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A proactive smoking cessation intervention in postpartum women
Adriana Jiménez-Muro1, Isabel Nerín, Pilar Samper
1Tobacco Control Unit, University of Zaragoza, Spain. isabelne@unizar.es
Midwifery
|February 25, 2012
Summary
A proactive postpartum intervention significantly reduced relapse in recent quitters and advanced behavioral change in smokers. This approach should be integrated into maternal health services for better smoking cessation outcomes.
Area of Science:
- Public Health
- Behavioral Science
- Obstetrics
Background:
- Smoking cessation during pregnancy is crucial but relapse is common postpartum.
- Postpartum period presents unique challenges for maintaining abstinence.
- Behavioral change in smokers requires targeted support.
Purpose of the Study:
- To evaluate a proactive postpartum intervention's efficacy in preventing relapse among recent quitters.
- To assess the intervention's impact on the behavioral process of change in smokers.
- To determine the effectiveness of telephone-based support sessions.
Main Methods:
- Randomized controlled trial involving pregnant women.
- Intervention utilized Motivational Interviewing (MI) and relapse prevention principles.
- Intervention group received four telephone support sessions; control group received two check calls over 3 months.
Main Results:
- Recent quitters in the intervention group had a 74% abstinence rate at 12 weeks versus 37% in the control group.
- 90.7% of smokers in the intervention group were ready to quit within 6 months, compared to 18.3% in the control group.
- Biochemical validation of abstinence was limited due to low attendance at the 3-month follow-up.
Conclusions:
- Proactive postpartum interventions can effectively reduce relapse rates in recent quitters.
- These interventions facilitate progress in smoking cessation behavioral change for female smokers.
- Systematic integration into mother-child health services is recommended.
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