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.
机构:
Temple Univ, Dept Publ Hlth, Hlth Behav Res Clin, Philadelphia, PA 19122 USATemple Univ, Dept Publ Hlth, Hlth Behav Res Clin, Philadelphia, PA 19122 USA
Disantis, Katherine Isselmann
Collins, Bradley N.
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Temple Univ, Dept Publ Hlth, Hlth Behav Res Clin, Philadelphia, PA 19122 USA
Temple Univ Hlth Syst, Dept Pediat, Philadelphia, PA USATemple Univ, Dept Publ Hlth, Hlth Behav Res Clin, Philadelphia, PA 19122 USA
Collins, Bradley N.
McCoy, Andrea C. S.
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Temple Univ Hlth Syst, Dept Pediat, Philadelphia, PA USATemple Univ, Dept Publ Hlth, Hlth Behav Res Clin, Philadelphia, PA 19122 USA
机构:
Univ Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USAUniv Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA
Durazo, Arturo
Hartman-Filson, Marlena
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Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 04110 USAUniv Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA
Hartman-Filson, Marlena
Perez, Kenneth
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Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USAUniv Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA
Perez, Kenneth
Alizaga, Natalie M.
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Canada Coll, Humanities & Social Sci, Redwood City, CA USAUniv Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA
Alizaga, Natalie M.
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机构:
Petersen, Anne Berit
Vijayaraghavan, Maya
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Univ Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA
Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 04110 USAUniv Calif San Francisco, Ctr Tobacco Control Res & Educ, San Francisco, CA 04110 USA