Staying smoke free: An intervention to prevent postpartum relapse

被引:30
|
作者
French, Gina M.
Groner, Judith A.
Wewers, Mary Ellen
Ahijevych, Karen
机构
[1] Univ Hawaii, Kapiolani Med Ctr Women & Children, John Burns Coll Med, Honolulu, HI 96820 USA
[2] Ohio State Univ, Coll Med, Dept Pediat, Columbus, OH 43210 USA
[3] Ohio State Univ, Sch Publ Hlth, Columbus, OH 43210 USA
关键词
D O I
10.1080/14622200701365277
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This pilot study evaluated the effectiveness of a nurse-delivered home-visiting program during the postpartum period that included a low-intensity smoking relapse-prevention intervention. A prospective two-group design was used. Participants were women who had quit smoking during their pregnancy. They were invited to participate during postpartum hospitalization on a university hospital postpartum ward. A brief intervention during postpartum hospitalization, a home visit, and two follow-up phone calls over a 1- to 2-month period were compared with a routine home visit without any prescribed focus on tobacco use. The main outcome was biochemically verified smoking abstinence at 3 and 6 months postenrollment. Abstinence was defined as a salivary cotinine level of 14 ng/ml or less. At 3 months postenrollment, 26.4% of the intervention group were classified as abstinent, compared with 12.4% of the comparison group (OR= 2.4, 95% Cl= 1.16-4.98). At 6 months, the proportion of the intervention group categorized as abstinent was 21.5%, compared with 10.2% of comparison group participants (OR= 2.5, 95% CI= 1.13-5.71). Greater than three times as many in the intervention group remained abstinent at both times (18.2%), compared with the comparison group (5.2%; OR=2.4, 95% Cl=1.16-4.93). The effectiveness of this brief, low-cost, and potentially replicable intervention in improving the rate of persistent postpartum smoke-free status for women who quit smoking during pregnancy is encouraging. A randomized trial of the approach is warranted.
引用
收藏
页码:663 / 670
页数:8
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