SMOKING RELAPSE PREVENTION FOR PREGNANT WOMEN

预防孕妇复吸

• 批准号: 3423073
• 负责人: John B. Lowe
• 金额: $ 1.69万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-01 至 1991-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3423073
• 关键词: mother /infant health care; self care; self help organization; tobacco abuse education; tobacco abuse prevention

During the past decade, numerous reports have confirmed the detrimental effects of smoking during pregnancy on the health of the fetus, newborn infant, and the mother. More recently, efforts are being made to increase the awareness and to inform both the mother and the physician about the effects of smoking during pregnancy. These public information campaigns and warnings appear to be motivating some women to attempt to quit smoking once becoming pregnant (approximately 20-25%). It is apparent from early work, however, a significant problem exists in the resumption of smoking following successful cessation. Efforts need to be directed toward providing these motivated women with experiences to encourage continued success during pregnancy. No programs are currently available to assist the pregnant ex- smoker in not relapsing. The purpose of this project is to develop a multi-component intervention to prevent smoking relapse among pregnant women in Public Health Maternity clinics. We will evaluate the effectiveness of an intervention composed of three principal components: 1) a ten minute standardized relapse prevention skill training session, 2) social support, and 3) clinic reinforcement. A randomized, perspective pretest/post-test group design will be employed to evaluate the effectiveness. A total of 110 recent quitters will be randomized to the two groups and then be followed until the end of pregnancy. Self-reports of abstinence will be verified using carbon monoxide testing. We are seeking new, critical information in this formative evaluation on: 1) what type of program will fit into a busy prenatal care clinic (feasibility) and 2) the level of effectiveness these methods might have (behavioral impact). With this information, we will be able to estimate intervention effects and be in an excellent position to propose a larger, more rigorous trial to address this significant problem of recidivism among pregnant women at high risk.

在过去的十年里，无数的报道证实了这一点 怀孕期间吸烟对健康的不利影响 胎儿、新生儿和母亲。 最近，努力 正在采取措施提高认识并告知 母亲和医生了解吸烟对怀孕期间的影响 怀孕。 这些公共信息活动和警告 似乎激励一些女性尝试戒烟 一旦怀孕（约20-25%）。 可见 然而，从早期工作来看，存在一个重大问题 成功戒烟后恢复吸烟。 努力 需要致力于为这些积极进取的女性提供 鼓励怀孕期间继续取得成功的经验。 目前没有计划可以帮助怀孕的前 吸烟者不会复吸。 该项目的目的是开发 预防复吸的多成分干预措施 公共卫生妇产诊所的孕妇。 我们将 评估由三部分组成的干预措施的有效性 主要组成部分：1）十分钟标准化复发 预防技能培训课程，2）社会支持，3）诊所 加强。 随机、透视前测/后测 将采用分组设计来评估有效性。 一个 总共 110 名最近戒烟者将被随机分为两组 然后进行随访直至妊娠结束。 自我报告 将使用一氧化碳测试来验证禁欲情况。 我们正在这个形成性的过程中寻找新的、关键的信息 评估：1）什么类型的项目适合繁忙的工作 产前保健诊所（可行性）和2）有效性水平 这些方法可能会产生（行为影响）。 有了这个 信息，我们将能够估计干预效果并 能够提出更大规模、更严格的试验 解决孕妇累犯这一重大问题 女性处于高风险状态。

项目成果

Smoking relapse prevention methods for pregnant women: a formative evaluation.

孕妇预防复吸方法：形成性评价。

• DOI: 10.4278/0890-1171-11.4.244
• 发表时间: 1997
• 期刊: American journal of health promotion : AJHP
• 作者: Lowe,JB;Windsor,R;Balanda,KP;Woodby,L
• 通讯作者: Woodby,L