Reducing ETS Exposure of Pregnant Women and Newborns

减少孕妇和新生儿的 ETS 暴露

• 批准号: 7092292
• 负责人: THOMAS Mills LASATER
• 金额: $ 74.49万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7092292
• 关键词: African American; Hispanic Americans; behavior therapy; clinical research; clinical trials; embryo /fetus toxicology; environmental exposure; human subject; human therapy evaluation; low socioeconomic status; nicotine; patient oriented research; perinatal; postpartum; pregnancy; smoking; smoking cessation; tobacco abuse; urinalysis; videotape /videodisc

DESCRIPTION (provided by applicant): The Healthy People 2010 Objectives address the importance of smoking cessation during pregnancy and the importance of reducing environmental tobacco smoke (ETS) exposure of children and adults. The current proposal uses a new combination of existing technologies to maximize the appropriateness of prenatal and postpartum education concerning ETS exposure in an innovative, inexpensive and widely applicable approach. Our proposed use of tailored videotapes is practical, feasible and inexpensive enough to be attractive to clinics serving low-income and minority women. We will produce a large number of video segments utilizing live actors, animation and word slates. About 10 will be computer selected for each of 4 videotapes for each woman based on her responses to 4-self-assessments. No studies to date have included multiple doses of tailored video education as we propose, nor have videotapes been used in this way. The overall purposes of the current proposal are: (1) to develop an innovative intervention (tailored "take-home" videotape) to help pregnant women maximize their pregnancy outcome and their new infant's health through reduction in exposure to ETS and (2) to study the feasibility and efficacy of this intervention compared with a usual care group. This innovative technology will be field tested in collaboration with six prenatal clinics that serve primarily low-income, African American, Latina and majority women to address two Specific Aims: SA. 1. To test the efficacy of tailored video (TV) versus usual care (UC) approaches in terms of reducing the exposure to ETS of the fetuses of non-smoking, low -income women during pregnancy (assessed at 34 Weeks Gestation using urine cotinine concentration and ETS self-report) and to their infants (as measured by urine cotinine concentration and mothers self-report at 6 months postpartum). SA.2. To test the efficacy of tailored video (TV) versus usual care (UC) approaches in terms of reducing the exposure of the fetuses of low-income smoking women to tobacco smoke during pregnancy (assessed at 34 Weeks Gestation using urine cotinine concentrations of the pregnant women and smoking and ETS self-reports) and to their infants (as measured by urine cotinine concentration from the infant at 6 Months Postpartum and self-reports of infant exposure by the new mothers) Because of the lack of data on reducing ETS exposure with low-income and minority women, intensive formative and extensive process evaluation components are included.

描述(由申请人提供)：2010年健康人目标阐述了怀孕期间戒烟的重要性，以及减少儿童和成人暴露于环境烟草烟雾(ETS)的重要性。目前的提案使用现有技术的新组合，以一种创新、廉价和广泛适用的方法，最大限度地提高关于ETS暴露的产前和产后教育的适当性。我们建议使用量身定做的录像带是实用、可行和廉价的，足以吸引为低收入和少数族裔妇女提供服务的诊所。我们将制作大量的视频片段，利用现场演员，动画和文字石板。根据每个女性对4个自我评估的回答，将在电脑上为每个女性选择4盘录像带中的大约10盘。到目前为止，还没有研究像我们建议的那样包括多次量身定做的视频教育，录像带也没有以这种方式使用。目前建议的总体目的是：(1)开发一种创新的干预措施(量身定做的“带回家”录像带)，通过减少接触ETS来帮助孕妇最大限度地提高妊娠结局和新生儿的健康；以及(2)与常规护理组相比，研究这种干预措施的可行性和有效性。这项创新技术将与六家产前诊所合作进行现场测试，这些诊所主要为低收入、非裔美国人、拉丁裔和大多数妇女提供服务，以解决两个具体目标：SA。1.测试定制视频(TV)和常规护理(UC)方法在减少非吸烟、低收入妇女怀孕期间胎儿(怀孕34周时使用尿可替宁浓度和ETS自我报告进行评估)及其婴儿(通过尿可替宁浓度和产后6个月母亲自我报告来衡量)暴露于ETS方面的有效性。 SA.2.为了测试定制视频(TV)和常规护理(UC)方法在减少低收入吸烟妇女胎儿在怀孕期间(使用孕妇尿可替宁浓度和吸烟和ETS自我报告来评估怀孕34周时的烟草烟雾暴露)及其婴儿(以产后6个月婴儿尿可替宁浓度和新母亲对婴儿暴露的自我报告来衡量)方面的有效性，由于缺乏减少低收入和少数族裔妇女ETS暴露的数据，因此纳入了强化形成和广泛的过程评估部分。