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- Title
A pilot study to establish a randomized trial methodology to test the efficacy of a behavioural intervention.
- Authors
Tappin, David M.; Lumsden, Mary Ann; McIntyre, Doreen; Mckay, Caroline; Gilmour, W. Harper; Webber, Richard; Cowan, Stephanie; Crawford, Fiona; Currie, Fionnualagh
- Abstract
How can pregnant women be helped to stop smoking? This was a pilot study of midwife home-based motivational interviewing: Clients were 100 consecutive self-reported smokers booking at clinics in Glasgow from March to May 1997: Smoking guidance is routinely given at booking: In addition, intervention clients received a median of four home-based motivational interviewing sessions from one specially trained midwife: All sessions (n = 171) were audio-taped and interviews (n = 49) from 13 randomly selected clients were transcribed for content analysis: Three `experts' assessed intervention quality using a recognized rating scale: Cotinine measurement on routine blood samples confirmed self-reported smoking change from late pregnancy telephone interview: Postnatal telephone questionnaire measured client satisfaction: Focus groups of routine midwives explored acceptability, problems and disruption of normal care: Fisher exact, χ[sup 2] and Mann–Whitney tests compared enrolment characteristics: Two-sample t -tests assessed outcome between groups: Motivational interviewing was satisfactory in more than 75% of transcribed interviews: In this pilot study, self-reported smoking at booking (100 of 100 available) corroborated by cotinine (93 of 100) compared with late pregnancy self-reports (intervention 47 of 48; control 49 of 49) and cotinine (intervention 46 of 48; control 47 of 49) showed no significant difference between groups: Tools have been developed to answer the question: `Can proactive opportunistic home-based motivational interviewing help pregnant smokers reduce their habit?':
- Subjects
WOMEN'S tobacco use; OBSTETRICS education; PREGNANT women; WOMEN'S health services; MIDWIFERY; MOTIVATION (Psychology); PREVENTION; HUMAN services
- Publication
Health Education Research, 2000, Vol 15, Issue 4, p491
- ISSN
0268-1153
- Publication type
Article
- DOI
10.1093/her/15.4.491