PARTNER ASSISTED INTERVENTIONS FOR PREGNANT SMOKERS

描述：怀孕期间吸烟会增加女性的风险， 妊娠并发症和许多分娩结果。 三分之二的女性 吸烟者在怀孕期间继续吸烟， 低收入和受教育程度较低的妇女吸烟。 为广大 怀孕发生在亲密关系的背景下， 孕妇报告说，这是她们的主要支助来源。 然而，在这方面， 自然发生的伴侣支持可能不足以帮助怀孕 戒烟，特别是当伴侣是吸烟者时。 的 拟议的研究是一项为期五年的随机试验，以评估增量 提供一种部件辅助支撑件的改进 孕妇自助戒烟干预的科学水平 吸烟者。 英尺布拉格军事基地位于费耶特维尔，数控被选中 作为研究地点，因为高吸烟率，高出生率和 大多数接受产前护理的妇女嫁给了军人， 人员的 将在添加剂中测试三种干预条件 设计 符合条件的夫妇谁是接受产前护理英尺。 布拉格/沃马克陆军医疗中心将从自动识别 任命日志和招募参与。 同意的夫妇（n=700） 将被随机分配到：（1）提供建议和自助手册（通常 护理原型，n=233）;（2）自助指南和复发预防套件加 产前和产后电话咨询（加强自助，n=233）;或（3） 加强自助加上伙伴协助的支持干预， 包括一个夫妇接触会议和定制的系列化书面材料 加上伴侣吸烟者的戒烟材料（伴侣协助，n=233）。 参与者将在基线、妊娠32周和8周时接受调查。 产后3周、6个月和12个月。 自我报告的吸烟状况将是 在妊娠后期和12个月随访时进行生物化学验证。 主要关注的结果将是戒烟率， 孕妇和认为伴侣支持戒烟的程度 后续行动。

DESCRIPTION: Smoking during pregnancy increases women's risk of complications of pregnancy and numerous birth outcomes. Two-thirds of women smokers continue to smoke during pregnancy, with particularly high rates of smoking among low income and less educated women. For the majority of women, pregnancy occurs in the context of an intimate relationship that pregnant women report as their primary source of support. However, naturally occurring partner support may not be enough to assist pregnant smokers with cessation, particularly when the partner is a smoker. The proposed study is a five year randomized trial to evaluate the incremental improvement of providing a part-assisted support adjunct to state-of-the-science self-help smoking cessation interventions for pregnant smokers. Ft. Bragg military base located in Fayetteville, NC was selected as the study site because of high smoking rates, high birth rates and the majority of women who receive prenatal care are married to military personnel. Three intervention conditions will be tested in an additive design. Eligible couples who are receiving prenatal care at Ft. Bragg/Womack Army Medical Center will be identified from automated appointment logs and recruited to participate. Couples who agree (n=700) will be randomized to: (1) provide advice and a self-help booklet (usual care prototype, n=233); (2) self-help guide and relapse prevention kit plus pre-and postpartum telephone counseling (enhanced self-help, n=233); or (3) enhanced self-help plus a partner-assisted support intervention that includes a couple contact session and tailored serialized written materials plus cessation materials for partner smokers (partner-assisted, n=233). Participants will be surveyed at baseline, 32 weeks of pregnancy, and 8 weeks, 6 and 12 months postpartum. Self reported smoking status will be biochemically validated late in pregnancy and at the 12 month follow-up. The primary outcomes of interest will be rates of smoking cessation among pregnant women and levels of perceived partner support for cessation at all follow-ups.