The long-term objective of this project is to provide a smoking-cessation intervention tool for health care providers in prenatal settings. Smoking during pregnancy is a significant public health issue. The prevalence of smoking in women of child-bearing age generally ranges between 17 and 35 percent worldwide, and is heavily influenced by maternal age, ethnicity, education, and socioeconomic level. Smoking while pregnant has been linked to several serious health effects in infants, including impaired lung function, low birth-weight, and preterm birth. Clearly, interventions to prevent smoking during pregnancy have enormous public health importance, but existing interventions have achieved sub-optimal outcomes. This application proposes development of QuitAdvisorOB, an interactive, web-distributable, clinical decision support software application for computers or mobile devices. Based on proven patient-centered counseling techniques such as Motivational Interviewing, the 5 A's (ask, advise, assess, assist, and arrange), and Stages of Change, QuitAdvisorOB will assist prenatal care givers in providing patient-tailored smoking cessation counseling, while facilitating provider adherence to evidence- based practice guidelines. During Phase I, we will develop content and mock-ups of the proposed tool, create a web-based functioning prototype, and subject it to formal usability testing in OB/GYN physicians and nurses, and a pilot study evaluating the prototype's effect on the patients' progression along the stages-of-change continuum.
Public Health Relevance: This research effort will impact public health by developing a health-care provider tool that aids in smoking-cessation counseling in pregnant women. Reducing smoking in pregnant women has significant health benefits for infants and children.
Public Health Relevance Statement: This research effort will impact public health by developing a health-care provider tool that aids in smoking-cessation counseling in pregnant women. Reducing smoking in pregnant women has significant health benefits for infants and children.
NIH Spending Category: Behavioral and Social Science; Bioengineering; Clinical Research; Conditions affecting unborn children; Contraception/Reproduction; Drug Abuse (NIDA only); Health Services; Infant Mortality/ (LBW); Pediatric; Pediatric Research Initiative; Perinatal - Birth - Preterm (LBW); Perinatal Period - Conditions Originating in Perinatal Period; Prevention; Smoking and Health; Substance Abuse; Tobacco
Project Terms: Abruptio Placentae; Adherence (attribute); Advisory Committees; Attitude; base; Behavior; Behavioral; Benefits and Risks; Caregivers; Caring; Child; Clinical; Clinical assessments; Computer software; Computers; Congenital Abnormality; cost; Counseling; Defect; Dependency (Psychology); Development; Devices; Dose; Ectopic Pregnancy; Educational aspects; Ensure; Ethnicity aspects; evidence based guidelines; experience; Female of child bearing age; Glosso-Sterandryl; Guidelines; Gynecological/Obstetrical Nursing; Health; Health Benefit; health care delivery; Health Personnel; Infant; information gathering; instrument; Insurance Carriers; Internet; Intervention; Interview; laptop; Laws; Link; Literature; Low Birth Weight Infant; Maternal Age; Medicaid; Mothers; motivational enhancement therapy; nicotine replacement; Nurses; Online Systems; Outcome; patient oriented; Patients; Phase; Physicians; Pilot Projects; Placenta; point of care; Pregnancy; pregnant; Pregnant Women; Premature Birth; prenatal; Prenatal care; prevent; Preventive; prototype; Provider; public health medicine (field); Readiness; Research; Resources; Respiratory physiology; Risk; satisfaction; Self Efficacy; Series; Services; Smoke; Smoking; Smoking Behavior; smoking cessation; Smoking Cessation Intervention; smoking prevalence; socioeconomics; Staging; Stillbirth; System; Tablets; Techniques; Testing; Time; Tobacco use; Tobacco Use Cessation; tool; Training; Ultrasonography; unborn child; United States; usability; user-friendly; web-enabled
