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Canadian Journal of Public Health

, Volume 93, Issue 4, pp 285–290 | Cite as

Facilitating Changes in Perinatal Smoking

The Impact of a Stage-based Workshop for Care-providers in British Columbia
  • Patti-Jean NaylorEmail author
  • Janice S. Adams
  • Donna McNeil
Article

Abstract

Objective: To determine the impact of stage-based smoking cessation workshops for perinatal care-providers.

Methods: A one-day workshop was designed and piloted with perinatal care-providers in Comox Valley, British Columbia. Dissemination to eight other communities followed. Preand post-questionnaires were collected from 270 care-providers. Clients (n=115) were interviewed after contact with a care-provider.

Results: Workshops increased care-provider knowledge (p<0.0001), confidence to address smoking with clients (p<0.0001), and perceived ability to help clients across the stages of change (p<0.0001). There was an increase in use of the model (p<0.0001) by careproviders, with 86% reporting changing their work with perinatal clients and 75% applying it beyond that setting. A significant shift in client readiness to change occurred during the pilot (p=0.001) and dissemination (p=0.013). Eighty percent of dissemination clients reported altering smoking behaviours as a result of intervention and 36% made at least one attempt to quit. Client satisfaction was high. Spin-off benefits included increased community collaboration, and capacity.

Résumé

Objectif: Déterminer l’influence d’une conférence, à l’intention du personnel soignant, sur l’arrêt du tabac chez les femmes enceintes.

Méthode: Nous avons conçu un atelier-pilote d’une journée, qui a été mené par des soignants périnataux dans la vallée de Comox en Colombie-Britannique, puis étendu à huit autres collectivités. Deux cent soixante-dix participants ont rempli des questionnaires avant et après l’atelier. Les clientes (n = 115) ont été interviewées par un participant à l’atelier.

Résultats: Les ateliers ont accru les connaissances des soignants (p < 0,0001), leur ont permis de parler du problème de la cigarette avec leurs clientes avec beaucoup plus de confiance (p < 0,0001) et leur ont donné la possibilité d’accroître leur aide tout au long des stages du traitement (p < 0,0001). Il y a eu une augmentation significative de l’utilisation du modèle (p < 0,0001) par les soignants: 86 % ont déclaré un changement dans leur travail avec les clientes périnatales, et 75 % ont appliqué ce modèle au-delà du cadre. On a constaté une évolution significative de l’ouverture des clientes au changement à l’étape pilote (p < 0,0001) et durant les ateliers ultérieurs (p = 0,013). Quatre-vingt p. cent des clientes des ateliers ultérieurs ont indiqué que leur utilisation du tabac avait changé en raison de l’intervention, et 36 % au moins ont essayé d’arrêter de fumer. La satisfaction des clientes était très élevée.

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Copyright information

© The Canadian Public Health Association 2002

Authors and Affiliations

  • Patti-Jean Naylor
    • 1
    Email author
  • Janice S. Adams
    • 2
  • Donna McNeil
    • 2
  1. 1.Disease and Injury Prevention PlanningBC Ministry of Health PlanningVictoriaCanada
  2. 2.Vancouver Island Health Authority (North)Canada

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