2.50
Hdl Handle:
http://hdl.handle.net/10755/153184
Type:
Presentation
Title:
A Mental Health Intervention to Help Pregnant Smokers Quit
Abstract:
A Mental Health Intervention to Help Pregnant Smokers Quit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Peden, Ann R., ARNP-CS, DSN
P.I. Institution Name:University of Kentucky
Title:Professor
Co-Authors:Mary Kay Rayens, PhD; Lynne A. Hall, RN, DrPH; Ellen J. Hahn, RN, DNS; Carol A. Riker, RN, MSN; Kristin Ashford, ARNP, MSN and Mei Zhang, MSN, MPH, RN
[Evidence-based Presentation] Background: Although motivation to quit smoking during pregnancy is high, only one-third of pregnant women who stop smoking during pregnancy remain smoke-free one year after delivery. Depression has been identified as a significant predictor of smoking during pregnancy; depressed women are less confident about quitting than non-depressed women. Purpose: To test the effects of a cognitive-behavioral group and telephone intervention during and after pregnancy on women's self-reported smoking and quit rates, nicotine dependence, urine cotinine, and mental health measures. Methods: A quasi-experimental, two-group repeated measures design was used.áData were collected at baseline, one month after the group intervention and two and four months postpartum. The treatment group (n = 11) received the intervention during and immediately after pregnancy. The control group (n = 5) only responded to in-person interviews. Mental health measures included two depressive symptoms scales (CES-D and BDI), negative thinking (CCI), and chronic stressors (ESI). Data were summarized using descriptive statistics and group comparisons were made using two-sample t-tests or chi-square tests. Results: While the two treatment groups were similar on all demographics and outcome variables at baseline, the intervention group had fewer depressive symptoms (for both CES-D and BDI) and thoughts of hopelessness (a subscale of the CCI) than the controls at the first post-intervention interview. Cigarette use, nicotine dependence, and urine cotinine did not change significantly from baseline to the first post-intervention interview. Subject attrition postpartum precluded quantitative analysis of data collected at the third and fourth interview. Conclusion: This exploratory study supports the effectiveness of a mental health intervention in decreasing depressive symptoms and hopelessness among pregnant smokers. A larger trial is needed to demonstrate the effectiveness of this integrated mental health intervention in promoting quit attempts and smoking abstinence in these at-risk women.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Mental Health Intervention to Help Pregnant Smokers Quiten_GB
dc.identifier.urihttp://hdl.handle.net/10755/153184-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Mental Health Intervention to Help Pregnant Smokers Quit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Peden, Ann R., ARNP-CS, DSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kentucky</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">arpede01@uky.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Kay Rayens, PhD; Lynne A. Hall, RN, DrPH; Ellen J. Hahn, RN, DNS; Carol A. Riker, RN, MSN; Kristin Ashford, ARNP, MSN and Mei Zhang, MSN, MPH, RN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Background: Although motivation to quit smoking during pregnancy is high, only one-third of pregnant women who stop smoking during pregnancy remain smoke-free one year after delivery. Depression has been identified as a significant predictor of smoking during pregnancy; depressed women are less confident about quitting than non-depressed women. Purpose: To test the effects of a cognitive-behavioral group and telephone intervention during and after pregnancy on women's self-reported smoking and quit rates, nicotine dependence, urine cotinine, and mental health measures. Methods: A quasi-experimental, two-group repeated measures design was used.&aacute;Data were collected at baseline, one month after the group intervention and two and four months postpartum. The treatment group (n = 11) received the intervention during and immediately after pregnancy. The control group (n = 5) only responded to in-person interviews. Mental health measures included two depressive symptoms scales (CES-D and BDI), negative thinking (CCI), and chronic stressors (ESI). Data were summarized using descriptive statistics and group comparisons were made using two-sample t-tests or chi-square tests. Results: While the two treatment groups were similar on all demographics and outcome variables at baseline, the intervention group had fewer depressive symptoms (for both CES-D and BDI) and thoughts of hopelessness (a subscale of the CCI) than the controls at the first post-intervention interview. Cigarette use, nicotine dependence, and urine cotinine did not change significantly from baseline to the first post-intervention interview. Subject attrition postpartum precluded quantitative analysis of data collected at the third and fourth interview. Conclusion: This exploratory study supports the effectiveness of a mental health intervention in decreasing depressive symptoms and hopelessness among pregnant smokers. A larger trial is needed to demonstrate the effectiveness of this integrated mental health intervention in promoting quit attempts and smoking abstinence in these at-risk women.</td></tr></table>en_GB
dc.date.available2011-10-26T12:06:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:06:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.