Document Detail


A randomized controlled trial of a smoking cessation intervention for pregnant adolescents.
MedLine Citation:
PMID:  17133147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The smoking prevalence rate among pregnant adolescents has been estimated at 59-62%, and 60-80% of these adolescents continue to smoke throughout their pregnancies. OBJECTIVES: The aim of this study was to evaluate the short- and long-term effects of smoking cessation strategies tailored to the pregnant adolescent to attain and maintain abstinence. The specific aim was to examine differences in short- and long-term smoking behaviors among three groups: Teen FreshStart (TFS), Teen FreshStart Plus Buddy (TFS-B), and Usual Care (UC) control. METHODS: In this randomized controlled intervention study, a 3-group (TFS, TFS-B, and UC) by 3-occasion (baseline, 8 weeks postrandomization, and 1-year following study entry) design was used. The study included 142 pregnant adolescents who were aged 14 to 19 years. Both self-reported smoking status collected on the Smoking History Questionnaire and saliva cotinine levels were used to identify smoking behaviors. RESULTS: There were no significant differences among the three treatment groups at baseline in terms of the racial distribution, age, gestational age, age of menses initiation, number in family household, number of family members who smoked, or tobacco use. A significant difference between the UC group and the TFS-B group (p = .010) was seen in smoking behaviors measured 8 weeks following treatment initiation. At 1 year following study entry, however, there were no differences between the groups in smoking behaviors. DISCUSSION: The TFS-B intervention was more effective in attaining short-term smoking cessation in the pregnant adolescent than TFS or UC. Findings suggest that the peer-enhanced programming had a limited effect but could not sustain the participant beyond postpartum (1 year following study entry). Future studies should include relapse prevention to sustain smoking abstinence into the postpartum period.
Authors:
Susan A Albrecht; Donna Caruthers; Thelma Patrick; Maureen Reynolds; Denise Salamie; Linda W Higgins; Betty Braxter; Yookyung Kim; Sara Mlynarchek
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Nursing research     Volume:  55     ISSN:  0029-6562     ISO Abbreviation:  Nurs Res     Publication Date:    2006 Nov-Dec
Date Detail:
Created Date:  2006-11-29     Completed Date:  2007-01-09     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  402-10     Citation Subset:  AIM; IM; N    
Affiliation:
School of Nursing, University of Pittsburgh, PA 15261, USA. saa01@pitt.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cognitive Therapy*
Cotinine / analysis
Female
Humans
Intervention Studies
Logistic Models
Longitudinal Studies
Peer Group*
Pregnancy
Pregnancy in Adolescence*
Saliva / chemistry
Smoking Cessation / methods*
Social Support*
United States
Grant Support
ID/Acronym/Agency:
R01 NR 03233/NR/NINR NIH HHS
Chemical
Reg. No./Substance:
486-56-6/Cotinine

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


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