科研之友
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摘要
Objective. Evaluate the impact of an integrated brief intervention to assist antenatal staff in addressing smoking with pregnant women. Design. Three studies were conducted: ( a) antenatal staff surveys pre- and post-training to deliver the brief intervention; (b) retrospective audit of pregnancy records; ( c) post-intervention follow-up interviews with a cohort of pregnant women who smoked at baseline. Setting. South Australia. Sample. ( a) Antenatal health professionals at two major birthing hospitals (n = 117 pre- survey and n = 62 post-survey); ( b) 1,024 pregnancy records; ( c) follow-up interviews with women at one month ( n = 58), 6 months ( n = 40) and 12 months ( n = 31) post-intervention. Methods. ( a) Staff surveys about current practice prior to training ( via written questionnaire) and 12 months post-training ( by telephone); ( b) pregnancy record audit for presence and use of the Smoke-Free Assessment & Intervention Form (SFA&IF) conducted at 12 months; ( c) telephone surveys assessing smoking behavior. Main Outcome Measures. Staff practice change and compliance with the intervention. Cessation rates among pregnant women. Results. At 12 months, 89% of staff reported that the intervention integrated well into their work; The SFA&IF was physically present in 80% of pregnancy records and 89% had been completed. Over 65% of current smokers were offered advice about the benefits of quitting; quit rates were highest at 6 months (18, 13% conservative estimate), but women tended to relapse after the birth of their baby. Conclusions. The intervention was well-received and staff compliance was high. Quit rates exceeded spontaneous quit rates in the community. This project has been expanded nationally.
- 出版日期2010-4
