Behavioral Treatment Methods for Pregnant Smokers: The Evidence Base for Prenatal Care Programs and Professional Practice

  • Richard Windsor


This chapter presents a critical review of salient issues related to the selection, planning, delivery, and evaluation of evidence-based assessment and health education-counseling methods for pregnant smokers. The chapter aims are to present: (a) a synopsis of the epidemiologic evidence documenting the adverse effects caused by active and passive tobacco exposure; (b) smoking prevalence rates and trends during pregnancy for the U.S., including a discussion about the poor validity of measurement of smoking status by patient self-reports; (c) a comprehensive review of the evidence to document the levels of “effectiveness” of treatment methods; (d) a synopsis of the evidence about the use of Nicotine Replacement Therapy (NRT) by pregnant smokers; (e) a description of an evidence-based Smoking Cessation and Reduction In Pregnancy Treatment (SCRIPT) Program that can be routinely provided as a component of prenatal care; and, (f ) a synthesis of the evidence base supporting adoption of a comprehensive, system-wide tobacco treatment program designed for adoption and dissemination by large, well-defined populations of pregnant smokers: SCRIPT PLUS. The final section of this chapter provides a discussion of future research needs and program challenges. Recommendations for the dissemination-adoption of evidence-based methods for smoking cessation during pregnancy are made for consideration by professional practice and ­program development and evaluation leadership.


Smoking Cessation Nicotine Replacement Therapy Environmental Tobacco Smoke Nicotine Patch Environmental Tobacco Smoke Exposure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer US 2011

Authors and Affiliations

  1. 1.Department of Prevention and Community HealthSchool of Public Health and Health Services, George Washington U. Medical CenterWashingtonUSA

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