An integrated brief intervention to address smoking in pregnancy.
Acta Obstet Gynecol Scand
; 89(4): 496-504, 2010.
Article
em En
| MEDLINE
| ID: mdl-20367428
ABSTRACT
OBJECTIVE:
Evaluate the impact of an integrated brief intervention to assist antenatal staff in addressing smoking with pregnant women.DESIGN:
Three studies were conducted (a) antenatal staff surveys pre- and post-training to deliver the brief intervention; (b) retrospective audit of pregnancy records; (c) post-intervention follow-up interviews with a cohort of pregnant women who smoked at baseline.SETTING:
South Australia. SAMPLE (a) Antenatal health professionals at two major birthing hospitals (n = 117 pre-survey and n = 62 post-survey); (b) 1,024 pregnancy records; (c) follow-up interviews with women at one month (n = 58), 6 months (n = 40) and 12 months (n = 31) post-intervention.METHODS:
(a) Staff surveys about current practice prior to training (via written questionnaire) and 12 months post-training (by telephone); (b) pregnancy record audit for presence and use of the Smoke-Free Assessment & Intervention Form (SFA&IF) conducted at 12 months; (c) telephone surveys assessing smoking behavior. MAIN OUTCOMEMEASURES:
Staff practice change and compliance with the intervention. Cessation rates among pregnant women.RESULTS:
At 12 months, 89% of staff reported that the intervention integrated well into their work; The SFA&IF was physically present in 80% of pregnancy records and 89% had been completed. Over 65% of current smokers were offered advice about the benefits of quitting; quit rates were highest at 6 months (18, 13% conservative estimate), but women tended to relapse after the birth of their baby.CONCLUSIONS:
The intervention was well-received and staff compliance was high. Quit rates exceeded spontaneous quit rates in the community. This project has been expanded nationally.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
/
Abandono do Hábito de Fumar
/
Capacitação em Serviço
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Incidence_studies
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Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Pregnancy
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article