Development and Evaluation of an iPad Application to Promote Knowledge of Tobacco Use and Cessation by Pregnant Women

Dotson, Jo Ann Walsh; Pineda, Rowena; Cylkowski, Hannah; Amiri, Solmaz

doi:10.1016/j.nwh.2017.04.005

Cited by 10 publications

(11 citation statements)

References 16 publications

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“…Three studies [ 35 - 37 ] investigated the effect of decision support tools on alcohol consumption and smoking cessation during pregnancy. The tools were an app [ 35 ], a web-based tool [ 36 ], and an SMS text message–based tool [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

Use of Decision Support Tools to Empower Pregnant Women: Systematic Review

Ngo¹,

Truong²,

Nordeng³

2020

J Med Internet Res

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Background Women face many health-related decisions during pregnancy. Digitalization, new technology, and a greater focus on empowering patients have driven the development of patient-centered decision support tools. Objective This systematic review provides an overview of studies investigating the effect of patient-centered decision support tools for pregnant women. Methods We searched 5 online databases, MEDLINE, EMBASE, Web of Science, PsycINFO, and Scopus, from inception to December 1, 2019. Two independent researchers screened titles, abstracts, and full-texts against the inclusion criteria. All studies investigating the effect of patient-centered decision support tools for health-related issues among pregnant women were included. Study characteristics and results were extracted using the review management tool Rayyan and analyzed according to topic, type of decision support tools, control group, outcome measurements, and results. Results The 25 eligible studies covered a range of health topics, including prenatal screening (n=10), gestational diabetes and weight gain (n=7), lifestyle (n=3), blood pressure and preeclampsia (n=2), depression (n=1), asthma (n=1), and psychological well-being (n=1). In general, the use of decision support tools increased women's knowledge, and recording symptoms enhanced satisfaction with maternity care. Conclusions The opportunities created by digitalization and technology should be used to develop innovative patient-centered decision support tools tailored to support pregnant women. Effect on clinical outcomes should be documented.

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Section: Resultsmentioning

confidence: 99%

Use of Decision Support Tools to Empower Pregnant Women: Systematic Review

Ngo¹,

Truong²,

Nordeng³

2020

J Med Internet Res

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“…Education versus incentive-based systems to reduce smoking may work to different degrees. These modern alternatives to conventional educational and awareness campaigns could include mobile apps, ipad programmes and text messages [43,44]. But simply offering education may not be adequate, and there is much more to be done to understand this.…”

Section: Smoking Cessation and Infant Mortalitymentioning

confidence: 99%

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Pillay¹

2019

Neonatal Medicine

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In this chapter, the role of engaging parents, family members, partners, significant others and carers (subsequently referred to as parent-carers) as key partners in targeted strategies for reducing the risks associated with neonatal mortality is discussed, especially within the context of less resource-constrained environments. Parent-carer education, sharing information on regionally prevalent risk factors and associations with death in the first 28 days of life and in infancy, can be potentially impactful and could drive behavioural changes, while promoting acquisition of newer life-saving skills such as basic life support training. Such education can be considered participatory learning and action. It affords parent-carers the confidence and knowledge on measures to key risks in infancy, such as the risk of sudden infant death, and how to recognize when their baby may be ill, facilitating timely access to appropriate healthcare services. Potentially, these then empower parent-carers to work with health services proactively in measures to reduce the risks for neonatal mortality.mortality is explored, especially in less resource-constrained environments, by focusing on parent-carer education around risks for neonatal mortality, while using learning points from around the world. Potentially, these initiatives empower parent-carers to acquire the necessary skills to manage their baby at risk and also engage in risk-reducing behaviours for the benefit of their baby. Reducing neonatal mortality through parent-carer educationBefore embarking on parent education, understanding the risk factors for neonatal mortality is important. In poorly resourced areas, key risk factors and associations are infection, hypothermia, lack of breastfeeding, failure to recognise signs of illness in their baby and failure to provide adequate basic resuscitation at birth. Education packages focused on improving neonatal mortality therefore include information on maintaining warmth; drying; wrapping; skin-to-skin contact; supporting breastfeeding; infection prevention including handwashing, cord care, recognising signs of illness in their newborn baby and infant and basic life support [7].For neonatal teams in relatively higher resourced environments, where access to public health facilities and general maternal education are less of an issue, and most of the above are routinely adopted, what are other key risk factors and what other kinds of initiatives are needed in order to make a difference to current neonatal mortality rates, and can they work?In attempting to address this, the key risk factors here for neonatal mortality need to be identified. The most significant of these is prematurity [8][9][10]. In a report on perinatal mortality from MBRRACE on 2016 deaths, approximately 70% of all extended perinatal deaths occurred preterm, and almost 40% were in less than 28 weeks' gestation [9]. Optimising place of birth for the most vulnerable preterm births less than 26 weeks gestation at birth does reduce their mortality rates [11] and op...

