and our ongoing trial addressing smoking behavior in mothers through pediatric offices, and on a significant body of literature supporting physician advice and other smoking cessation strategies in ambulatory populations, including pregnant women. Pregnant women who smoke constitute a high-risk group, given the risks for both mother and the passive smoke exposure risks for fetuses and newborns. The study will develop, implement, and evaluate a region-wide intervention initially aimed at pregnant mothers and continuing through delivery and the first six months of pediatric well-baby care. The program is based on the philosophy that health promotion, including smoking cessation should become a routine aspect of maternal prenatal and postnatal care, and that cost-effectiveness of mechanisms for medical care systems to deliver health promotion must be assessed. Smoking will be routinely assessed and recorded at each visit. Physicians, nurses, and nurse practitioners will deliver brief, stage-appropriate messages and materials at most visits. A tailor-made video will be shown during both prenatal and pediatric (postnatal) phases, letters to fathers, and mailed newsletters, partly aimed at husbands, will also be employed. Intervention efficacy will be evaluated using a quasi-experimental design. The comparison group will be smoking, pregnant women assessed prior to implementing intervention at the same clinics. Changes in smoking rates in the population of women at one year after delivery will be the primary end point. Secondary aims include evaluating possible changes in husband smoking; analyzing predictors of cessation among women; evaluating provider perceptions of the feasibility, efficacy, and value of the intervention; and evaluating maintenance of the intervention after project completion.

这是一项示范性研究，旨在开发和评估 减少孕妇吸烟计划 西北凯撒永久机构的妇女成员。 项目 建立在我们以前门诊工作的坚实基础上， 低强度戒烟和我们正在进行的针对吸烟的试验 行为在母亲通过儿科办公室，并在一个重要的机构 支持医生建议和其他戒烟的文献 包括孕妇在内的流动人口的战略。 怀孕 吸烟的妇女构成高风险群体，因为两者都有风险。 母亲和被动吸烟暴露对胎儿和新生儿的风险。 该研究将制定、实施和评估一项区域范围的 最初针对孕妇的干预措施， 分娩和前六个月的儿科良好婴儿护理。 的 该计划是基于哲学，健康促进，包括 戒烟应该成为母亲产前的常规方面， 产后护理和医疗保健机制成本效益 必须评估提供健康促进的护理系统。 吸烟会 在每次访视时进行常规评估和记录。 医生，护士， 执业护士将传达简短的、适合舞台的信息， 在大多数访问中， 期间将播放一段特制的录像， 产前和儿科（产后）阶段，给父亲的信， 还将采用部分针对丈夫的邮寄通讯。 干预效果将使用准实验性 设计 对照组将吸烟、怀孕的妇女进行评估 在同一诊所实施干预之前。 变化 分娩后一年的妇女人口吸烟率将 成为主要终点。 次要目的包括评估可能的 丈夫吸烟的变化;分析 妇女;评估供应商的可行性，有效性， 干预的价值;以及评估干预的维持情况 项目完成后。

项目成果

Integrating prenatal-postnatal smoking interventions into usual care in a health maintenance organization.

将产前产后吸烟干预纳入健康维护组织的常规护理中。

• DOI: 10.1177/1524839903004003008
• 发表时间: 2003
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Valanis,Barbara;Labuhn,KarenT;Stevens,NancyH;Lichtenstein,Edward;Brody,KathleenK
• 通讯作者: Brody,KathleenK