Feedback from a point-of-care test for nicotine intake to reduce smoking                during pregnancy

Cope, Graham; Nayyar, Pamela; Holder, Roger

doi:10.1258/000456303770367289

Cited by 33 publications

(35 citation statements)

References 16 publications

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“…Furthermore, 45% of the cases had lower salivary nicotine metabolite values at eight weeks compared with only 21% of controls, and only 7% of the cases had higher values compared with 30% of controls. This increase in nicotine intake in the control group is consistent with previous findings using the point of care test 16. These results compare favourably with other reported outcomes for intensive advice on smoking cessation that include follow-up appointments,6 whereas the results for the intervention are significantly better than those from non-pharmacological intervention studies 5 9…”

Section: Discussionsupporting

confidence: 90%

Effect of incorporating a 10 minute point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme: randomised controlled trial

Barnfather¹,

Cope

Chapple

2005

BMJ

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Objective To investigate the effect of immediate feedback from a point of care test for salivary nicotine metabolites in promoting smoking cessation and reduction in tobacco use. Design Prospective, operator blinded, randomised controlled trial. Setting General dental practice, London. Participants 100 adult smokers. Interventions Participants completed a questionnaire on smoking, undertook a clinical examination, and received counselling in smoking cessation. Saliva samples were analysed at presentation and at eight weeks for salivary nicotine metabolites using a 10 minute semiquantitative point of care test. Main outcome measures Smoking cessation measured by salivary nicotine metabolite values (scale 0-6), patient feedback on the perceived value of the test (visual analogue scale) in quitting, and reduction in tobacco use. Results A higher smoking quit rate was achieved with the point of care test (23% cases v 7% controls; P < 0.039), and overall tobacco use also decreased (68% cases v 28% controls; P < 0.001). Baseline values for salivary nicotine metabolites did not differ between the groups (cases, mean 4.1, SD 1.3 and 4.3, 1.4; P = 0.51). 87 participants reattended at eight weeks (44 cases, 43 controls). Mean nicotine metabolite values at eight weeks were 2.58 (2.0) for cases and 4.29 (1.8) for controls (P < 0.001). Conclusion Incorporation of individualised personal feedback using a point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme increased quit rates by 17% at eight weeks and reduced tobacco use.

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Section: Discussionsupporting

confidence: 90%

Effect of incorporating a 10 minute point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme: randomised controlled trial

Barnfather¹,

Cope

Chapple

2005

BMJ

Self Cite

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“…Twenty individually randomised controlled trials [35],[37],[38],[41],[43],[45],[46],[48]–[51],[56]–[64], six cluster randomised controlled trials [40],[42],[52]–[55], and four non-randomised controlled trials (which used quasi-randomisation methods) [36],[39],[44],[47] were identified. The majority of studies (n = 20) were conducted in the United States [35]–[38],[41],[43],[45]–[47],[50],[51],[54],[56]–[59],[61]–[64], with five studies conducted in the United Kingdom [39],[42],[49],[53],[60], two in the Netherlands [40],[44], and one study each conducted in Poland [55], Canada [48], and New Zealand [52].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies (n = 20) were conducted in the United States [35]–[38],[41],[43],[45]–[47],[50],[51],[54],[56]–[59],[61]–[64], with five studies conducted in the United Kingdom [39],[42],[49],[53],[60], two in the Netherlands [40],[44], and one study each conducted in Poland [55], Canada [48], and New Zealand [52]. The majority of studies used behavioural counselling approaches.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the quality of reporting in published smoking cessation trials for pregnant women: an explanation for the evidence-practice gap?

et al. 2014

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BackgroundTo facilitate translation of evidence into clinical practice, it is critical that clear, specific, and detailed information about interventions is provided in publications to promote replication, appropriate aggregation in meta-analysis, and implementation. This study examined whether twenty elements of interventions deemed essential for such translational application were reported in sufficient detail in smoking cessation trials with pregnant women.MethodsSearches of electronic databases using MeSH terms and keywords identified peer-reviewed English language studies published between 2001 and 2012. Eligible studies reported a smoking cessation intervention targeted at pregnant women and met Cochrane’s Effective Practice and Organization of Care group study design criteria. Each intervention arm of eligible studies was assessed against the developed twenty criteria.ResultsThirty relevant studies reported the findings of 45 intervention arms. The mode of delivery of the intervention was reported in 100% of intervention arms. Other well-reported criteria included reporting of the provider who delivered the intervention (96%), sample characteristics (80%), and the intervention setting (80%). Criteria not reported adequately included care provided to women who relapse (96% not reported), details about training given to providers (77% not reported), and the method of quit advice advised (76% not reported). No studies reported 100% of relevant criteria.ConclusionsCurrent standards of reporting of intervention content and implementation are suboptimal. The use of smoking cessation specific checklists for reporting of trials, standard reporting using behaviour change taxonomies, and the publication of protocols as supplements should be considered as ways of improving the specificity of reporting.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-014-0094-z) contains supplementary material, which is available to authorized users.

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“…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%

“…[6,19,20,31] . Computer programs were issued by Campbell et al (2006), Lawrence et al (2003) and Ondersma et al (2011) [17,29,31] . Hajek et al…”

Section: Other Interventionsmentioning

confidence: 99%

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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Feedback from a point-of-care test for nicotine intake to reduce smoking during pregnancy

Cited by 33 publications

References 16 publications

Effect of incorporating a 10 minute point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme: randomised controlled trial

Effect of incorporating a 10 minute point of care test for salivary nicotine metabolites into a general practice based smoking cessation programme: randomised controlled trial

A systematic review of the quality of reporting in published smoking cessation trials for pregnant women: an explanation for the evidence-practice gap?

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

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