title: Facilitating changes in perinatal smoking. The impact of a stage-based workshop for care-providers in British Columbia.
abstract: OBJECTIVE
  To determine the impact of stage-based smoking cessation workshops for perinatal care-providers.
  
  
  METHODS
  A one-day workshop was designed and piloted with perinatal care-providers in Comox Valley, British Columbia. Dissemination to eight other communities followed. Pre- and post-questionnaires were collected from 270 care-providers. Clients (n = 115) were interviewed after contact with a care-provider.
  
  
  RESULTS
  Workshops increased care-provider knowledge (p < 0.0001), confidence to address smoking with clients (p < 0.0001), and perceived ability to help clients across the stages of change (p < 0.0001). There was an increase in use of the model (p < 0.0001) by care-providers, with 86% reporting changing their work with perinatal clients and 75% applying it beyond that setting. A significant shift in client readiness to change occurred during the pilot (p = 0.001) and dissemination (p = 0.013). Eighty percent of dissemination clients reported altering smoking behaviours as a result of intervention and 36% made at least one attempt to quit. Client satisfaction was high. Spin-off benefits included increased community collaboration, and capacity.
authors.affiliation: BC Ministry of Health Planning, 1520 Blanshard St., Victoria, BC, V8W 3C8. pj.naylor@gems1.gov.bc.ca
authors.forename: Patti-Jean
authors.initials: PJ
authors.lastname: Naylor
authors.forename: Janice S
authors.initials: JS
authors.lastname: Adams
authors.forename: Donna
authors.initials: D
authors.lastname: McNeil
mesh_terms: D001955:British Columbia; D003376:Counseling / Q000193:education*; D004493:Education; D005260:Female; D017144:Focus Groups; D006801:Humans; D008429:Maternal Welfare; D009774:Obstetrics / Q000193:education*; D010353:Patient Education as Topic; D018743:Perinatal Care; D011247:Pregnancy; D016540:Smoking Cessation; D011795:Surveys and Questionnaires