An evaluation of videotaped vignettes for smoking cessation and relapse prevention during pregnancy: the Very Important Pregnant Smokers (VIPS) program

Cinciripini, Paul M.; McClure, Jennifer B.; Wetter, David W.; Perry, Jennifer; Blalock, Janice A.; Cinciripini, Lynn G.; Friedman, Karen; Skaar, Karyn

doi:10.1136/tc.9.suppl_3.iii61

Cited by 18 publications

(22 citation statements)

References 7 publications

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“…13,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] The trials were conducted in the United States, China, Norway, Scotland, Finland, Italy, and Australia between 1987 and 2010. Forty-seven studies were excluded for the following reasons: quit rates were not reported or were not reported separately for intervention and control groups, or numbers of participants were not reported (24 studies ; the study design was not a controlled trial [11 studies [59][60][61][62][63][64][65][66][67][68][69] ]), the interventions were not aimed at parents of young children (9 studies [70][71][72][73][74][75][76][77][78] ); the reporting period was less than 1 month (1 study 79 ); a protocol only was reported (1 study 80 ); the report was not in English (1 study 81 ). The flowchart describing the identification process can be found in Fig 1. Study characteristics of included trials are presented in Table 1.…”

Section: Description Of Studiesmentioning

confidence: 99%

Parental Smoking Cessation to Protect Young Children:A Systematic Review and Meta-analysis

et al. 2012

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BACKGROUND: Young children can be protected from much of the harm from tobacco smoke exposure if their parents quit smoking. Some researchers encourage parents to quit for their children's benefit, but the evidence for effectiveness of such approaches is mixed. OBJECTIVE: To perform a systematic review and meta-analysis to quantify the effects of interventions that encourage parental cessation. METHODS: We searched PubMed, the Cochrane Library, Web of Science, and PsycINFO. Controlled trials published before April 2011 that targeted smoking parents of infants or young children, encouraged parents to quit smoking for their children's benefit, and measured parental quit rates were included. Study quality was assessed. Relative risks and risk differences were calculated by using the DerSimonian and Laird random-effects model. RESULTS: Eighteen trials were included. Interventions took place in hospitals, pediatric clinical settings, well-baby clinics, and family homes. Quit rates averaged 23.1% in the intervention group and 18.4% in the control group. The interventions successfully increased the parental quit rate. Subgroups with significant intervention benefits were children aged 4 to 17 years, interventions whose primary goal was cessation, interventions that offered medications, and interventions with high follow-up rates (>80%). CONCLUSIONS: Interventions to achieve cessation among parents, for the sake of the children, provide a worthwhile addition to the arsenal of cessation approaches, and can help protect vulnerable children from harm due to tobacco smoke exposure. However, most parents do not quit, and additional strategies to protect children are needed.

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Section: Description Of Studiesmentioning

confidence: 99%

Parental Smoking Cessation to Protect Young Children:A Systematic Review and Meta-analysis

et al. 2012

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“…41 Many programs have piggybacked with programs such as Women, Infants, and Children; Medicaid; health maintenance organizations (HMOs), and other organized, standardized, prenatal programs. 6,42,43 Some people have tried more unusual methods of reaching pregnant smokers, for example through videotape, 42 digitally interactive programs, 38 and peer telephone support. 30 Most of these programs have combined intervention strategies, hoping to increase success rates.…”

Section: Interventions That Maintain Smoking Cessation During Pregnancymentioning

confidence: 99%

“…34 The programs should also include personal interaction with clinicians and/or support staff. 42 Furthermore, providers should educate women about the dangers of exposure to environmental tobacco smoke, 5,28 and about the risks of smoking for the woman, not just the baby. 21 They should address a woman's social sphere by increasing community awareness about why women who are pregnant should not smoke, 22 encouraging a woman's social network to support her with positive encouragement rather than negative nagging, 30,34,39 and including her partner and others living in the home in any cessation effort.…”

Section: Interventions That Maintain Smoking Cessation During Pregnancymentioning

confidence: 99%

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

Fang¹,

Goldstein

Butzen³

et al. 2004

The Journal of the American Board of Family Medicine

114

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Objective: Review and examine existing research, current strategies, and directions for future research on smoking cessation relapse and relapse prevention in pregnancy and postpartum.Methods: A MEDLINE/PubMed search in 2002 and 2003 for articles containing the key words "smoking," "pregnancy," "cessation," and "cessation relapse prevention" and references of retrieved papers yielded a review of more than 500 articles. Only 14 of these addressed program-based strategies to increase cessation among pregnant women through relapse prevention programs.Conclusion: Although there is much information on the rationale and strategies for smoking cessation for pregnant women, fewer studies exist on how to prevent relapse. Throughout the past decade, tobacco use has remained the single most important modifiable cause of poor pregnancy outcome in the United States. Smoking accounts for 20% of deliveries of infants with low birth weights, 8% of preterm births, and 5% of all perinatal deaths. Smoking during pregnancy and in postpartum contributes to sudden infant death syndrome and changes in brain and nervous system development. The direct medical costs of a complicated birth for a smoker are 66% higher than for nonsmokers. 1 Relapse rates range from 70% to 85% among women who smoke but quit at some time during their pregnancy. A recent 10-year study (1987 to 1996) of 8808 pregnant women and 178,499 nonpregnant women of childbearing age indicated that the prevalence of current smoking has decreased significantly among both pregnant (16.3% to 11.8%) and nonpregnant women (26.7% to 23.6%).2 This drop in smoking over time among pregnant women was primarily caused by the overall decline in smoking initiation rates among women of childbearing age, not by an increased rate of smoking cessation related to pregnancy.Although one fifth of pregnant smokers spontaneously quit by the time of their first antenatal visit, 3 and pregnant women are half as likely as nonpregnant women to be smokers, 2 an estimated 20.4% of women smokers continue smoking throughout their pregnancies. 4 For women who do quit during pregnancy and who received a planned intervention, between 6.2% and 37.2% remained smoke-free. The range of relapse rates is broad because of the varying success of the cessation intervention strategy. Between 29% and 85% of women who get a planned intervention relapse after delivery. 5-16Although there is much information on why and how pregnant women should quit, fewer data exist on how to prevent relapse. This article is a literature review on relapse and relapse prevention in pregnancy; we looked at existing research, current strategies, and directions for future research.

