An integrated brief intervention to address smoking in pregnancy.
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.
Bowden
Jacqueline A
JA
Tobacco Control Research and Evaluation Program, Cancer Council South Australia, Adelaide, South Australia, Australia.
Oag
Debra A
DA
Quit SA, Cancer Council South Australia, Adelaide, South Australia, Australia.
Smith
Kate L
KL
Tobacco Control Research and Evaluation Program, Cancer Council South Australia, Adelaide, South Australia, Australia.
Miller
Caroline L
CL
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.
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