Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2005 Aug 13;331(7513):373-7.
doi: 10.1136/bmj.331.7513.373.

Randomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down

D M Tappin  1 , M A Lumsden, W H Gilmour, F Crawford, D McIntyre, D H Stone, R Webber, S MacIndoe, E Mohammed
Affiliations
Clinical Trial

Randomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down

D M Tappin et al. BMJ. .

Abstract

Objective: To determine whether motivational interviewing--a behavioural therapy for addictions-provided at home by specially trained midwives helps pregnant smokers to quit.

Design: Randomised controlled non-blinded trial analysed by intention to treat.

Setting: Clinics attached to two maternity hospitals in Glasgow.

Participants: 762/1684 pregnant women who were regular smokers at antenatal booking: 351 in intervention group and 411 in control group.

Interventions: All women received standard health promotion information. Women in the intervention group were offered motivational interviewing at home. All interviews were recorded.

Main outcome measures: Self reported smoking cessation verified by plasma or salivary cotinine concentration.

Results: 17/351 (4.8%) women in the intervention group stopped smoking (according to self report and serum cotinine concentration < 13.7 ng/ml) compared with 19/411(4.6%) in the control group. Fifteen (4.2%) women in the intervention group cut down (self report and cotinine concentration less than half that at booking) compared with 26 (6.3%) in the control group. Fewer women in the intervention group reported smoking more (18 (5.1%) v 44 (10.7%); relative risk 0.48, 95% confidence interval 0.28 to 0.81). Birth weight did not differ significantly (mean 3078 g v 3048 g).

Conclusion: Good quality motivational interviewing did not significantly increase smoking cessation among pregnant women.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Enrolment of women over time
Fig 2
Fig 2
Movement of women through study
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Royal College of Physicians. Smoking and the young: a report of a working party of the Royal College of Physicians. London: RCP, 1992; 103. - PMC - PubMed
    1. Centres for Disease Control and Prevention. Medical-care expenditures attributable to cigarette smoking during pregnancy—United States, 1995. JAMA 1997;278: 2058-9. - PubMed
    1. Townsend P, Davidson N, Whitehead M. Inequalities in health. London: Penguin, 1988.
    1. Scotland's Health. Scottish health survey 1995. Edinburgh: HMSO, 1997.
    1. Owen L, McNeill A, Callum C. Trends in smoking during pregnancy in England, 1992-7: quota sampling surveys. BMJ 1998;317: 728. - PMC - PubMed

Publication types