Effectiveness of the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Project: A Science to Prenatal Care Practice Partnership
| Autor: | Lorien C. Abroms, Stephanie Thorn, John Wedeles, Richard Windsor, Jeannie Clark, Sean D. Cleary, Amanda Davis |
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| Rok vydání: | 2014 |
| Předmět: |
Counseling
medicine.medical_specialty Epidemiology media_common.quotation_subject medicine.medical_treatment Fidelity Smoking Prevention Prenatal care Nursing Pregnancy Perinatal health Humans Medicine Cotinine media_common Medicaid business.industry Public health Smoking Public Health Environmental and Occupational Health Obstetrics and Gynecology Prenatal Care Carbon Dioxide West Virginia medicine.disease United States House Calls Family medicine General partnership Pediatrics Perinatology and Child Health Smoking cessation Female Smoking Cessation Process evaluation business Biomarkers Program Evaluation |
| Zdroj: | Maternal and Child Health Journal. 18:180-190 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-013-1252-7 |
| Popis: | This study evaluated the effectiveness of the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Program selected by the West Virginia-Right From The Start Project for state-wide dissemination. A process evaluation documented the fidelity of SCRIPT delivery by Designated Care Coordinators (DCC), licensed nurses and social workers who provide home-based case management to Medicaid-eligible clients in all 55 counties. We implemented a quasi-experimental, non-randomized, matched Comparison (C) Group design. The SCRIPT Experimental E Group (N = 259) were all clients in 2009-2010 that wanted to quit, provided a screening carbon monoxide (CO), and received a SCRIPT home visit. The (C) Group was derived from all clients in 2006-2007 who had the same CO assessments as E Group clients and reported receiving cessation counseling. We stratified the baseline CO of E Group clients into 10 strata, and randomly selected the same number of (C) Group clients (N = 259) from each matched strata to evaluate the effectiveness of the SCRIPT Program. There were no significant baseline differences in the E and (C) Group. A Process Evaluation documented a significant increase in the fidelity of DCC delivery of SCRIPT Program procedures: from 63 % in 2006 to 74 % in 2010. Significant increases were documented in the E Group cessation rate (+9.3 %) and significant reduction rate (+4.5 %), a ≥50 % reduction from a baseline CO. Perinatal health case management staff can deliver the SCRIPT Program, and Medicaid-supported clients can change smoking behavior, even very late in pregnancy. When multiple biases were analyzed, we concluded the SCRIPT Dissemination Project was the most plausible reason for the significant changes in behavior. |
| Databáze: | OpenAIRE |
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