Pregnant women’s responses to a tailored smoking cessation intervention: turning hopelessness into competence
Open accessAbstract
BACKGROUND: Cognitive behavioral interventions consisting of brief counseling and the provision of self-help material designed for pregnancy have been documented as effective smoking cessation interventions for pregnant women. However, there is a need to understand how such interventions are perceived by the targeted group. AIM: To understand the cognitive, emotional, and behavioral responses of pregnant women to a clinic-based smoking cessation intervention. METHODS: In-depth interviews with women attending four antenatal clinics in Cape Town, South Africa, who were exposed to a smoking intervention delivered by midwives and peer counselors. Women were purposively selected to represent a variation in smoking behavior. Thirteen women were interviewed at their first antenatal visit and 10 were followed up and reinterviewed later in their pregnancies. A content analysis approach was used, which resulted in categories and themes describing women's experiences, thoughts, and feelings about the intervention. RESULTS: Five women quit, five had cut down, and three could not be traced for follow-up. All informants perceived the intervention positively. Four main themes captured the intervention's role in influencing women's smoking behavior. The process started with 'understanding their reality,' which led to 'embracing change' and 'deciding to hold nothing back,' which created a basis for 'turning hopelessness into a feeling of competence.' CONCLUSION: The intervention succeeded in shifting women from feeling pessimistic about ever quitting to feeling encouraged to try and quit. Informants rated the social support they received very highly and expressed the need for the intervention to become a routine component of clinic services.
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Intervention recipients reported that the brief intervention provided motivation to quit.
“The intervention recipients reported that the BI provided motivation to quit [46,73].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [46]
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Cites
Graneheim, U. H., & Lundman, B. (2004) · Nurse Education Today · doi:10.1016/j.nedt.2003.10.001 · Cited by 20,772 · see citing works
Interventions for promoting smoking cessation during pregnancy
Lumley, J., Chamberlain, C., Dowswell, T., Oliver, S., Oakley, L., & Watson, L. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001055.pub3 · Cited by 890 · see citing works
Health Behavior Change: A Guide for Practitioners
Rollnick, S., Mason, P., & Butler, C. (1999) · Cited by 739 · see citing works
Qualitative methodology for international public health
Dahlgren, L. G., Emmelin, M., & Winkvist, A. (2007) · Cited by 507 · see citing works
Self-citationHall, S. M., Tsoh, J. Y., Prochaska, J. J., Eisendrath, S. J., Rossi, J. S., Redding, C. A., Rosen, A. B., Meisner, M. R., Humfleet, G. L., & Gorecki, J. A. (2006) · American Journal of Public Health · doi:10.2105/ajph.2005.080382 · Cited by 190 · see citing works
The effects of maternal smoking during pregnancy on offspring outcomes
Arpana Agrawal, A., Scherrer, J. F., Grant, J. D., Sartor, C. E., Pergadia, M. L., Duncan, A. E., Madden, P. A. F., Haber, J. R., Jacob, T., Bucholz, K. K., et al. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.12.009 · Cited by 169 · see citing works
Recommended cessation counselling for pregnant women who smoke: a review of the evidence
Melvin, C. L. (2000) · Tobacco Control · doi:10.1136/tc.9.suppl_3.iii80 · Cited by 162 · see citing works
Randomized controlled trial of a midwife‐delivered brief smoking cessation intervention in pregnancy
Hájek, P., West, R., Lee, A., Foulds, J., Owen, L., Eiser, J. R., & Main, N. (2001) · Addiction · doi:10.1046/j.1360-0443.2001.96348511.x · Cited by 146 · see citing works
Ingall, G. R., & Cropley, M. (2009) · Women and Birth · doi:10.1016/j.wombi.2009.09.004 · Cited by 96 · see citing works
Why do women continue to smoke in pregnancy?
