title: Process evaluation of a nurse-delivered smoking relapse prevention program for new mothers.
abstract: The objective of this study(1) is to evaluate the feasibility, recall, and acceptability of an evidence-based intervention using home-health nurses to provide smoking relapse prevention skills to new mothers. The design of this study is process evaluation. Setting and participants include women who had delivered a normal newborn at a university hospital, who quit smoking during pregnancy, were smoke free for 7 days, and had saliva cotinine of less than or equal to 14 nanogram/ml. The intervention is a multicomponent cognitive-behavioral intervention, including inpatient contact, a home-health visit, and 2 follow-up phone calls. Results are as follows: 121 participants enrolled, and the intervention was implemented in 78 home visits. Nurses discussed tobacco issues for an average of 12.0 min. Almost all participants recalled the home visit; nearly two thirds recalled discussing tobacco use. Only 4% reported negative feelings toward discussing tobacco issues. In 87% of home visits, nurses implemented all 5 intervention components with self-reported nonsmokers. The conclusion is as follows: A nurse-delivered smoking relapse prevention intervention for new mothers was feasible and acceptable.
authors.affiliation: Department of Pediatrics, The Ohio State University College of Medicine and Public Health, 43204, USA. jgroner@chi.osu.edu
authors.forename: Judith
authors.initials: J
authors.lastname: Groner
authors.forename: Gina
authors.initials: G
authors.lastname: French
authors.forename: Karen
authors.initials: K
authors.lastname: Ahijevych
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Wewers
mesh_terms: D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015403:Nursing Evaluation Research; D009820:Ohio; D010342:Patient Acceptance of Health Care; D011181:Postnatal Care / Q000379:methods*; D036301:Qualitative Research; D055502:Secondary Prevention; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D012959:Socioeconomic Factors; D016896:Treatment Outcome