“一起戒烟”以怀孕吸烟者戒烟为重点的随机试验

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-03-07 DOI:10.1016/j.ejogrb.2025.03.010

Cristian I. Meghea , Marina D. Dascal , Rana Jaber , Alexandra Brinzaniuc , Alexandra Onisor , Razvan M. Chereches , Dan Mihu , Cristian I. Iuhas , Florin Stamatian , Daniel Muresan , Gabriela Caracostea , Kristie Foley , Adriana Baban , Thomas C. Voice , Ken Resnicow , David W. Wetter , Oana M. Blaga

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引用次数: 0

摘要

目的探讨孕期吸烟人员产前产后以夫妻为中心的电话咨询的可行性及初步效果。设计与背景本试验随机对照试验（RCT）在罗马尼亚在线进行，共招募了90名怀孕吸烟者和77名其生活伴侣。参与者90名成年怀孕吸烟者和77名他们的生活伴侣被随机分为两组：(1)动机和问题解决（MAPS）电话咨询组（n = 45名怀孕吸烟者，接受最多8次产前/产后电话咨询，n = 40名伴侣接受最多4次电话咨询）或(2)常规护理组（n = 45名怀孕吸烟者和n = 37名伴侣）。主要结果为产妇自报告和生化验证的7天烟草点流行戒断（PPA）和出生至产后3个月间的长期戒断（PA）。采用未调整组比较来评估初步干预效果。研究发现，干预组中20%的女性报告PPA，而常规护理组为15.6% （p = 0.58）。接受三次或更多咨询的女性（n = 15） PPA较高(40.0 vs 15.6%, p <；0.05)高于常规护理组。干预组中8.9%的妇女经生化验证戒酒，而常规护理组为4.4% (p = 0.67)，接受至少三次咨询的妇女戒酒率明显更高（26.7%对4.4%,p = 0.03）。结论对怀孕吸烟者进行产前产后以夫妻为中心的电话咨询干预是可行的，在给予最小干预剂量的情况下，对戒烟和产后戒烟有初步效果。

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The Quit Together couples-focused pilot randomized trial of tobacco cessation for pregnant smokers

Aims

This study reports on the feasibility and preliminary efficacy of prenatal and postnatal couples-focused telephone counseling for pregnant tobacco smokers.

Design and setting

This pilot randomized controlled trial (RCT) was conducted online in Romania and enrolled a total of 90 pregnant smokers and 77 of their life partners.

Participants

90 adult pregnant smokers and 77 of their life partners were randomized either to (1) Motivation and Problem Solving (MAPS) telephone counseling (n = 45 pregnant smokers who received up to 8 pre/postnatal telephone counseling sessions and n = 40 partners who received up to 4 sessions) or (2) usual care (n = 45 pregnant smokers and n = 37 partners).

Measurements

The primary outcomes were maternal 7-day self-reported and biochemically verified tobacco point-prevalence abstinence (PPA) and prolonged abstinence (PA) between birth and three months postpartum. Unadjusted group comparisons were used to assess preliminary intervention efficacy.

Findings

20 % of women in the intervention group reported PPA, compared to 15.6 % (p = 0.58) in the usual care group. Women (n = 15) who received three or more counseling sessions had higher PPA (40.0 vs 15.6 %, p < 0.05) than women in the usual care group. 8.9 % of the women in the intervention group had biochemically verified abstinence compared to 4.4 % (p = 0.67) in the usual care group, with a significantly higher rate among women who received at least three counseling sessions (26.7 % vs 4.4 %, p = 0.03).

Conclusion

A prenatal and postnatal couple-focused telephone counseling intervention for pregnant smokers is feasible and provides preliminary efficacy of cessation and postpartum abstinence when a minimum intervention dosage is delivered.

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.