| Maternal smoking cessation and relapse prevention during health care visits. | |
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MedLine Citation:
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PMID: 11137767 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B Valanis; E Lichtenstein; J P Mullooly; K Labuhn; K Brody; H H Severson; N Stevens |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American journal of preventive medicine Volume: 20 ISSN: 0749-3797 ISO Abbreviation: Am J Prev Med Publication Date: 2001 Jan |
Date Detail:
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Created Date: 2001-01-26 Completed Date: 2001-02-08 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8704773 Medline TA: Am J Prev Med Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 1-8 Citation Subset: IM |
Affiliation:
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Center for Health Research (Valanis, Labuhn), Kaiser Permanente Northwest Division, Portland, Oregon 97227-1098, USA. barabara.valanis@kp.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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HL49412/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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