Biomarker feedback intervention for smoking cessation among Alaska Native pregnant women: Randomized pilot study

PATIENT EDUCATION AND COUNSELING

卷:102

Article

Patten, Christi A.^1,2  Koller, Kathryn R.³  Flanagan, Christie A.³  Hiratsuka, Vanessa Y.⁴  Hughes, Christine A.^1,2  Wolfe, Abbie W.³  Decker, Paul A.⁵  Fruth, Kristin⁵  Brockman, Tabetha A.^1,2  Korpela, Molly⁴  Gamez, Diana⁴  Bronars, Carrie^1,2  Murphy, Neil J.⁴  Hatsukami, Dorothy⁶  Benowitz, Neal L.^7,8  Thomas, Timothy K.³ 

[1] Mayo Clin, Dept Psychiat & Psychol, 200 1st St SW, Rochester, MN 55905 USA

[2] Mayo Clin, Behav Hlth Res Program, 200 1st St SW, Rochester, MN 55905 USA

[3] Alaska Nat Tribal Hlth Consortium, Div Community Hlth Serv, Clin & Res Serv, 4000 Ambassador Dr, Anchorage, AK 99508 USA

[4] Alaska Native Med Ctr, Dept Obstet & Gynecol, Southcent Fdn, 4320 Diplomacy Dr,Ste 1800, Anchorage, AK 99508 USA

[5] Mayo Clin, Dept Hlth Sci Res, 200 1st St SW, Rochester, MN 55905 USA

[6] Univ Minnesota, 717 Delaware St SE, Minneapolis, MN 55414 USA

[7] Univ Calif San Francisco, Dept Med, 1001 Potrero Ave,SFGH 30, San Francisco, CA 94110 USA

[8] Univ Calif San Francisco, Dept Bioengn & Therapeut Sci, 1001 Potrero Ave,SFGH 30, San Francisco, CA 94110 USA

关键词: Alaska Native;    Pregnancy;    Cigarette smoking;    Smoking cessation;    Intervention;    Biomarker feedback;   

DOI  :  10.1016/j.pec.2018.10.009

来源: Elsevier

【 摘 要 】

Objective: There is some evidence for biomarker feedback when combined with cessation counseling for reducing smoking in pregnancy. This randomized controlled pilot study evaluated feasibility and potential efficacy of a social-cognitive theory (SCT)-based biomarker feedback intervention among pregnant Alaska Native (AN) smokers. Methods: Participants were randomly assigned to receive three study calls (10-20 min each): (1) biomarker feedback intervention (n =30) including personalized cotinine results and feedback on their baby's likely exposure to carcinogen metabolite NNAL, or (2) contact control usual care condition based on the 5As (n =30). Assessments were conducted at baseline, post-treatment, and delivery. Results: High rates of treatment compliance, study retention, and treatment acceptability were observed in both groups. 7-day point prevalence smoking abstinence rates at delivery verified with urinary cotinine were the same in both study groups (20% intent-to-treat analysis, 26% per-protocol). SCT-based measures did not change differentially from baseline by study group. Conclusion: This trial supports the feasibility and acceptability of providing biomarker feedback within the clinical care delivery system, but the intervention did not promote increased smoking cessation during pregnancy compared to usual care. Practice Implications: Efforts are needed to promote the usual care and to develop alternative biomarker feedback messaging for pregnant AN women. (C) 2018 The Authors. Published by Elsevier B.V.

【 授权许可】

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