Titre : |
The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners |
Type de document : |
texte imprimé |
Auteurs : |
Hein de Vries, Auteur ; Martijnje Bakker, Auteur ; Patricia Dolan Mullen, Auteur |
Editeur : |
Paris [France] : Elsevier |
Année de publication : |
2006 |
Importance : |
p. 177-187 |
Langues : |
Anglais (eng) |
Catégories : |
[DIVERS] géographie:Europe:Europe occidentale:Pays-Bas [DIVERS] personne:par métier:professionnel de la santé:sage-femme [DIVERS] personne:par sexe:femme:femme enceinte [TABAC] sevrage tabagique:aide au sevrage:conseil de sevrage
|
Index. décimale : |
TA 0.3.4 Infirmiers,-ères |
Résumé : |
METHODS:
Four provinces with 42 practices including 118 midwives were randomly assigned to the experimental or control condition. Midwives in the experimental group provided brief health counseling, self-help materials on smoking cessation during pregnancy and early postpartum, and a partner booklet. Controls received routine care. The main outcome measures were 7-day abstinence, continuous abstinence, and partner smoking at 6 weeks post-intervention (T1) and 6 weeks postpartum (T2).
RESULTS:
Multi-level analysis revealed significant differences between both conditions at T1 and T2 using intention-to-treat analysis. Nineteen percent of the experimental group reported 7-day abstinence compared to 7% of the control group at T1, and 21 and 12%, respectively, at T2. For continuous abstinence these percentages were 12% in the experimental group and 3% in the control group. The partner intervention was not successful.
CONCLUSION:
The intervention resulted in significant effects on smoking behavior for pregnant women, but not for partner smoking.
PRACTICE IMPLICATIONS:
The program realized short-term effects. An important precondition is that midwives need a proper training. |
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