Ebert, L., & Fahy, K. (2007) · Women and Birth · doi:10.1016/j.wombi.2007.08.002 · Cited by 95 · see citing works
Tobacco Use in South Africans During 1998: The First Demographic and Health Survey
Steyn, K., Bradshaw, D., Norman, R. E., et al. (2002) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1177/174182670200900305 · Cited by 74 · see citing works
Self-citationVelasquez, M. M. (2000) · Tobacco Control · doi:10.1136/tc.9.suppl_3.iii36 · Cited by 72 · see citing works
Making sense of the challenge of smoking cessation during pregnancy: a phenomenographic approach
Abrahamsson, A., Springett, J., Karlsson, L., & Ottosson, T. (2004) · Health Education Research · doi:10.1093/her/cyg127 · Cited by 57 · see citing works
Dornelas, E. A., Magnavita, J. J., Beazoglou, T. J., Fischer, E. H., Oncken, C. A., Lando, H. A., Greene, J., Barbagallo, J., Stepnowski, R., & Gregonis, E. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.03.015 · Cited by 56 · see citing works
Health Behavior Change: A Guide for Practitioners
Moore, S. C. (2005) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/62.11.1210a · Cited by 56 · see citing works
Miller, M., & Wood, L. J. (2003) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2003.tb00399.x · Cited by 47 · see citing works
EVERETT‐MURPHY, K., STEYN, K., MATHEWS, C., PETERSEN, Z., ODENDAAL, H., GWEBUSHE, N., & LOMBARD, C. (2010) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.3109/00016341003605701 · Cited by 45 · see citing works
Self-citationPetersen, Z., Nilsson, M., Everett, K., et al. (2007) · Midwifery · doi:10.1016/j.midw.2007.07.012 · Cited by 27 · see citing works
Self-citationGriffiths, A., Woolley, J., Avasarala, S., Roy, M., & Wiener, J. J. (2005) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443610500160550 · Cited by 17 · see citing works
Baha, M., & Faou, A.-L. L. (2009) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2009.07.018 · Cited by 14 · see citing works
Smoking cessation intervention among pregnant women in South Africa
Petersen, Z., Steyn, K., Lombard, C. J., Everett, K., & Emmelin, M. (2009) · African Journal of Midwifery and Women s Health · doi:10.12968/ajmw.2009.3.4.44801 · Cited by 6 · see citing works
Self-citationSmoking in pregnancy -- what does my patient know ?
Viljoen, J. E., & Odendaal, H. J. (2005) · PubMed · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [9]Consensus Workshop on Smoking Cessation During Pregnancy Sponsored by Robert Wood Johnson Foundation and the Smoke Free Families Program in collaboration with the Health Resources and Services Administration and the Centres for Disease Control and Prevention, Rockville, MD 9–10 April 1998
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A scoping review of substance use brief interventions in Africa
Jaguga, F., Kiburi, S. K., Temet, E., Aalsma, M. C., Ott, M. A., Maina, R. W., Wachira, J., Mostert, C., Kosgei, G., Tenge, A., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003340 · Cited by 10 · see citing works
- Authors
- Petersen, Z., Steyn, K., Everett-Murphy, K., & Emmelin, M.
- Affiliations
- South African Medical Research Council (ZA)
- Chronic Diseases of Lifestyle Unit, Medical Research Council of South Africa
- Umeå University (SE)
- Corresponding author
- Petersen, Zaino
- Venue
- Global Health Action
- Publisher
- Informa UK Limited
- Published
- 2010-12-01
- Volume
- 3
- Issue
- 1
- ISSN
- 1654-9716 (ISSN-L)
- 1654-9880
- PMC
- PMC3002877
- OpenAlex
- W1997999623
- Cited by
- 14
- References
- 22
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2018: 1 · 2015: 1 · 2014: 3 · 2012: 2
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Global Health Action (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- International Development Research Centre
- Forskningsrådet för Arbetsliv och Socialvetenskap (2006-1512)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking cessation, pregnant women, personalized interventions, prenatal care, midwives, peer counselors, cognitive-behavioral intervention, self-help materials, treatment acceptability, social support, hopelessness, smoking behavior change, Cape Town
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