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Article
Treating nicotine dependence during pregnancy and postpartum: understanding clinician knowledge and performance
Preventive and Behavioral Medicine Publications and Presentations
  • Debra Bonollo, University of Massachusetts Medical School
  • Jane G. Zapka, University of Massachusetts Medical School
  • Anne M. Stoddard, University of Massachusetts - Amherst
  • Yunsheng Ma, University of Massachusetts Medical School
  • Lori Pbert, University of Massachusetts Medical School
  • Judith K. Ockene, University of Massachusetts Medical School
UMMS Affiliation
Department of Medicine, Division of Preventive and Behavioral Medicine
Date
12-13-2002
Document Type
Article
Subjects
Adult; Analysis of Variance; Boston; Community Health Centers; Counseling; *Educational Measurement; Female; Food Services; Health Personnel; Humans; Male; Needs Assessment; Nutrition Physiology; Obstetrics; Pediatrics; Pregnancy; Pregnancy Complications; Prenatal Care; Puerperal Disorders; Smoking Cessation; Tobacco Use Disorder
Abstract
This study investigated the relationship of clinicians' knowledge of treatments for nicotine dependence during pregnancy and postpartum and explored what provider characteristics are associated with knowledge levels. Survey data from community health center (CHC)-based prenatal, pediatric (PED), and WIC program (Special Supplemental Nutrition Program for Women, Infants, and Children) providers participating in a randomized clinical study were used. Providers reported low awareness of the health risks of smoking to the developing fetus/child of pregnant and postpartum women and of the effectiveness of nicotine replacement therapy (NRT) for doubling quit rates. Obstetric (OB) and WIC providers were more aware than PED providers that provider-delivered interventions are effective. Confidence in using counseling steps was significantly associated with general and NRT-related knowledge. NRT-related knowledge, but not general knowledge, was associated with higher performance of intervention steps. Educational programs targeting OB, WIC, and PED providers' knowledge about effective smoking cessation counseling strategies and their confidence in being effective with patients are needed.
Rights and Permissions
Patient Educ Couns. 2002 Dec;48(3):265-74.
Related Resources
Link to article in PubMed
PubMed ID
12477611
Citation Information
Debra Bonollo, Jane G. Zapka, Anne M. Stoddard, Yunsheng Ma, et al.. "Treating nicotine dependence during pregnancy and postpartum: understanding clinician knowledge and performance" Vol. 48 Iss. 3 (2002) ISSN: 0738-3991 (Print)
Available at: http://works.bepress.com/lori_pbert/19/