TY - JOUR
T1 - The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners
AU - de Vries, H.
AU - Bakker, M,
AU - Mullen, P.
AU - van Breukelen, G.J.P.
PY - 2006/1/1
Y1 - 2006/1/1
N2 - Objective: Smoking during pregnancy is,an important problem in the Netherlands. We tested the effectiveness of a health counseling method by midwives using a RCT. 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.
AB - Objective: Smoking during pregnancy is,an important problem in the Netherlands. We tested the effectiveness of a health counseling method by midwives using a RCT. 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.
U2 - 10.1016/j.pec.2005.10.002
DO - 10.1016/j.pec.2005.10.002
M3 - Article
SN - 0738-3991
VL - 63
SP - 177
EP - 187
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1-2
ER -