MOTIVATIONAL ENHANCEMENT THERAPY FOR PREGNANT SMOKERS

针对怀孕吸烟者的动机增强疗法

• 批准号: 6175316
• 负责人: Angela L Stotts
• 金额: $ 7.42万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6175316
• 关键词: behavior therapy; behavioral /social science research tag; clinical research; coping; drug related neoplasm /cancer; female; human pregnant subject; human therapy evaluation; motivation; outcomes research; pregnancy; smoking; smoking cessation; substance abuse related behavior; tobacco abuse prevention; women's health

Adverse health effects of cigarette smoking on pregnancy outcomes are significant and costly. Despite the well-publicized risks, almost one-quarter of women continue to smoke throughout pregnancy. Further, women from disadvantaged backgrounds are over-represented among pregnant smokers. Innovative smoking cessation interventions are needed to increase quit rates in pregnant smokers, particularly in low socioeconomic populations. The proposed study evaluates the feasibility and efficacy of theoretically innovative prenatal smoking cessation intervention based on Motivational Enhancement Therapy (MET). A randomized, controlled, pretest/posttest, between groups design will be employed to compare MET with usual care for reducing smoking rates among pregnant women. Sixty-seven pregnant smokers, at least 16 years of age and attending a university-based, public clinical will be assigned to each of the two groups. In addition to achieving higher abstinence rates, we expect that the MET intervention will produce significant changes in several domains of function (e.g. coping, self- efficacy, readiness to change). Smoking outcomes will be assessed via objective (saliva cotinine analyses) and self-report measures. Logistic regression procedures will be used to examine posttreatment smoking group differences. Repeated measures analysis of variance will be used to evaluate treatment related changes in other domains of functioning. MET strategies and techniques are implemented using an empathic, non- confrontational yet directive counseling style to enhance motivation and reduce ambivalence about change. The MET intervention consists of four counseling sessions and one stages of change based, personalized feedback letter delivered over 8-weeks. The first counseling session will occur at the clinic during a woman's first prenatal visit with the three subsequent sessions being conducted by telephone. Therapy manuals, trained counselors, competency checks, and adherence rating scales will be used to verify treatment fidelity. This research will contribute important theoretical and empirical information concerning the efficacy of a new and innovative intervention for pregnant smokers and will provide the basis for larger effectiveness trials.

吸烟对妊娠结局的不利健康影响是巨大且昂贵的。尽管有广泛的风险，但在整个怀孕期间，几乎有四分之一的女性继续吸烟。此外，在怀孕的吸烟者中，来自处境不利的妇女的代表性过高。需要进行创新的戒烟干预措施来增加孕妇吸烟者的戒烟率，尤其是在社会经济低的人群中。拟议的研究评估了基于动机增强疗法（MET）的理论创新产前戒烟干预措施的可行性和功效。将采用一个随机，受控的，预测试/后测，在组之间设计，将其与通常的护理相比，以降低孕妇的吸烟率。六十七名怀孕的吸烟者，至少16岁，并参加了大学的公共临床，将分配给两个组中的每一个。除了达到更高的节制率外，我们预计MET干预将在几个功能领域（例如应对，自我效力，准备改变）中产生重大变化。吸烟结果将通过客观（唾液可替宁分析）和自我报告措施进行评估。逻辑回归程序将用于检查治疗后吸烟组的差异。重复测量方差分析将用于评估其他功能领域中与治疗相关的变化。 MET策略和技术是使用同理心，非对抗性但指令的咨询方式实施的，以增强动力并减少对变革的矛盾性。 MET干预措施包括四个咨询会议和一个基于变更的个性化反馈信的一个阶段。第一次咨询会议将在妇女第一次产前访问期间在诊所举行，随后通过电话进行的三个会议。治疗手册，训练有素的辅导员，能力检查和依从性等级将用于验证治疗保真度。这项研究将为孕妇吸烟者进行新的和创新的干预措施的功效提供重要的理论和经验信息，并为更大的有效试验提供基础。

项目成果

Tobacco, alcohol and caffeine use in a low-income, pregnant population.

低收入孕妇人群的烟草、酒精和咖啡因使用情况。

• DOI: 10.1080/0144360031000098343
• 发表时间: 2003
• 期刊: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
• 作者: Stotts,AngelaL;Shipley,ShannaL;Schmitz,JoyM;Sayre,ShellyL;Grabowski,J
• 通讯作者: Grabowski,J