PARTNER ASSISTED INTERVENTIONS FOR PREGNANT SMOKERS

描述：怀孕期间吸烟会增加女性罹患癌症的风险 妊娠并发症和众多的分娩结局。三分之二的女性 吸烟者在怀孕期间继续吸烟，吸烟率特别高 在低收入和受教育程度较低的女性中吸烟。对于大多数人来说 女性，怀孕发生在一种亲密关系的背景下， 孕妇报告说，这是她们的主要支持来源。然而， 自然产生的伴侣支持可能不足以帮助怀孕 吸烟者戒烟，特别是当伴侣是吸烟者时。这个 建议的研究是一项为期五年的随机试验，以评估增量 提供部分辅助支持附件的改进 最先进的孕妇自助戒烟干预措施 吸烟者。英国“金融时报”位于北卡罗来纳州费耶特维尔的布拉格军事基地被选中 因为高吸烟率、高出生率和 接受产前护理的大多数妇女都嫁给了军人 人事部。将在添加剂中测试三种干预条件 设计。符合条件的夫妇在福特堡接受产前护理。 布拉格/沃马克陆军医疗中心将从自动识别 预约日志，并招募参与。同意的夫妇(n=700) 将随机分为：(1)提供咨询和自助小册子(通常 护理原型，n=233)；(2)自助指导和复发预防试剂盒加 产前和产后电话咨询(增强自助，233人)；或(3) 增强的自助功能以及合作伙伴协助的支持干预 包括夫妇联系会议和量身定做的连载书面材料 加上为伴侣吸烟者提供的戒烟材料(伴侣协助，n=233)。 参与者将在基线、怀孕32周和第8周接受调查 产后6周、6个月和12个月。自我报告的吸烟状态将是 在怀孕后期和12个月的随访中进行生化验证。 关注的主要结果是以下人群的戒烟率 孕妇对戒烟的知觉伴侣支持程度 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.