The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa
Abstract Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi-experimental using a natural history cohort as a control group, consisting of women...
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| Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 2010-04, Vol.89 (4), p.478-489 |
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| container_title | Acta obstetricia et gynecologica Scandinavica |
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| creator | Everett-Murphy, Katherine Steyn, Krisela Mathews, Catherine Petersen, Zaino Odendaal, Hein Gwebushe, Nomonde Lombard, Carl |
| description | Abstract
Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi-experimental using a natural history cohort as a control group, consisting of women attending antenatal care in 2006 and an intervention cohort, attending the same clinics a year later. Setting. Four, public sector antenatal clinics in Cape Town staffed and managed by midwives. Population. Pregnant women of low socio-economic status. Methods. The natural history cohort received usual care, whilst the intervention cohort was offered self-help quit materials in the context of brief counseling by midwives and peer counselors. Smoking behavior was measured in early, mid and late pregnancy. The equivalence of the groups in terms of smoking profile, self-reported smoking and demographic variables was assessed at baseline. Main outcome measures. Quit rates measured by urinary cotinine towards the end of pregnancy (36-39 weeks gestation). Results. The two cohorts were comparable at baseline. The difference in quit rates between the two cohorts in late pregnancy was 5.3% (95% CI: 3.2-7.4%, p |
| doi_str_mv | 10.3109/00016341003605701 |
| format | Article |
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Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi-experimental using a natural history cohort as a control group, consisting of women attending antenatal care in 2006 and an intervention cohort, attending the same clinics a year later. Setting. Four, public sector antenatal clinics in Cape Town staffed and managed by midwives. Population. Pregnant women of low socio-economic status. Methods. The natural history cohort received usual care, whilst the intervention cohort was offered self-help quit materials in the context of brief counseling by midwives and peer counselors. Smoking behavior was measured in early, mid and late pregnancy. The equivalence of the groups in terms of smoking profile, self-reported smoking and demographic variables was assessed at baseline. Main outcome measures. Quit rates measured by urinary cotinine towards the end of pregnancy (36-39 weeks gestation). Results. The two cohorts were comparable at baseline. The difference in quit rates between the two cohorts in late pregnancy was 5.3% (95% CI: 3.2-7.4%, p < 0.0001) in an intention to treat analysis. There was also a significant difference in reduction of smoking of 11.8% (95% CI: 5.0-18.4%, p = 0.0006). Conclusion. A smoking cessation intervention based on best practice guidelines was effective among high risk, pregnant smokers in South Africa.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.3109/00016341003605701</identifier><identifier>PMID: 20302533</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Ambulatory Care Facilities ; Best practice ; Case-Control Studies ; Cotinine - urine ; Counseling ; Female ; Humans ; Maternal & child health ; Midwifery ; Patient Education as Topic ; Practice Guidelines as Topic ; Pregnancy ; Pregnant women ; Prenatal Care ; Program Evaluation ; Public Sector ; Smoking - epidemiology ; Smoking Cessation ; smoking cessation intervention ; Smoking Prevention ; Social Class ; South Africa - epidemiology ; Tobacco smoke ; Womens health</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 2010-04, Vol.89 (4), p.478-489</ispartof><rights>Informa UK Ltd 2010</rights><rights>Acta Obstet Gynecol Scand 2010</rights><rights>Copyright Wiley Subscription Services, Inc. Apr 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5082-bf9d19f260bbd38271319f69552f9072bc5df512610e10d6bbbbaeabe5f144983</citedby><cites>FETCH-LOGICAL-c5082-bf9d19f260bbd38271319f69552f9072bc5df512610e10d6bbbbaeabe5f144983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.3109%2F00016341003605701$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.3109%2F00016341003605701$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20302533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Everett-Murphy, Katherine</creatorcontrib><creatorcontrib>Steyn, Krisela</creatorcontrib><creatorcontrib>Mathews, Catherine</creatorcontrib><creatorcontrib>Petersen, Zaino</creatorcontrib><creatorcontrib>Odendaal, Hein</creatorcontrib><creatorcontrib>Gwebushe, Nomonde</creatorcontrib><creatorcontrib>Lombard, Carl</creatorcontrib><title>The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Abstract
Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi-experimental using a natural history cohort as a control group, consisting of women attending antenatal care in 2006 and an intervention cohort, attending the same clinics a year later. Setting. Four, public sector antenatal clinics in Cape Town staffed and managed by midwives. Population. Pregnant women of low socio-economic status. Methods. The natural history cohort received usual care, whilst the intervention cohort was offered self-help quit materials in the context of brief counseling by midwives and peer counselors. Smoking behavior was measured in early, mid and late pregnancy. The equivalence of the groups in terms of smoking profile, self-reported smoking and demographic variables was assessed at baseline. Main outcome measures. Quit rates measured by urinary cotinine towards the end of pregnancy (36-39 weeks gestation). Results. The two cohorts were comparable at baseline. The difference in quit rates between the two cohorts in late pregnancy was 5.3% (95% CI: 3.2-7.4%, p < 0.0001) in an intention to treat analysis. There was also a significant difference in reduction of smoking of 11.8% (95% CI: 5.0-18.4%, p = 0.0006). Conclusion. A smoking cessation intervention based on best practice guidelines was effective among high risk, pregnant smokers in South Africa.