Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol
- Autores
- Althabe, Fernando; Alemán, Alicia; Mazzoni, Agustina; Berrueta, Mabel; Morello, Paola; Colomar, Paola; Ciganda, Álvaro; Becú, Ana; Gibbons, Luz; Llambi, Laura; Bittar Gonzalez, María G.; Tong, Van T.; Farr, Sherry L.; Smith, Ruben A.; Dietz, Patricia M.; Johnson, Carolyn; Buekens, Pierre; Belizan, Jose
- Año de publicación
- 2013
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- BACKGROUND: Argentina and Uruguay are among the countries with the highest proportion of pregnant women who smoke. The implementation of an effective smoking cessation intervention would have a significant impact on the health of mothers and infants. The "5 A´s" (Ask, Advise, Assess, Assist, Arrange) is a strategy consisting of a brief cessation counseling session of 5-15 minutes delivered by a trained provider. The "5 A´s" is considered the standard of care worldwide; however, it is under used in Argentina and Uruguay. METHODS: We will conduct a two-arm, parallel cluster randomized controlled trial of an implementation intervention in 20 prenatal care settings in Argentina and Uruguay. Prenatal care settings will be randomly allocated to either an intervention or a control group after a baseline data collection period. Midwives´ facilitators in the 10 intervention prenatal clinics (clusters) will be identified and trained to deliver the "5 A´s" to pregnant women and will then disseminate and implement the program. The 10 clusters in the control group will continue with their standard in-service activities. The intervention will be tailored by formative research to be readily applicable to local prenatal care services at maternity hospitals and acceptable to local pregnant women and health providers. Our primary hypothesis is that the intervention is feasible in prenatal clinics in Argentina and Uruguay and will increase the frequency of women receiving tobacco use cessation counseling during pregnancy in the intervention clinics compared to the control clinics. Our secondary hypotheses are that the intervention will decrease the frequency of women who smoke by the end of pregnancy, and that the intervention will increase the attitudes and readiness of midwives towards providing counseling to women in the intervention clinics compared to the control clinics.
Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Colomar, Paola. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Ciganda, Álvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay
Fil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Llambi, Laura. Universidad de la República; Uruguay
Fil: Bittar Gonzalez, María G.. Universidad de la República; Uruguay
Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos
Fil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina - Materia
-
Pregnancy
Smoking cessation
Guidelines - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/24921
Ver los metadatos del registro completo
id |
CONICETDig_d219bbf9adf96d443466f77d9757cf90 |
---|---|
oai_identifier_str |
oai:ri.conicet.gov.ar:11336/24921 |
network_acronym_str |
CONICETDig |
repository_id_str |
3498 |
network_name_str |
CONICET Digital (CONICET) |
spelling |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocolAlthabe, FernandoAlemán, AliciaMazzoni, AgustinaBerrueta, MabelMorello, PaolaColomar, PaolaCiganda, ÁlvaroBecú, AnaGibbons, LuzLlambi, LauraBittar Gonzalez, María G.Tong, Van T.Farr, Sherry L.Smith, Ruben A.Dietz, Patricia M.Johnson, CarolynBuekens, PierreBelizan, JosePregnancySmoking cessationGuidelineshttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3BACKGROUND: Argentina and Uruguay are among the countries with the highest proportion of pregnant women who smoke. The implementation of an effective smoking cessation intervention would have a significant impact on the health of mothers and infants. The "5 A´s" (Ask, Advise, Assess, Assist, Arrange) is a strategy consisting of a brief cessation counseling session of 5-15 minutes delivered by a trained provider. The "5 A´s" is considered the standard of care worldwide; however, it is under used in Argentina and Uruguay. METHODS: We will conduct a two-arm, parallel cluster randomized controlled trial of an implementation intervention in 20 prenatal care settings in Argentina and Uruguay. Prenatal care settings will be randomly allocated to either an intervention or a control group after a baseline data collection period. Midwives´ facilitators in the 10 intervention prenatal clinics (clusters) will be identified and trained to deliver the "5 A´s" to pregnant women and will then disseminate and implement the program. The 10 clusters in the control group will continue with their standard in-service activities. The intervention will be tailored by formative research to be readily applicable to local prenatal care services at maternity hospitals and acceptable to local pregnant women and health providers. Our primary hypothesis is that the intervention is feasible in prenatal clinics in Argentina and Uruguay and will increase the frequency of women receiving tobacco use cessation counseling during pregnancy in the intervention clinics compared to the control clinics. Our secondary hypotheses are that the intervention will decrease the frequency of women who smoke by the end of pregnancy, and that the intervention will increase the attitudes and readiness of midwives towards providing counseling to women in the intervention clinics compared to the control clinics.Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Colomar, Paola. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Ciganda, Álvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; UruguayFil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Llambi, Laura. Universidad de la República; UruguayFil: Bittar Gonzalez, María G.. Universidad de la República; UruguayFil: Tong, Van T.. Centers for Disease Control and Prevention; Estados UnidosFil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados UnidosFil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados UnidosFil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados UnidosFil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados UnidosFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; ArgentinaBioMed Central2013-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/24921Althabe, Fernando; Alemán, Alicia; Mazzoni, Agustina; Berrueta, Mabel; Morello, Paola; et al.; Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol; BioMed Central; Reproductive Health; 10; 8-2013; 1-131742-4755CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-10-44info:eu-repo/semantics/altIdentifier/doi/10.1186/1742-4755-10-44info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765647/info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:21:52Zoai:ri.conicet.gov.ar:11336/24921instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:21:52.496CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
title |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
spellingShingle |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol Althabe, Fernando Pregnancy Smoking cessation Guidelines |
title_short |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
title_full |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
title_fullStr |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
title_full_unstemmed |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
title_sort |
Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol |
dc.creator.none.fl_str_mv |
Althabe, Fernando Alemán, Alicia Mazzoni, Agustina Berrueta, Mabel Morello, Paola Colomar, Paola Ciganda, Álvaro Becú, Ana Gibbons, Luz Llambi, Laura Bittar Gonzalez, María G. Tong, Van T. Farr, Sherry L. Smith, Ruben A. Dietz, Patricia M. Johnson, Carolyn Buekens, Pierre Belizan, Jose |
author |
Althabe, Fernando |
author_facet |
Althabe, Fernando Alemán, Alicia Mazzoni, Agustina Berrueta, Mabel Morello, Paola Colomar, Paola Ciganda, Álvaro Becú, Ana Gibbons, Luz Llambi, Laura Bittar Gonzalez, María G. Tong, Van T. Farr, Sherry L. Smith, Ruben A. Dietz, Patricia M. Johnson, Carolyn Buekens, Pierre Belizan, Jose |
author_role |
author |
author2 |
Alemán, Alicia Mazzoni, Agustina Berrueta, Mabel Morello, Paola Colomar, Paola Ciganda, Álvaro Becú, Ana Gibbons, Luz Llambi, Laura Bittar Gonzalez, María G. Tong, Van T. Farr, Sherry L. Smith, Ruben A. Dietz, Patricia M. Johnson, Carolyn Buekens, Pierre Belizan, Jose |
author2_role |
author author author author author author author author author author author author author author author author author |
dc.subject.none.fl_str_mv |
Pregnancy Smoking cessation Guidelines |
topic |
Pregnancy Smoking cessation Guidelines |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
BACKGROUND: Argentina and Uruguay are among the countries with the highest proportion of pregnant women who smoke. The implementation of an effective smoking cessation intervention would have a significant impact on the health of mothers and infants. The "5 A´s" (Ask, Advise, Assess, Assist, Arrange) is a strategy consisting of a brief cessation counseling session of 5-15 minutes delivered by a trained provider. The "5 A´s" is considered the standard of care worldwide; however, it is under used in Argentina and Uruguay. METHODS: We will conduct a two-arm, parallel cluster randomized controlled trial of an implementation intervention in 20 prenatal care settings in Argentina and Uruguay. Prenatal care settings will be randomly allocated to either an intervention or a control group after a baseline data collection period. Midwives´ facilitators in the 10 intervention prenatal clinics (clusters) will be identified and trained to deliver the "5 A´s" to pregnant women and will then disseminate and