Title | A pilot study to establish a randomized trial methodology to test the efficacy of a behavioural intervention |
Publication Type | Journal Article |
Year of Publication | 2000 |
Authors | Tappin, DM, Lumsden, MA, McIntyre, D, Mckay, C, Gilmour, WH, Webber, R, Cowan, S, Crawford, F, Currie, F |
Journal | Health Education Research |
Volume | 15 |
Pagination | 491-502 |
Date Published | Aug |
Publication Language | eng |
ISBN Number | 0268-1153 (Print)0268-1153 (Linking) |
Accession Number | 11066466 |
Keywords | Adult, Choice Behavior, Counseling, Female, Health Behavior, Humans, Intervention Studies, Motivation, Nurse Midwives, Nurse-Patient Relations, Outcome and Process Assessment (Health Care), Pilot Projects, Pregnancy, Prenatal Care/*methods, Scotland, Smoking Cessation/methods/*psychology, Smoking/adverse effects/*prevention & control |
Abstract | How can pregnant women be helped to stop smoking? This was a pilot study of midwife home-based motivational interviewing. Clients were 100 consecutive self-reported smokers booking at clinics in Glasgow from March to May 1997. Smoking guidance is routinely given at booking. In addition, intervention clients received a median of four home-based motivational interviewing sessions from one specially trained midwife. All sessions (n = 171) were audio-taped and interviews (n = 49) from 13 randomly selected clients were transcribed for content analysis. Three 'experts' assessed intervention quality using a recognized rating scale. Cotinine measurement on routine blood samples confirmed self-reported smoking change from late pregnancy telephone interview. Postnatal telephone questionnaire measured client satisfaction. Focus groups of routine midwives explored acceptability, problems and disruption of normal care. Fisher exact, chi 2 and Mann-Whitney tests compared enrolment characteristics. Two-sample t-tests assessed outcome between groups. Motivational interviewing was satisfactory in more than 75% of transcribed interviews. In this pilot study, self-reported smoking at booking (100 of 100 available) corroborated by cotinine (93 of 100) compared with late pregnancy self-reports (intervention 47 of 48; control 49 of 49) and cotinine (intervention 46 of 48; control 47 of 49) showed no significant difference between groups. Tools have been developed to answer the question: 'Can proactive opportunistic home-based motivational interviewing help pregnant smokers reduce their habit?'. |
URL | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11066466 |