Document Detail


Prenatal and postpartum smoking abstinence a partner-assisted approach.
MedLine Citation:
PMID:  15450636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A partner's provision of support and smoking status has been consistently associated with women's likelihood of smoking cessation during pregnancy and relapse in postpartum. DESIGN: A three-group randomized controlled intervention trial was conducted in 1996 to 2001, with 583 women and their partners randomized to usual care (UC), woman-only (WO), or partner-assisted (PA) intervention. Follow-ups occurred at 28 weeks of pregnancy, and 2-, 6-, and 12-months postpartum. SETTING: Womack Army Medical Center (WAMC) at Fort Bragg in Fayetteville, North Carolina. INTERVENTION: Women in the UC condition received provider advice to quit and a self-help guide. The WO condition received UC components plus a late-pregnancy relapse prevention kit (booklet and gift items) and six counseling calls (three in pregnancy and three postpartum) initiated by a health advisor. Women in the PA condition received the WO intervention, and their partners received telephone counseling and a support guide emphasizing skills to help the woman build and maintain her confidence to quit smoking. Partners who smoked also received cessation aids and related counseling. MAIN OUTCOME MEASURE: Seven-day self-reported abstinence from smoking at each follow-up. RESULTS: Intent-to-treat analyses showed no significant differences by condition in women's reports of abstinence at any follow-up. In late pregnancy, more partners were abstinent in the PA condition (15%) than in the UC condition (5%), p =0.02. CONCLUSIONS: Partner-assisted smoking-cessation interventions need further refinement. Influencing young couples' support patterns may require more intensive and conjoint intervention. Partners who smoke could benefit from support for their cessation efforts.
Authors:
Colleen M McBride; Donald H Baucom; Bercedis L Peterson; Kathryn I Pollak; Carleton Palmer; Eric Westman; Pauline Lyna
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  27     ISSN:  0749-3797     ISO Abbreviation:  Am J Prev Med     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-28     Completed Date:  2005-02-09     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:  232-8     Citation Subset:  IM    
Affiliation:
Social and Behavioral Research Branch, National Human Genome Research Institute/National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland 20892-8000, USA. cmcbride@mail.nih.gov <cmcbride@mail.nih.gov>
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MeSH Terms
Descriptor/Qualifier:
Adult
Counseling
Female
Humans
Male
North Carolina / epidemiology
Outcome Assessment (Health Care)
Pregnancy
Prenatal Care / methods*
Prevalence
Smoking / epidemiology,  prevention & control*,  psychology
Smoking Cessation / methods*,  statistics & numerical data
Social Support
Grant Support
ID/Acronym/Agency:
CA76945/CA/NCI NIH HHS

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


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