A randomized controlled trial of smoking cessation for pregnant women to test the effect of a transtheoretical model-based intervention on movement in stage and interaction with baseline stage

British Journal of Health Psychology
Paul AveyardCarol Johnson

Abstract

To examine whether, as predicted by the transtheoretical model (TTM), stage-matched interventions will be more effective than stage-mismatched interventions. Randomized controlled trial of smoking cessation advice to pregnant smokers. Pregnant women currently smoking at 12 weeks gestation were enrolled in a pragmatic three-arm trial of TTM-based interventions to help them stop smoking. One arm constituted standard midwifery advice and a self-help leaflet on stopping smoking, which is generally appropriate for women in preparation. Two arms were TTM-based. Differences in positive movement in stage towards quitting from enrolment to 30 weeks gestation and 10 days post-partum were calculated for each arm of the trial. We then examined whether, as predicted from the TTM, the relative benefit of the TTM-based intervention was greater for women in precontemplation and contemplation, for whom the control intervention was stage-mismatched, than for women in preparation, for whom the control intervention was stage-matched. Women in the TTM-based arms were statistically significantly more likely to move forward in stage than were women in the control arm. Contrary to the TTM-derived hypothesis, the greater relative benefit of the TTM-bas...Continue Reading

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Citations

Oct 13, 2009·Journal of Substance Abuse Treatment·Anil BatraGerhard Buchkremer
Jan 15, 2008·The Journal of the Association of Nurses in AIDS Care : JANAC·Tracy A RileyJoseph L Fava
Nov 29, 2008·Social Science & Medicine·Paul AveyardCarl Griffin
Sep 4, 2009·Journal of Korean Academy of Nursing·Yun Hee KimMyoung Soo Kim
Jun 1, 2007·Nutrition Research Reviews·Leslie SpencerTroy Adams
Nov 12, 2010·The Cochrane Database of Systematic Reviews·Kate CahillNatasha Green
Feb 15, 2017·The Cochrane Database of Systematic Reviews·Catherine ChamberlainJoanne E McKenzie
Nov 23, 2017·Environmental Health and Preventive Medicine·Marzieh ArabanAli Montazeri

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