| Learning Objective #1: Describe the impact of the smoking cessation intervention strategies tailored to the pregnant adolescent to attain and maintain abstinence | |||
| Learning Objective #2: List clinical implications of this research |
Background: Despite the well-known adverse health effects associated with smoking during pregnancy, 17.2% of pregnant adolescents continue to smoke throughout their pregnancies.
Objective: To evaluate the short and long term effects of smoking cessation intervention strategies tailored to the pregnant adolescent to attain and maintain abstinence.
Design and Sample: A total of 142 subjects consented to participate in the intervention study were randomized to one of three groups: 1) Usual Care (n=50); 2) Teen FreshStart (TFS) (n= 47); and 3) TFS with Buddy (TFS-B) (addition of peer support)] (n= 45). Participants in the experimental groups attended 8-week group sessions.
Measures: Measures included demographic, substance use, and psychosocial questionnaires. In addition, saliva cotinine levels were also analyzed to evaluate smoking behavior.
Methods: Measurement time points included baseline, post-intervention, 6 weeks postpartum, and 1 year post-baseline. Chi-square analysis was performed to test the efficacy of the interventions in achieving smoking cessation at post intervention, 6 weeks postpartum and one year post randomization, as well as the efficacy of the booster session at one year post randomization.
Findings/Conclusions: The TFS-B intervention was effective in the short-term for achieving cessation as compared to usual care (p=0.008) however relapse to smoking in the postpartum was evident, and none of the interventions yielded long-term abstinence from smoking.
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Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003