Document Detail


Maternal smoking cessation and relapse prevention during health care visits.
MedLine Citation:
PMID:  11137767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although effects of maternal smoking during pregnancy could be alleviated if women quit early in pregnancy, most do not. Relapse rates among quitters are high. OBJECTIVE: To test the effects of a low-intensity, smoking-cessation/relapse-prevention intervention delivered by clinic staff and providers and based on stages-of-change constructs of the transtheoretical model and brief motivational interviewing techniques. METHODS: A quasi-experimental prospective cohort design employed in obstetric, in-patient, and pediatric care delivery settings of a large health maintenance organization in Portland, Oregon. Subjects were pregnant smokers registered for their first prenatal visit. Primary outcome measures were sustained (self-reported) quit rates during pregnancy and smoking abstinence between 6 and 12 months after delivery. RESULTS: Regression analyses found statistically significant improvement for intervention women in sustained pregnancy quit rates (OR=2.7, CI=1. 2-5.7) and on smoking abstinence between 6 and 12 months after delivery (OR=2.4, CI=1.1-5.3). CONCLUSIONS: While these outcomes are based on self-report only, they emerged despite variable delivery of the intervention across clinics and represent clinically meaningful improvements in rates of nonsmoking. The intervention supports women who want to quit smoking during pregnancy and improves the likelihood of their remaining nonsmokers for the long term.
Authors:
B Valanis; E Lichtenstein; J P Mullooly; K Labuhn; K Brody; H H Severson; N Stevens
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  20     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-01-26     Completed Date:  2001-02-08     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  1-8     Citation Subset:  IM    
Affiliation:
Center for Health Research (Valanis, Labuhn), Kaiser Permanente Northwest Division, Portland, Oregon 97227-1098, USA. barabara.valanis@kp.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Female
Humans
Multivariate Analysis
Oregon
Patient Compliance
Pregnancy
Pregnancy Complications / prevention & control
Prenatal Care*
Primary Prevention / methods*
Probability
Prospective Studies
Recurrence / prevention & control
Regression Analysis
Smoking Cessation / methods*
Grant Support
ID/Acronym/Agency:
HL49412/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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