Feasibility of a tobacco cessation intervention for pregnant Alaska Native women

Patten, Christi A.; Windsor, Richard A.; Renner, Caroline C.; Enoch, Carrie; Hochreiter, Angela; Nevak, Caroline; Smith, Christina; Decker, Paul A.; Bonnema, Sarah M.; Hughes, Christine; Brockman, Tabetha A.

doi:10.1093/ntr/ntp180

Cited by 59 publications

(105 citation statements)

References 40 publications

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“…The children who had seen the video reacted more violently and aggressively than the children who did not. The Patten et al (2010) and Vries et al (2006) studies used the social cognitive theory by distributing audio/video material to their participants [6,10] .…”

Section: Resultsmentioning

confidence: 99%

“…The duration of each intervention varied significantly (see Table 1 ) allowed subjects to participate in the study up to and including the second trimester [3,[18][19][20][25][26][27][28][29] . Eleven of the twenty-four studies either did not specify the time during the pregnancy for the initiation of the intervention or allowed subjects to join the study up until the last 12 weeks of gestation.…”

Section: Initiation and Duration Of Interventionmentioning

confidence: 99%

“…(2006) followed women for 6 weeks postpartum [6] ; Ferriera-Borges (2005) followed women for 2 months postpartum [26] ;…”

Section: Initiation and Duration Of Interventionmentioning

confidence: 99%

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Nursing interventions to promote smoking cessation during pregnancy: An integrative review

Kintz

Pryor

Shemami

et al. 2014

JNEP

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Background: Smoking during their pregnancy or even through a portion of the pregnancy put the unborn child at risk for many complications during pregnancy and after delivery. Teaching smoking cessation is vital to women of childbearing age. Smoking cessation provides immediate and long-term benefits for pregnant women and their children. Purpose:The purpose of this study is to describe the degree of variability in the methodological approaches and theoretical frameworks of behavioral intervention for smoking cessation during pregnancy. Methods:The design selected for this research is integrative review. Twenty-four articles were reviewed. The inclusion criteria were: (a) studies published between 2000 and 2013, (b) studies published in the English language, (c) a smoking cessation intervention program that targeted pregnant women, and (d) measurement of smoking status after a smoking cessation intervention was implemented. A data extraction tool developed for the purpose of this study utilizing the frameworks of Cooper (1984), and Stetler and colleagues (1998).Results: Seventy percent of the reviewed studies reported either smoking cessation or a reduction in smoking as a result of participating in a smoking cessation program. The reviewed studies confirmed that smoking cessation interventions should begin at the beginning of pregnancy, as early pregnancy is a peak opportunity for education. It is highly beneficial if the interventions last throughout the woman's pregnancy to ensure smoking cessation through the duration of the post-partum period. Conclusion:The majority of the reviewed interventions proved to be highly beneficial with the reduction in smoking or smoking cessation. Additional research is needed to evaluate individual treatment modalities using a side-by-side comparison.

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Section: Resultsmentioning

confidence: 99%

Section: Initiation and Duration Of Interventionmentioning

confidence: 99%

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Nursing interventions to promote smoking cessation during pregnancy: An integrative review

Kintz

Pryor

Shemami

et al. 2014

JNEP

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“…To date, only one study has previously investigated tobacco cessation interventions in pregnant AN women. 11 Anecdotally, AN women participating in this earlier pilot study conducted by Patten et al 11 indicated that tangible evidence of fetal exposure to carcinogens as a result of tobacco use would help motivate cessation. We anticipate using this significant correlation to develop a population-specific intervention to motivate AN women who are pregnant to quit smoking.…”

Section: Discussionmentioning

confidence: 99%

“…The impetus for the current study was derived from a pilot study assessing the feasibility of a tobacco cessation intervention for AN women during pregnancy. 11 Sample size was too small to yield conclusive results, but women who did participate indicated a desire for objective information about specific harmful chemicals their infants might be exposed to, as motivation to quit.…”

Section: Introductionmentioning

confidence: 99%

Fetal Exposure to Carcinogens With Tobacco Use in Pregnancy: Phase 1 MAW Study Findings

