哮喘联盟

   摘要
   目的：纳入一批来自阿巴拉契亚农村的孕龄在12周以下的吸烟孕妇，以评估一个基于网络的应急管理程序（CM）和一个提供戒烟咨询计划（为健康婴儿的出生请戒烟[SCHB]）的电话媒介。
   设计：采用两组随机设计的方法。
   背景：阿巴拉契亚俄亥俄和肯塔基州农村以家庭为基础的戒烟计划。
   参与者：吸烟孕妇的社区样本（N= 17）。
   方法：参与者完成人口和吸烟有关的问卷调查后被分配到CM（N =7）组或SCHB（N =10）组。每月使用呼吸一氧化碳和尿中可替宁评估吸烟状况。
   结果：CM组，2/7（28.57％）的参与者戒烟成功，入选SCHB组的3/10（30％）在怀孕后期戒烟成功。CM组较SCHB组更快获得戒烟成功。然而，SCHB组成员更少经历吸烟复发，并且这些参与者中的大部分将吸烟量减少至少50％。
   结论：该初步评估结果显示，基于网络的CM和SCHB方案用于农村怀孕吸烟者的可接受的方案似乎都是可行的、可依从的。今后研究人员可以探索结合这些项目、利用每一个项目的优势，例如，基于CM激励的快速戒烟和SCHB支持和辅导的更好的持续戒烟或减少吸烟量。

 

（苏欣 审校）
J Obstet Gynecol Neonatal Nurs. 2015 Feb 4. doi: 10.1111/1552-6909.12547. [Epub ahead of print]


 

A Pilot Study of Home-Based Smoking Cessation Programs for Rural, Appalachian, Pregnant Smokers.
 

Harris M, Reynolds B.

ABSTRACT
OBJECTIVE: To evaluate a web-based contingency management program (CM) and a phone-delivered cessation counseling program (Smoking Cessation for Healthy Births [SCHB]) with pregnant smokers in rural Appalachia who were ≤12 weeks gestation at enrollment.
DESIGN: Two group randomized design.
SETTING: Home-based cessation programs in rural Appalachia Ohio and Kentucky.
PARTICIPANTS: A community sample of pregnant smokers (N = 17).
METHODS: Participants completed demographic and smoking-related questionnaires and were assigned to CM (n = 7) or SCHB (n = 10) conditions. Smoking status was assessed monthly using breath carbon monoxide and urinary cotinine.
RESULTS: For CM, two of seven (28.57%) of the participants achieved abstinence, and three of 10 (30%) of those enrolled in SCHB were abstinent by late in pregnancy. Participants in CM attained abstinence more rapidly than those in SCHB. However, those in SCHB experienced less relapse to smoking, and a greater percentage of these participants reduced their smoking by at least 50%.
CONCLUSION: Based on this initial evaluation, the web-based CM and SCHB programs appeared to be feasible for use with rural pregnant smokers with acceptable program adherence for both approaches. Future researchers could explore combining these programs to capitalize on the strengths of each, for example, rapid smoking cessation based on CM incentives and better sustained cessation or reductions in smoking facilitated by the counseling support of SCHB.
 

J Obstet Gynecol Neonatal Nurs. 2015 Feb 4. doi: 10.1111/1552-6909.12547. [Epub ahead of print]