implement the program. The 10 clusters in the control group will continue with their standard in-service activities. The intervention will be tailored by formative research to be readily applicable to local prenatal care services at maternity hospitals and acceptable to local pregnant women and health providers. Our primary hypothesis is that the intervention is feasible in prenatal clinics in Argentina and Uruguay and will increase the frequency of women receiving tobacco use cessation counseling during pregnancy in the intervention clinics compared to the control clinics. Our secondary hypotheses are that the intervention will decrease the frequency of women who smoke by the end of pregnancy, and that the intervention will increase the attitudes and readiness of midwives towards providing counseling to women in the intervention clinics compared to the control clinics. Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Alemán, Alicia. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Morello, Paola. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Colomar, Paola. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay Fil: Ciganda, Álvaro. Unidad de Investigación Clínica y Epidemiológica Montevideo; Uruguay Fil: Becú, Ana. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Llambi, Laura. Universidad de la República; Uruguay Fil: Bittar Gonzalez, María G.. Universidad de la República; Uruguay Fil: Tong, Van T.. Centers for Disease Control and Prevention; Estados Unidos Fil: Farr, Sherry L.. Centers for Disease Control and Prevention; Estados Unidos Fil: Smith, Ruben A.. Centers for Disease Control and Prevention; Estados Unidos Fil: Dietz, Patricia M.. Centers for Disease Control and Prevention; Estados Unidos Fil: Johnson, Carolyn. Tulane School of Public Health and Tropical Medicine; Estados Unidos Fil: Buekens, Pierre. Tulane School of Public Health and Tropical Medicine; Estados Unidos Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina |
description |
BACKGROUND: Argentina and Uruguay are among the countries with the highest proportion of pregnant women who smoke. The implementation of an effective smoking cessation intervention would have a significant impact on the health of mothers and infants. The "5 A´s" (Ask, Advise, Assess, Assist, Arrange) is a strategy consisting of a brief cessation counseling session of 5-15 minutes delivered by a trained provider. The "5 A´s" is considered the standard of care worldwide; however, it is under used in Argentina and Uruguay. METHODS: We will conduct a two-arm, parallel cluster randomized controlled trial of an implementation intervention in 20 prenatal care settings in Argentina and Uruguay. Prenatal care settings will be randomly allocated to either an intervention or a control group after a baseline data collection period. Midwives´ facilitators in the 10 intervention prenatal clinics (clusters) will be identified and trained to deliver the "5 A´s" to pregnant women and will then disseminate and implement the program. The 10 clusters in the control group will continue with their standard in-service activities. The intervention will be tailored by formative research to be readily applicable to local prenatal care services at maternity hospitals and acceptable to local pregnant women and health providers. Our primary hypothesis is that the intervention is feasible in prenatal clinics in Argentina and Uruguay and will increase the frequency of women receiving tobacco use cessation counseling during pregnancy in the intervention clinics compared to the control clinics. Our secondary hypotheses are that the intervention will decrease the frequency of women who smoke by the end of pregnancy, and that the intervention will increase the attitudes and readiness of midwives towards providing counseling to women in the intervention clinics compared to the control clinics. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/24921 Althabe, Fernando; Alemán, Alicia; Mazzoni, Agustina; Berrueta, Mabel; Morello, Paola; et al.; Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol; BioMed Central; Reproductive Health; 10; 8-2013; 1-13 1742-4755 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/24921 |
identifier_str_mv |
Althabe, Fernando; Alemán, Alicia; Mazzoni, Agustina; Berrueta, Mabel; Morello, Paola; et al.; Tobacco cessation intervention for pregnant women in Argentina and Uruguay: study protocol; BioMed Central; Reproductive Health; 10; 8-2013; 1-13 1742-4755 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-10-44 info:eu-repo/semantics/altIdentifier/doi/10.1186/1742-4755-10-44 info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765647/ |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
BioMed Central |
publisher.none.fl_str_mv |
BioMed Central |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
_version_ |
1844614208898990080 |
score |
13.070432 |