Details:

Alternative Title:
Reprod Health
Publisher's site:
http://dx.doi.org/10.1186/1742-4755-10-44
Personal Author:
Althabe, Fernando ; Alemán, Alicia ; Mazzoni, Agustina ; Berrueta, Mabel ; Morello, Paola ; ... More +
Althabe, Fernando ; Alemán, Alicia ; Mazzoni, Agustina ; Berrueta, Mabel ; Morello, Paola ; Colomar, Mercedes ; Ciganda, Alvaro ; Becú, Ana ; Gibbons, Luz ; Llambi, Laura ; Bittar Gonzalez, María G ; Tong, Van T ; Farr, Sherry L ; Smith, Ruben A ; Dietz, Patricia M ; Johnson, Carolyn ; Buekens, Pierre ; Belizán, José M Less -
Description:
Background

Argentina and Uruguay are among the countries with the highest proportion of pregnant women who smoke. The implementation of an effective smoking cessation intervention would have a significant impact on the health of mothers and infants. The “5 A’s” (Ask, Advise, Assess, Assist, Arrange) is a strategy consisting of a brief cessation counseling session of 5–15 minutes delivered by a trained provider. The “5 A’s” is considered the standard of care worldwide; however, it is under used in Argentina and Uruguay.

Methods

We will conduct a two-arm, parallel cluster randomized controlled trial of an implementation intervention in 20 prenatal care settings in Argentina and Uruguay. Prenatal care settings will be randomly allocated to either an intervention or a control group after a baseline data collection period. Midwives’ facilitators in the 10 intervention prenatal clinics (clusters) will be identified and trained to deliver the “5 A’s” to pregnant women and will then disseminate and implement the program. The 10 clusters in the control group will continue with their standard in-service activities. The intervention will be tailored by formative research to be readily applicable to local prenatal care services at maternity hospitals and acceptable to local pregnant women and health providers. Our primary hypothesis is that the intervention is feasible in prenatal clinics in Argentina and Uruguay and will increase the frequency of women receiving tobacco use cessation counseling during pregnancy in the intervention clinics compared to the control clinics. Our secondary hypotheses are that the intervention will decrease the frequency of women who smoke by the end of pregnancy, and that the intervention will increase the attitudes and readiness of midwives towards providing counseling to women in the intervention clinics compared to the control clinics.

Trial registration

ClinicalTrials.gov. Identifier: NCT01852617


Subjects:
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Adult Argentina Counseling Female Guideline Adherence Guidelines Humans Midwifery Pilot Projects Practice Guidelines As Topic Pregnancy Pregnant Women Prenatal Care Smoking Smoking Cessation Study Protocol Tobacco Use Cessation Uruguay
Source:
Reprod Health. 2013; 10:44.
Pubmed ID:
23971512
Pubmed Central ID:
PMC3765647
Document Type:
Journal Article
Funding:
5U48DP001948-04/DP/NCCDPHP CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:cfd18ba181e04b8ecf85528d94df54c289b1b5987785a35b77d46413e9d3afb7
Download URL:
https://stacks.cdc.gov/view/cdc/21129/cdc_21129_DS1.pdf
File Type:

Supporting Files

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