基于阶段变化理论的准爸爸远程视频戒烟管理模式的构建和效果评价

长期二手烟暴露与不良妊娠和分娩结局高度相关，吸烟准爸爸是孕产妇及新生儿主要的二手烟暴露来源。然而，准爸爸戒烟意愿和戒烟率低，复吸率高，且国内外尚未报道有效的干预措施帮助其戒烟。我们前期研究发现，准爸爸对母婴健康相关烟害知识的知晓程度是其戒烟的重要预测因子，并验证对准爸爸开展母婴健康特异性教育能有效提高其戒烟意愿。然而准爸爸戒烟率低、复吸率高的问题仍未解决。在前期研究基础上，基于阶段变化理论，本研究拟针对传统干预方案的局限性，结合吸烟准爸爸的戒烟需求，优化干预策略，1) 构建母婴健康特异性教育结合持续支持的远程视频戒烟管理模式，2) 开展随机对照试验，验证该模式帮助准爸爸戒烟的临床有效性。本研究将探索出一个科学实用，便于推广，且具有成本效益的戒烟干预模式，帮助准爸爸提高戒烟意愿和戒烟率、预防复吸，为相关部门人员制定政策和干预措施提供理论支撑和决策依据。

Exposure to secondhand smoke (SHS) has been linked to adverse pregnancy and birth outcomes. The major exposure source of SHS exposure among pregnant women and newborns pregnant women and newborns comes from smoking expectant fathers. However, expectant fathers have a low willingness to quit, a low cessation rate, and a high relapse rate. There is a paucity of effective interventions reported to help them quit smoking. Our previous research found that expectant fathers’ smoking-related knowledge of maternal and child health is an important predictor of their quitting smoking. Specific health education for maternal and infant health has been proven to effectively improve expectant fathers' willingness to quit smoking. However, the problem of low cessation rate and high relapse rate remains. To fill in the gaps in the existing interventions, this study will optimize the intervention model based on the transtheoretical model and the cessation needs of smoking expectant fathers and. It aims to 1) develop an internet- and video-based smoking cessation intervention of group-specific health education combined with quitting method and relapse prevention, and 2) carry out a randomized controlled trial to verify the clinical effectiveness of this model in helping expectant fathers to quit smoking. This study will explore a scientific, practical, feasible, and cost-effective intervention model to improve expectant fathers' willingness to quit, and smoking cessation, as well as prevent them relapse smoking. The results will provide researchers and policy-makers with further theoretical support and decision-making evidence in smoking cessation.