The effect of home‐based motivational interviewing on the smoking behaviour of pregnant women: a pilot randomized controlled efficacy study

Tappin, DM; Lumsden, MA; McKay, Colleen E.; McIntyre, Doreen; Gilmour, Harper; Webber, Richard L.; Cowan, Stephanie; Crawford, Fiona; Currie, F.

doi:10.1046/j.1467-0658.2000.00015.x

Cited by 7 publications

(4 citation statements)

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“…Thirty-two studies reported women’s views about the content and delivery of the interventions. When asked, most women gave favourable feedback on the intervention and intervention materials (Baric 1976; Ershoff 1989; Belizan 1995; Bullock 1995; Lillington 1995; Secker-Walker 1997; Walsh 1997; Cinciripini 2000; Strecher 2000; Tappin 2000; Hajek 2001; Cope 2003; Tappin 2005; El-Mohandes 2011; Ondersma 2012), particularly audiovisual materials (Windsor 1993; Patten 2009; Ondersma 2012) and telephone support (Bullock 1995; Solomon 2000; Rigotti 2006; Bullock 2009). Women offered personal contact and a manual considered the personal contact the most important element and women appreciated printed materials much less if they were also offered a video, although the video combined with printed materials was no more effective than the printed materials alone (Secker-Walker 1997; Cinciripini 2000).…”

Section: Resultsmentioning

confidence: 99%

“…A survey of general practitioners suggested the smoking status of the provider influenced participation in intervention delivery (Haug 1994). Despite these challenges, engagement and involvement of providers was identified as a critical element of implementation (Lowe 1997; McLeod 2004; Campbell 2006) and providers reported that they would like more involvement (Tappin 2000).…”

Section: Resultsmentioning

confidence: 99%

“…If comparing outcome data using ITT and excluding those ‘lost to follow-up’ it appears that more than 30% of the control group (30/87) were lost to follow-up. In this review we have used the ITT data (C = 87, I = 104) as the denominatorSelective reporting (reporting bias)High riskResults are conflicting and actual figures for pregnancy (24/40) are not reported, nor are figures for mean cigarettes per day or cotinine concentrationsOther biasLow riskNo other bias detected.Biochemical validation of smoking abstinence (detection bias)Low riskUrinary cotinine analysis at 24 weeks’ gestation and at 6 weeks postpartum (cut-off < 80ng/mL)Blinding of participants and personnel (performance bias)All outcomesHigh riskParticipants and personnel not blinded to intervention.Blinding of outcome assessment (detection bias)All outcomesUnclear riskNot reported.Incomplete implementationUnclear riskProcess evaluation not reported.Equal baseline characteristics in study armsLow riskBaseline comparisons revealed no significant differences in age, race, education, number of cigarettes smoked before pregnancy, and baseline stage of changeContamination of control groupLow riskTechnological intervention so contamination unlikely. Tappin 2000…”

Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

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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

223

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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studies [Ordered By Study Id]mentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial interventions for supporting women to stop smoking in pregnancy

Chamberlain

O’Mara-Eves

Oliver

et al. 2013

Cochrane Database of Systematic Reviews

223

232

View full text Add to dashboard Cite

show abstract

“…For example, motivational interviewing has shown positive results in prenatal settings as a cost-effective intervention. Furthermore, this approach has shown positive results in decreasing smoking, (Tappin et al 2000) and alcohol consumption. Streissguth (1994) suggests that screening mothers and children, more effective alcohol treatment programs, and education in the schools and community would increase awareness of Native American women about the risk of FAS.…”

Section: Determinates Of Alcohol Usementioning

confidence: 97%

Support for social norms programming to reduce alcohol consumption in pregnant women

Dunnagan

Haynes

Linkenbach

et al. 2007

Addiction Research & Theory

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This investigation examined the difference between the amount of alcohol consumed by pregnant Montana women (actual norms) and the amount they perceived was consumed by other Montana women of their same age ( peer norms). On the basis of a stratified cluster sampling, 712 women completed a survey based on social norms theory. Results revealed that prior to the pregnancy women perceived that other women of their same age normally drank more than four times as much alcohol as they actually consumed. However, during their pregnancy women perceived that other women of their same age normally drank over 102 times as much alcohol as they actually consumed. Similar patterns were seen for the more than usual consumption. The results of the investigation showed a consistent and dramatic pattern of overestimation of peer alcohol use norms compared to actual norms. These findings support the application of intervention strategies designed to correct misperceptions of drinking norms in pregnant women as a way to reduce actual drinking rates.

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