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

Chapter

Abstract

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.

Keywords

Placebo Combustion Formaldehyde Arsenic Nicotine 

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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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