Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing

a randomized trial.

Janice Y. Tsoh, Michael A. Kohn, Barbara Gerbert

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

OBJECTIVE: This study examined the use of a Video Doctor plus provider cueing to promote provider advice and smoking cessation outcomes in pregnancy. DESIGN: A randomized clinical trial was conducted from 2006 to 2008. SETTING: Five community prenatal clinics in the San Francisco Bay Area of the United States. PARTICIPANTS: A total of 410 pregnant patients completed screening for behavioral risks including tobacco use in the past 30 days. Pregnant smokers (n = 42) were randomized regardless of their intention to quit smoking. METHODS: Participants were assigned to either usual care or intervention. Intervention participants received 15-minute Video Doctor sessions plus provider cueing, at baseline and one month, prior to their routine prenatal visit. The Video Doctor delivered interactive tailored messages, an educational worksheet for participants, and a cueing sheet for providers. MAIN OUTCOME MEASURES: Receipt of advice from the provider and 30-day smoking abstinence, both by self-report. RESULTS: Intervention participants were more likely to receive provider advice on tobacco use at both prenatal visits during the intervention period (60.9 vs. 15.8%, p = 0.003). The intervention yielded a significantly greater decrease in the number of days smoked and in cigarettes smoked per day. The 30-day abstinence rate at two months post baseline was 2.5 times greater in the intervention group; the difference was not significant (26.1 vs. 10.5%, p = 0.12). CONCLUSIONS: The Video Doctor plus provider cueing is an efficacious adjunct to routine prenatal care by promoting provider advice and smoking reduction among pregnant smokers.

Original languageEnglish (US)
Pages (from-to)515-523
Number of pages9
JournalActa Obstetricia et Gynecologica Scandinavica
Volume89
Issue number4
StatePublished - 2010

Fingerprint

Smoking Cessation
Smoking
Tobacco Use
Pregnancy
Prenatal Care
San Francisco
Pregnancy Outcome
Tobacco Products
Self Report
Randomized Controlled Trials

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing : a randomized trial. / Tsoh, Janice Y.; Kohn, Michael A.; Gerbert, Barbara.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 89, No. 4, 2010, p. 515-523.

Research output: Contribution to journalArticle

Tsoh, Janice Y. ; Kohn, Michael A. ; Gerbert, Barbara. / Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing : a randomized trial. In: Acta Obstetricia et Gynecologica Scandinavica. 2010 ; Vol. 89, No. 4. pp. 515-523.
@article{2388f36a67ef4f99a87e6aa268a58696,
title = "Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing: a randomized trial.",
abstract = "OBJECTIVE: This study examined the use of a Video Doctor plus provider cueing to promote provider advice and smoking cessation outcomes in pregnancy. DESIGN: A randomized clinical trial was conducted from 2006 to 2008. SETTING: Five community prenatal clinics in the San Francisco Bay Area of the United States. PARTICIPANTS: A total of 410 pregnant patients completed screening for behavioral risks including tobacco use in the past 30 days. Pregnant smokers (n = 42) were randomized regardless of their intention to quit smoking. METHODS: Participants were assigned to either usual care or intervention. Intervention participants received 15-minute Video Doctor sessions plus provider cueing, at baseline and one month, prior to their routine prenatal visit. The Video Doctor delivered interactive tailored messages, an educational worksheet for participants, and a cueing sheet for providers. MAIN OUTCOME MEASURES: Receipt of advice from the provider and 30-day smoking abstinence, both by self-report. RESULTS: Intervention participants were more likely to receive provider advice on tobacco use at both prenatal visits during the intervention period (60.9 vs. 15.8{\%}, p = 0.003). The intervention yielded a significantly greater decrease in the number of days smoked and in cigarettes smoked per day. The 30-day abstinence rate at two months post baseline was 2.5 times greater in the intervention group; the difference was not significant (26.1 vs. 10.5{\%}, p = 0.12). CONCLUSIONS: The Video Doctor plus provider cueing is an efficacious adjunct to routine prenatal care by promoting provider advice and smoking reduction among pregnant smokers.",
author = "Tsoh, {Janice Y.} and Kohn, {Michael A.} and Barbara Gerbert",
year = "2010",
language = "English (US)",
volume = "89",
pages = "515--523",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing

T2 - a randomized trial.

AU - Tsoh, Janice Y.

AU - Kohn, Michael A.

AU - Gerbert, Barbara

PY - 2010

Y1 - 2010

N2 - OBJECTIVE: This study examined the use of a Video Doctor plus provider cueing to promote provider advice and smoking cessation outcomes in pregnancy. DESIGN: A randomized clinical trial was conducted from 2006 to 2008. SETTING: Five community prenatal clinics in the San Francisco Bay Area of the United States. PARTICIPANTS: A total of 410 pregnant patients completed screening for behavioral risks including tobacco use in the past 30 days. Pregnant smokers (n = 42) were randomized regardless of their intention to quit smoking. METHODS: Participants were assigned to either usual care or intervention. Intervention participants received 15-minute Video Doctor sessions plus provider cueing, at baseline and one month, prior to their routine prenatal visit. The Video Doctor delivered interactive tailored messages, an educational worksheet for participants, and a cueing sheet for providers. MAIN OUTCOME MEASURES: Receipt of advice from the provider and 30-day smoking abstinence, both by self-report. RESULTS: Intervention participants were more likely to receive provider advice on tobacco use at both prenatal visits during the intervention period (60.9 vs. 15.8%, p = 0.003). The intervention yielded a significantly greater decrease in the number of days smoked and in cigarettes smoked per day. The 30-day abstinence rate at two months post baseline was 2.5 times greater in the intervention group; the difference was not significant (26.1 vs. 10.5%, p = 0.12). CONCLUSIONS: The Video Doctor plus provider cueing is an efficacious adjunct to routine prenatal care by promoting provider advice and smoking reduction among pregnant smokers.

AB - OBJECTIVE: This study examined the use of a Video Doctor plus provider cueing to promote provider advice and smoking cessation outcomes in pregnancy. DESIGN: A randomized clinical trial was conducted from 2006 to 2008. SETTING: Five community prenatal clinics in the San Francisco Bay Area of the United States. PARTICIPANTS: A total of 410 pregnant patients completed screening for behavioral risks including tobacco use in the past 30 days. Pregnant smokers (n = 42) were randomized regardless of their intention to quit smoking. METHODS: Participants were assigned to either usual care or intervention. Intervention participants received 15-minute Video Doctor sessions plus provider cueing, at baseline and one month, prior to their routine prenatal visit. The Video Doctor delivered interactive tailored messages, an educational worksheet for participants, and a cueing sheet for providers. MAIN OUTCOME MEASURES: Receipt of advice from the provider and 30-day smoking abstinence, both by self-report. RESULTS: Intervention participants were more likely to receive provider advice on tobacco use at both prenatal visits during the intervention period (60.9 vs. 15.8%, p = 0.003). The intervention yielded a significantly greater decrease in the number of days smoked and in cigarettes smoked per day. The 30-day abstinence rate at two months post baseline was 2.5 times greater in the intervention group; the difference was not significant (26.1 vs. 10.5%, p = 0.12). CONCLUSIONS: The Video Doctor plus provider cueing is an efficacious adjunct to routine prenatal care by promoting provider advice and smoking reduction among pregnant smokers.

UR - http://www.scopus.com/inward/record.url?scp=77951916699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951916699&partnerID=8YFLogxK

M3 - Article

VL - 89

SP - 515

EP - 523

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 4

ER -