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“…Recruiting participants for clinical trials can be challenging in general (e.g., Harris et al, 2003;Ross et al, 1999), and this has been particularly the case for smoking cessation trials of pregnant women, which often have difficulty meeting accrual goals (e.g., Cinciripini et al, 2000;Emmons et al, 2000;Goldenberg et al, 2000; Pollak et al, 2006;Ruggiero et al, 2003;Solomon et al, 2000;Strecher et al, 2000). Trials focusing on relapse prevention with this population have the additional challenge of recruiting from a yet smaller proportion of the population: pregnant women who smoked prior to their pregnancy but are currently abstaining from smoking.…”

Section: Introductionmentioning

confidence: 99%

“…Of course, by resuming smoking, the mother also reexposes herself to the myriad health risks associated with tobacco use. Given the high rate of self-quitting among pregnant smokers, as well as the success of interventions designed to motivate pregnant women to quit smoking (Melvin et al, 2000), pregnancy and the early postpartum period appear to offer unique opportunities to provide smoking relapseprevention interventions, although such efforts have met with at best modest success to date (Mullen, 2004).Recruiting participants for clinical trials can be challenging in general (e.g., Harris et al, 2003;Ross et al, 1999), and this has been particularly the case for smoking cessation trials of pregnant women, which often have difficulty meeting accrual goals (e.g., Cinciripini et al, 2000;Emmons et al, 2000;Goldenberg et al, 2000; Pollak et al, 2006;Ruggiero et al, 2003;Solomon et al, 2000;Strecher et al, 2000). Trials focusing on relapse prevention with this population have the additional challenge of recruiting from a yet smaller proportion of the population: pregnant women who smoked prior to their pregnancy but are currently abstaining from smoking.…”

mentioning

confidence: 99%

Clinical trials and tribulations: Lessons learned from recruiting pregnant ex-smokers for relapse prevention

Lopez

Simmons

Quinn

et al. 2008

CNTR

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The development of smoking cessation and relapse-prevention interventions for pregnant and postpartum women is a public health priority. However, researchers have consistently reported substantial difficulty in accruing this population into clinical trials. The problem is particularly acute for relapse-prevention studies, which must recruit women who have already quit smoking because of their pregnancy. Although an important target for tobacco control efforts, these individuals represent an extremely small subgroup of the general population. This paper describes multiple recruitment strategies utilized for a clinical trial of a self-help relapse-prevention program for pregnant women. The effectiveness of the strategies and the direct expense per participant accrued are provided. A proactive recruitment strategy (telephoning women whose phone numbers were purchased from a marketing firm) was ultimately much more successful than a variety of reactive strategies (advertisement, press releases, direct mail, web placement, healthcare provider outreach). There were few differences between proactively and reactively recruited participants on baseline variables; the primary difference was that the former had smoked fewer cigarettes per day and reported lower nicotine dependence prior to quitting. Strengths and limitations of the recruitment strategies are discussed.The risks associated with smoking during pregnancy are well established and highly publicized (Britton, 1998; CDC, 1995; United States Department of Health and Human Services [USDHHS], 1990[USDHHS], , 2001. Consequently, an increasing proportion of women (estimates range from 15% to 60%) spontaneously quit smoking immediately prior to or during their pregnancy (Ershoff et al., 2000;Morasco et al., 2006). However, maintenance of tobacco abstinence among pregnant and postpartum women remains a challenge. Smoking relapse rates among pregnant and postpartum women range from 70-80%, with approximately half of these women resuming smoking within the first twelve weeks postdelivery (Fingerhut et al., 1990;Ockene, 1993;Polanska et al., 2005; USDHHS, 2001). Postpartum smoking exposes the infant to environmental tobacco smoke, which is associated with a range of health problems in children including middle ear infection, asthma, sudden infant death syndrome, behavioral problems, and developmental delays (Charlton, 1994; USDHHS, 2006). Of course, by resuming smoking, the mother also reexposes herself to the myriad health risks associated with tobacco use. Given the high rate of self-quitting among pregnant smokers, as well as the success of interventions designed to motivate pregnant women to quit smoking (Melvin et al., 2000), pregnancy and the early postpartum period appear to offer unique opportunities to provide smoking relapseprevention interventions, although such efforts have met with at best modest success to date (Mullen, 2004).Recruiting participants for clinical trials can be challenging in general (e.g., Harris et al., 2003;Ross et al., 1999), and t...

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An evaluation of videotaped vignettes for smoking cessation and relapse prevention during pregnancy: the Very Important Pregnant Smokers (VIPS) program

Cited by 18 publications

References 7 publications

Parental Smoking Cessation to Protect Young Children:A Systematic Review and Meta-analysis

Parental Smoking Cessation to Protect Young Children:A Systematic Review and Meta-analysis

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

Clinical trials and tribulations: Lessons learned from recruiting pregnant ex-smokers for relapse prevention

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