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Titolo:
Effective approaches to persuading pregnant women to quit smoking: A meta-analysis of intervention evaluation studies
Autore:
Kelley, K; Bond, R; Abraham, C;
Indirizzi:
Univ Sussex, Sch Social Sci, Brighton BN1 9SN, E Sussex, England Univ Sussex Brighton E Sussex England BN1 9SN BN1 9SN, E Sussex, England
Titolo Testata:
BRITISH JOURNAL OF HEALTH PSYCHOLOGY
, volume: 6, anno: 2001,
parte:, 3
pagine: 207 - 228
SICI:
1359-107X(200109)6:<207:EATPPW>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; INFANT-DEATH-SYNDROME; HEALTH BELIEF MODEL; CESSATION INTERVENTION; CIGARETTE-SMOKING; SELF-HELP; STOPPING SMOKING; BIRTH-WEIGHT; BEHAVIOR; EDUCATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
79
Recensione:
Indirizzi per estratti:
Indirizzo: Abraham, C Univ Sussex, Sch Social Sci, Brighton BN1 9SN, E Sussex, England Univ Sussex Brighton E Sussex England BN1 9SN Sussex, England
Citazione:
K. Kelley et al., "Effective approaches to persuading pregnant women to quit smoking: A meta-analysis of intervention evaluation studies", BR J H PSYC, 6, 2001, pp. 207-228

Abstract

Objectives. The study aimed to: (1) assess the effectiveness of prenatal smoking cessation interventions, (2) clarify whether the psychological changes targeted by interventions are related to their effectiveness, (3) identify specific intervention components associated with greater effectiveness, and (4) establish whether aspects of evaluation methodology are associated with a greater effectiveness. Design. Differences in proportions of women quitting and odds ratios were calculated for the intervention and control groups. Interventions were categorized in relation to the main intervention target (i.e. cognitive preparation versus increased threat perception), use of follow-up contact, use of individual cessation counselling and other characteristics. Methodological approaches to evaluation were also categorized. Methods. A systematic literature review generated 36 controlled evaluations, including one unpublished study. A meta-analysis was used to relate study classifications to effectiveness. This involved univariate analyses and amultivariate model of the relationship between observed univariate effects. Results. A weighted mean odds ratio of 1.93 indicated a good overall effectiveness. Cognitive preparation interventions achieved higher quit rates (6.5%) compared to interventions focusing on threat perception (2.2%). However, this effect was not maintained in the multivariate analysis. Conclusion. Interventions should employ follow-up, but further research isrequired to assess the impact of one-to-one counselling. Clarification of the psychological change processes underlying the observed effectiveness ofthese interventions is required. Future research should seek to identify the active ingredients and cognitive mediators of successful interventions.

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Documento generato il 25/01/20 alle ore 19:01:31