Flanagan

Koller

Wolfe

et al. 2016

NICTOB

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Introduction: The high prevalence of smoking and smokeless tobacco (ST) use during pregnancy in Alaska Native (AN) women is concerning due to the detrimental effects of these products to the mother and the developing fetus. We sought to correlate maternal cotinine levels with fetal exposure to a tobacco-specific carcinogen to incorporate in a biomarker feedback intervention to motivate tobacco cessation during pregnancy. Methods: Demographic and tobacco use data were collected from a convenience sample of pregnant AN smokers, ST users, and non-users. Maternal and neonatal urine were collected at delivery. Maternal urine cotinine and neonatal urine total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL, a tobacco-specific carcinogen) levels in smokers and ST users were analyzed and their correlations determined by Spearman correlation coefficients. Results: During 2012-2014, we enrolled 64 non-users, 54 smokers, and 30 ST (20 homemade iqmik; 10 commercial ST) users (n = 148). Analyses of paired maternal-infant urine samples obtained for 36 smokers demonstrated a moderate to strong correlation (r = 0.73, P < .001) between maternal cotinine and infant NNAL levels. The correlation was not significant for 25 iqmik users (r = 0.36, P = .17) or 9 commercial ST users (r = 0.60, P = .09). No analysis was conducted for 55 non-users with cotinine and NNAL levels < limits of quantification. Conclusions: There is a moderate to strong correlation between maternal smoking and fetal exposure to the tobacco-specific carcinogen NNAL. Implications: The correlation between maternal smoking and fetal carcinogen exposure may provide an education tool to help motivate smoking cessation among pregnant AN women. Further investigation is warranted to determine correlations between maternal commercial ST and iqmik use and neonatal NNAL.

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Psychosocial interventions for supporting women to stop smoking in pregnancy

Chamberlain

O’Mara-Eves

Oliver

et al. 2013

Cochrane Database of Systematic Reviews

219

232

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Background Tobacco smoking in pregnancy remains one of the few preventable factors associated with complications in pregnancy, stillbirth, low birthweight and preterm birth and has serious long-term implications for women and babies. Smoking in pregnancy is decreasing in high-income countries, but is strongly associated with poverty and increasing in low- to middle-income countries. Objectives To assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes. Search methods In this fifth update, we searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (1 March 2013), checked reference lists of retrieved studies and contacted trial authors to locate additional unpublished data. Selection criteria Randomised controlled trials, cluster-randomised trials, randomised cross-over trials, and quasi-randomised controlled trials (with allocation by maternal birth date or hospital record number) of psychosocial smoking cessation interventions during pregnancy. Data collection and analysis Two review authors independently assessed trials for inclusion and trial quality, and extracted data. Direct comparisons were conducted in RevMan, and subgroup analyses and sensitivity analysis were conducted in SPSS. Main results Eighty-six trials were included in this updated review, with 77 trials (involving over 29,000 women) providing data on smoking abstinence in late pregnancy. In separate comparisons, counselling interventions demonstrated a significant effect compared with usual care (27 studies; average risk ratio (RR) 1.44, 95% confidence interval (CI) 1.19 to 1.75), and a borderline effect compared with less intensive interventions (16 studies; average RR 1.35, 95% CI 1.00 to 1.82). However, a significant effect was only seen in subsets where counselling was provided in conjunction with other strategies. It was unclear whether any type of counselling strategy is more effective than others (one study; RR 1.15, 95% CI 0.86 to 1.53). In studies comparing counselling and usual care (the largest comparison), it was unclear whether interventions prevented smoking relapse among women who had stopped smoking spontaneously in early pregnancy (eight studies; average RR 1.06, 95% CI 0.93 to 1.21). However, a clear effect was seen in smoking abstinence at zero to five months postpartum (10 studies; average RR 1.76, 95% CI 1.05 to 2.95), a borderline effect at six to 11 months (six studies; average RR 1.33, 95% CI 1.00 to 1.77), and a significant effect at 12 to 17 months (two studies, average RR 2.20, 95% CI 1.23 to 3.96), but not in the longer term. In other comparisons, the effect was not significantly different from the null effect for most secondary outcomes, but sample sizes were small. Incentive-based interventions had the largest effect size compared with a less intensive intervention (one study; RR 3.64, 95% CI 1.84 to 7.23) and an alternative intervention (one study; RR 4.05, 95% CI 1.48 to 11.11). Feedback interventions demonstrated a significa...

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Feasibility of a tobacco cessation intervention for pregnant Alaska Native women

Cited by 59 publications

References 40 publications

Nursing interventions to promote smoking cessation during pregnancy: An integrative review

Nursing interventions to promote smoking cessation during pregnancy: An integrative review

Fetal Exposure to Carcinogens With Tobacco Use in Pregnancy: Phase 1 MAW Study Findings

Psychosocial interventions for supporting women to stop smoking in pregnancy

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