PARTNER ASSISTED INTERVENTIONS FOR PREGNANT SMOKERS

针对怀孕吸烟者的合作伙伴协助干预措施

• 批准号: 6173460
• 负责人: COLLEEN M MC BRIDE
• 金额: $ 54.32万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-26 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6173460
• 关键词: behavioral /social science research tag; clinical research; human subject; human therapy evaluation; pregnancy; smoking cessation; social support network; women's health

DESCRIPTION: Smoking during pregnancy increases women's risk of complications of pregnancy and numerous birth outcomes. Two-thirds of women smokers continue to smoke during pregnancy, with particularly high rates of smoking among low income and less educated women. For the majority of women, pregnancy occurs in the context of an intimate relationship that pregnant women report as their primary source of support. However, naturally occurring partner support may not be enough to assist pregnant smokers with cessation, particularly when the partner is a smoker. The proposed study is a five year randomized trial to evaluate the incremental improvement of providing a part-assisted support adjunct to state-of-the-science self-help smoking cessation interventions for pregnant smokers. Ft. Bragg military base located in Fayetteville, NC was selected as the study site because of high smoking rates, high birth rates and the majority of women who receive prenatal care are married to military personnel. Three intervention conditions will be tested in an additive design. Eligible couples who are receiving prenatal care at Ft. Bragg/Womack Army Medical Center will be identified from automated appointment logs and recruited to participate. Couples who agree (n=700) will be randomized to: (1) provide advice and a self-help booklet (usual care prototype, n=233); (2) self-help guide and relapse prevention kit plus pre-and postpartum telephone counseling (enhanced self-help, n=233); or (3) enhanced self-help plus a partner-assisted support intervention that includes a couple contact session and tailored serialized written materials plus cessation materials for partner smokers (partner-assisted, n=233). Participants will be surveyed at baseline, 32 weeks of pregnancy, and 8 weeks, 6 and 12 months postpartum. Self reported smoking status will be biochemically validated late in pregnancy and at the 12 month follow-up. The primary outcomes of interest will be rates of smoking cessation among pregnant women and levels of perceived partner support for cessation at all follow-ups.

描述：怀孕期间吸烟会增加女性罹患以下疾病的风险 妊娠并发症和多种分娩结局。 三分之二的女性 吸烟者在怀孕期间继续吸烟，吸烟率特别高 低收入和受教育程度较低的女性吸烟。 对于大多数人来说 妇女，怀孕发生在亲密关系的背景下， 孕妇报告说这是她们的主要支持来源。 然而， 自然发生的伴侣支持可能不足以帮助怀孕 戒烟者，特别是当伴侣是吸烟者时。 这 拟议的研究是一项为期五年的随机试验，旨在评估增量 改进提供部分辅助支持的辅助手段 最科学的孕妇自助戒烟干预措施 吸烟者。 英尺。位于北卡罗来纳州费耶特维尔的布拉格军事基地被选中 作为研究地点，因为高吸烟率、高出生率和 大多数接受产前护理的妇女都嫁给了军人 人员。 将在添加剂中测试三种干预条件 设计。 在《金融时报》接受产前护理的符合资格的夫妇。 布拉格/沃马克陆军医疗中心将通过自动化识别 预约日志并招募参加。 同意的夫妻 (n=700) 将被随机分配到：(1) 提供建议和自助手册（通常 护理原型，n=233)； (2) 自助指南和预防复发套件加 产前和产后电话咨询（增强自助，n=233）；或 (3) 加强自助加上合作伙伴协助的支持干预 包括一对夫妇的接触会议和量身定制的系列书面材料 加上针对伴侣吸烟者的戒烟材料（伴侣协助，n=233）。 参与者将在基线、怀孕 32 周和 8 周时接受调查 产后几周、6 个月和 12 个月。 自我报告的吸烟状况将 在怀孕后期和 12 个月的随访中进行生化验证。 感兴趣的主要结果是戒烟率 孕妇和伴侣对戒烟的支持程度 后续行动。