A multicomponent behavioral intervention for smoking cessation during pregnancy: a nonconcurrent multiple-baseline...

Area of Science:

• Public Health
• Behavioral Science

Background:

• Maternal smoking poses significant risks to fetal development and pregnancy outcomes.
• Effective interventions for smoking cessation during pregnancy are crucial.

Purpose of the Study:

• To develop and pilot test a multicomponent behavioral intervention to improve smoking cessation rates in pregnant women.
• To assess the feasibility and acceptability of the intervention.

Main Methods:

• A nonconcurrent, multiple-baseline pilot study involving 48 daily smoking pregnant women.
• Intervention included financial incentives, education, counseling, monitoring, feedback, and family support.
• Smoking cessation was verified using urine cotinine levels.

Main Results:

• Twenty-one out of 30 participants (70%) achieved complete smoking cessation within 8 weeks.
• Non-quitters showed substantial reductions in smoking.
• Interrupted time series analysis showed significant decreases in daily cigarette consumption and cotinine levels.

Conclusions:

• The multicomponent behavioral intervention is feasible and acceptable for pregnant smokers.
• The intervention demonstrated a high smoking cessation rate in a population with low spontaneous quit rates.
• This approach shows promise for reducing the adverse effects of maternal smoking.