Randomized controlled trial of a midwife‐delivered brief smoking cessation intervention in pregnancy

Hájek, Peter; West, Robert; Lee, A; Foulds, Jonathan; Owen, Lesley; Eiser, J. Richard; Main, Nicole

doi:10.1046/j.1360-0443.2001.96348511.x

Cited by 129 publications

(173 citation statements)

References 17 publications

(14 reference statements)

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“…For example, FerreiraBorges (2005) and Hajek et al (2001) both implemented an intervention that consisted of meetings and/or counseling and written material [23,26] . However Ferreira-Borges (2005) achieved a significant reduction in cigarette smoking while Hajek et al (2001) did not see any influence from the interventions [26] .…”

Section: Discussionmentioning

confidence: 99%

“…Dornelas et al (2006) employed telephone contact bimonthly during pregnancy with the women to establish a link between psychological distress and the inability to quit smoking during pregnancy and then followed up monthly for 6 months postpartum by telephone [3] . McGowan et al (2008) spoke with participants via telephone three times during the intervention and sent motivational text messages to participants [35] . Lando et al (2001), Malchodi et al (2003), and Patten et al (2010) all used brief telephone interviews in combination with other modalities throughout the pregnancies [5,20,34] .…”

Section: Telephone Contactmentioning

confidence: 99%

“…There was a range in the studies based on the length of the intervention (see Table 1 [3,6,18,19,24,25,27,28,32,33,35,37] . Approximately half of the 24 studies followed the women after childbirth.…”

Section: Initiation and Duration Of Interventionmentioning

confidence: 99%

“…In Ferreira-Borges (2005) study, women were given a packet of information on risks of smoking during pregnancy, and benefits of quitting [26] . Booklets were distributed in the study by Hajek (2001) and colleagues, which discussed the risks of smoking and benefits of cessation, in addition to ways to stop smoking and remain abstinent. Quizzes were available at the end of each packet for the women to assess their knowledge [23] .…”

Section: Written Materialsmentioning

confidence: 99%

“…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. There were no limitations on time of gestation for the studies conducted by multiple studies [2,6,17,[30][31][32][33][34][35][36][37] .…”

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: Discussionmentioning

confidence: 99%

Section: Telephone Contactmentioning

confidence: 99%

Section: Initiation and Duration Of Interventionmentioning

confidence: 99%

Section: Written Materialsmentioning

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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Prevention of Relapse After Quitting Smoking

Lancaster¹,

Hájek²,

Stead³

et al. 2006

Arch Intern Med

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Background: After initially successful quit attempts, many people return to smoking within a year, reducing the public health benefits of investment in smoking cessation. We aimed to assess whether interventions designed to prevent relapse after a successful quit attempt reduce the proportion of recent quitters who return to smoking. Methods: We searched the Cochrane Tobacco Addiction Review Group trials' register. We selected randomized or quasi-randomized controlled trials of relapse prevention interventions with a minimum follow-up of 6 months. We included people who quit on their own, underwent enforced abstinence, or were in treatment programs. We included trials comparing relapse prevention interventions with no intervention or cessation plus relapse prevention with cessation intervention alone. Two of us independently extracted data from each report, with disagreements referred to a third author. Results: Forty-two studies met the inclusion criteria. The most common interventions were skills training to identify and resolve tempting situations and extended treatment contact. A few studies tested pharmacotherapy. We separately analyzed studies that randomized abstainers and those that randomized participants before their quit date. Within subgroups of trials, pooled odds ratios ranged from 0.86 to 1.30, and in most analyses, 95% confidence intervals included 1. Most studies had limited power to detect moderate differences between interventions.

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