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“…Unfortunately, such groups have been routinely left out of anti-smoking campaigns and the smoking cessation care network globally. 20,21,43,52,66,70,78 Where smoking cessation is concerned, even small modifications to traditional guidelines targeting the general population are welcome, especially for pregnant women and individuals with SMI and SUD. 20,21,66,70 Special populations also require more targeted clinical research on smoking cessation, since most of these special population groups are systematically excluded from clinical trials.…”

Section: Discussionmentioning

confidence: 99%

“…20,21,43,52,66,70,78 Where smoking cessation is concerned, even small modifications to traditional guidelines targeting the general population are welcome, especially for pregnant women and individuals with SMI and SUD. 20,21,66,70 Special populations also require more targeted clinical research on smoking cessation, since most of these special population groups are systematically excluded from clinical trials. 21,43,52,66,78 Among these populations, long-term smoking abstinence rates after cessation treatment are lower than those of the general population, 20,21,43,52,66,70,78 indicating that more resources should be made available for such groups.…”

Section: Discussionmentioning

confidence: 99%

“…Smoking cessation programs should be tailored to meet the needs of pregnant women who smoke. 70 Information technology should be used to address smoking cessation barriers by routinely identifying tobacco use status during pregnancy care. 71 In smoking cessation programs, obstetricians, maternal health nurses, and maternal ultrasound technicians should be educated and empowered to actively recruit women to and support their decision to quit.…”

Section: Systematic Identification Of Tobacco Use Status Amongmentioning

confidence: 99%

See 1 more Smart Citation

Tobacco dependence treatment for special populations: challenges and opportunities

Castaldelli-Maia

Harutyunyan

Herbeć

et al. 2021

Braz. J. Psychiatry

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Although smoking rates have declined in most of the countries in the world, there are population groups within these countries whose smoking rates remain significantly higher than the general population. These ''forgotten groups'' who have not been receiving the needed attention in tobacco control policies and tobacco cessation efforts include people with serious mental illness, substance use disorders, tuberculosis, people living with human immunodeficiency virus (HIV), lesbian-gaybisexual-transgender-queer people, and pregnant women. A number of steps are needed at the national level in countries where these disparities exist, including modifications to national smoking cessation treatment guidelines that address the special needs of these populations, as well as targeted smoking cessation research, since these populations are often not included in clinical trials. Because of the higher smoking prevalence in these populations, as well as their lower smoking cessation treatment success rates than the general population, more resources are needed if we are to reduce health disparities in these vulnerable populations. Additionally, we believe that more effort should be focused on integrating smoking cessation treatment in the specialized care settings frequented by these subpopulations.

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Development and Evaluation of an iPad Application to Promote Knowledge of Tobacco Use and Cessation by Pregnant Women

Cited by 10 publications

References 16 publications

Use of Decision Support Tools to Empower Pregnant Women: Systematic Review

Use of Decision Support Tools to Empower Pregnant Women: Systematic Review

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Tobacco dependence treatment for special populations: challenges and opportunities

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