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
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/24921

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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
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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
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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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
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