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Facilitating Changes in Perinatal Smoking

The Impact of a Stage-based Workshop for Care-providers in British Columbia

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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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Author information

Authors and Affiliations

  1. Disease and Injury Prevention Planning, BC Ministry of Health Planning, 1520 Blanshard St., Victoria, BC, V8W 3C8, Canada

    Patti-Jean Naylor PhD

  2. Vancouver Island Health Authority (North), Canada

    Janice S. Adams BScN, MAdEd, RN & Donna McNeil BSN, RN

Authors
  1. Patti-Jean Naylor PhD
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  2. Janice S. Adams BScN, MAdEd, RN
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  3. Donna McNeil BSN, RN
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Corresponding author

Correspondence to Patti-Jean Naylor PhD.

Additional information

Acknowledgements: This project received support from the Community Action Initiatives Program, Tobacco Demand Reduction Strategies, Health Canada, Canadian Cancer Society, BC and Yukon Division, Upper Island/Central Coast Community Health Services Society, and BC Heart Health Demonstration Project, BC Ministry of Health Planning. The authors thank Kris Welk and Julie McCaig for their valuable assistance and acknowledge the efforts of all the perinatal women, their care-providers, and other dedicated community members who were involved in many aspects of this project.

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Naylor, PJ., Adams, J.S. & McNeil, D. Facilitating Changes in Perinatal Smoking. Can J Public Health 93, 285–290 (2002). https://doi.org/10.1007/BF03405019

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