title: An integrated brief intervention to address smoking in pregnancy.
abstract: OBJECTIVE
  Evaluate the impact of an integrated brief intervention to assist antenatal staff in addressing smoking with pregnant women.
  
  
  METHODS
  Three studies were conducted: (a) antenatal staff surveys pre- and post-training to deliver the brief intervention; (b) retrospective audit of pregnancy records; (c) post-intervention follow-up interviews with a cohort of pregnant women who smoked at baseline.
  
  
  METHODS
  South Australia.
  
  
  METHODS
  (a) Antenatal health professionals at two major birthing hospitals (n = 117 pre-survey and n = 62 post-survey); (b) 1,024 pregnancy records; (c) follow-up interviews with women at one month (n = 58), 6 months (n = 40) and 12 months (n = 31) post-intervention.
  
  
  METHODS
  (a) Staff surveys about current practice prior to training (via written questionnaire) and 12 months post-training (by telephone); (b) pregnancy record audit for presence and use of the Smoke-Free Assessment & Intervention Form (SFA&IF) conducted at 12 months; (c) telephone surveys assessing smoking behavior.
  
  
  METHODS
  Staff practice change and compliance with the intervention. Cessation rates among pregnant women.
  
  
  RESULTS
  At 12 months, 89% of staff reported that the intervention integrated well into their work; The SFA&IF was physically present in 80% of pregnancy records and 89% had been completed. Over 65% of current smokers were offered advice about the benefits of quitting; quit rates were highest at 6 months (18, 13% conservative estimate), but women tended to relapse after the birth of their baby.
  
  
  CONCLUSIONS
  The intervention was well-received and staff compliance was high. Quit rates exceeded spontaneous quit rates in the community. This project has been expanded nationally.
authors.affiliation: Tobacco Control Research and Evaluation Program, Cancer Council South Australia, Adelaide, South Australia, Australia.
authors.forename: Jacqueline A
authors.initials: JA
authors.lastname: Bowden
authors.affiliation: Quit SA, Cancer Council South Australia, Adelaide, South Australia, Australia.
authors.forename: Debra A
authors.initials: DA
authors.lastname: Oag
authors.affiliation: Tobacco Control Research and Evaluation Program, Cancer Council South Australia, Adelaide, South Australia, Australia.
authors.forename: Kate L
authors.initials: KL
authors.lastname: Smith
authors.affiliation: Cancer Control Programs, Cancer Council South Australia, Adelaide, South Australia, Australia.|University of Adelaide, School of Population Health and Clinical Practice, Adelaide, South Australia, Australia.
authors.forename: Caroline L
authors.initials: CL
authors.lastname: Miller
mesh_terms: D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D001315:Australia / Q000453:epidemiology; D015331:Cohort Studies; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007318:Inservice Training; D008485:Medical Audit; D008880:Midwifery; D010820:Physicians; D011247:Pregnancy; D011295:Prenatal Care; D011369:Professional-Patient Relations; D015397:Program Evaluation; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires