Background:
A partner's provision of support and smoking status has been consistently associated
with women's likelihood of smoking cessation during pregnancy and relapse in postpartum.
Design:
A three-group randomized controlled intervention trial was conducted in 1996 to 2001,
with 583 women and their partners randomized to usual care (UC), woman-only (WO),
or partner-assisted (PA) intervention. Follow-ups occurred at 28 weeks of pregnancy,
and 2-, 6-, and 12-months postpartum.
Setting:
Womack Army Medical Center (WAMC) at Fort Bragg in Fayetteville, North Carolina.
Intervention:
Women in the UC condition received provider advice to quit and a self-help guide.
The WO condition received UC components plus a late-pregnancy relapse prevention kit
(booklet and gift items) and six counseling calls (three in pregnancy and three postpartum)
initiated by a health advisor. Women in the PA condition received the WO intervention,
and their partners received telephone counseling and a support guide emphasizing skills
to help the woman build and maintain her confidence to quit smoking. Partners who
smoked also received cessation aids and related counseling.
Main Outcome Measure:
Seven-day self-reported abstinence from smoking at each follow-up.
Results:
Intent-to-treat analyses showed no significant differences by condition in women's
reports of abstinence at any follow-up. In late pregnancy, more partners were abstinent
in the PA condition (15%) than in the UC condition (5%), p =0.02.
Conclusions:
Partner-assisted smoking-cessation interventions need further refinement. Influencing
young couples' support patterns may require more intensive and conjoint intervention.
Partners who smoke could benefit from support for their cessation efforts.
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Article info
Footnotes
At the time this manuscript was written, Dr. McBride was a faculty member at Duke University Medical Center and the Comprehensive Cancer Center in Durham, North Carolina.
Identification
Copyright
© 2004 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