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Best practice</subject><subject>Case-Control Studies</subject><subject>Cotinine - urine</subject><subject>Counseling</subject><subject>Female</subject><subject>Humans</subject><subject>Maternal & child health</subject><subject>Midwifery</subject><subject>Patient Education as Topic</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Prenatal Care</subject><subject>Program Evaluation</subject><subject>Public Sector</subject><subject>Smoking - epidemiology</subject><subject>Smoking Cessation</subject><subject>smoking cessation intervention</subject><subject>Smoking Prevention</subject><subject>Social Class</subject><subject>South Africa - epidemiology</subject><subject>Tobacco smoke</subject><subject>Womens health</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks2KFDEUhQtRnHb0AdxIwIWbKc1f_eGqabRHGBzQllmGVOqmOjPVSZmkpp3H881M2e0IiphNuNzvHO7NSZY9J_g1I7h5gzEmJeMEY1biosLkQbYgJcY55oQ-zBZzP09Ac5I9CeE6VbTi9ePshGKGacHYIvu-2QICrUFFcwsWQkBOI9nJMUJ3hloIEY1epq4C1E-mg8EkCmnnUdi5G2N7pJJKRuMsUm6yYSZ6tDdxizoTZHcrbZT97DZ66G2qfirBByRjBNvN-Di1g1EopDmSc2LAyigHpJKZUQEZi1ZyBLRxe3uGPrspuS-1N0o-zR5pOQR4drxPsy_v321W5_nF5frDanmRqwLXNG9105FG0xK3bcdqWhGWyrIpCqobXNFWFZ0uCC0JBoK7sk1Hgmyh0ITzpman2auD7-jd1ym9i9iZoGAYpAU3BVExVhe8rnkiX_5BXrvJ2zScoAVPeXHOaaLIgVLeheBBi9GbnfR3gmAxxyv-ijdpXhydp3YH3b3iV54JKA_A3gxw939HsbxcE9LM0-QHoQkRvt0Lpb8RZcWqQlx9XIsrsmH1J7IW54l_e-Rt-go7uQU5xK2SHn4v--89fgCPYdO9</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Everett-Murphy, Katherine</creator><creator>Steyn, Krisela</creator><creator>Mathews, Catherine</creator><creator>Petersen, Zaino</creator><creator>Odendaal, Hein</creator><creator>Gwebushe, Nomonde</creator><creator>Lombard, Carl</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa</title><author>Everett-Murphy, Katherine ; Steyn, Krisela ; Mathews, Catherine ; Petersen, Zaino ; Odendaal, Hein ; Gwebushe, Nomonde ; Lombard, Carl</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5082-bf9d19f260bbd38271319f69552f9072bc5df512610e10d6bbbbaeabe5f144983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ambulatory Care Facilities</topic><topic>Best practice</topic><topic>Case-Control Studies</topic><topic>Cotinine - urine</topic><topic>Counseling</topic><topic>Female</topic><topic>Humans</topic><topic>Maternal & child health</topic><topic>Midwifery</topic><topic>Patient Education as Topic</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Prenatal Care</topic><topic>Program Evaluation</topic><topic>Public Sector</topic><topic>Smoking - epidemiology</topic><topic>Smoking Cessation</topic><topic>smoking cessation intervention</topic><topic>Smoking Prevention</topic><topic>Social Class</topic><topic>South Africa - epidemiology</topic><topic>Tobacco smoke</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Everett-Murphy, Katherine</creatorcontrib><creatorcontrib>Steyn, Krisela</creatorcontrib><creatorcontrib>Mathews, Catherine</creatorcontrib><creatorcontrib>Petersen, Zaino</creatorcontrib><creatorcontrib>Odendaal, Hein</creatorcontrib><creatorcontrib>Gwebushe, Nomonde</creatorcontrib><creatorcontrib>Lombard, Carl</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Everett-Murphy, Katherine</au><au>Steyn, Krisela</au><au>Mathews, Catherine</au><au>Petersen, Zaino</au><au>Odendaal, Hein</au><au>Gwebushe, Nomonde</au><au>Lombard, Carl</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2010-04</date><risdate>2010</risdate><volume>89</volume><issue>4</issue><spage>478</spage><epage>489</epage><pages>478-489</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><abstract>Abstract
Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi-experimental using a natural history cohort as a control group, consisting of women attending antenatal care in 2006 and an intervention cohort, attending the same clinics a year later. Setting. Four, public sector antenatal clinics in Cape Town staffed and managed by midwives. Population. Pregnant women of low socio-economic status. Methods. The natural history cohort received usual care, whilst the intervention cohort was offered self-help quit materials in the context of brief counseling by midwives and peer counselors. Smoking behavior was measured in early, mid and late pregnancy. The equivalence of the groups in terms of smoking profile, self-reported smoking and demographic variables was assessed at baseline. Main outcome measures. Quit rates measured by urinary cotinine towards the end of pregnancy (36-39 weeks gestation). Results. The two cohorts were comparable at baseline. The difference in quit rates between the two cohorts in late pregnancy was 5.3% (95% CI: 3.2-7.4%, p < 0.0001) in an intention to treat analysis. There was also a significant difference in reduction of smoking of 11.8% (95% CI: 5.0-18.4%, p = 0.0006). Conclusion. A smoking cessation intervention based on best practice guidelines was effective among high risk, pregnant smokers in South Africa.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>20302533</pmid><doi>10.3109/00016341003605701</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta obstetricia et gynecologica Scandinavica, 2010-04, Vol.89 (4), p.478-489 |
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| subjects | Adolescent Adult Ambulatory Care Facilities Best practice Case-Control Studies Cotinine - urine Counseling Female Humans Maternal & child health Midwifery Patient Education as Topic Practice Guidelines as Topic Pregnancy Pregnant women Prenatal Care Program Evaluation Public Sector Smoking - epidemiology Smoking Cessation smoking cessation intervention Smoking Prevention Social Class South Africa - epidemiology Tobacco smoke Womens health |
| title | The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa |
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