A couples-focused intervention for smoking cessation during pregnancy: The study protocol of the Quit Together pilot randomized controlled trial
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Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University
Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca
Department of Public Health, College of Political, Administrative and Communication Sciences, Babeș- Bolyai University, Cluj-Napoca, Romania
Iuliu Hatieganu University of Medicine and Pharmacy, Department of Obstetrics and Gynaecology Dominic Stanca Clinic, Cluj-Napoca, Romania
Iuliu Hatieganu University of Medicine and Pharmacy, Department of Obstetrics and Gynaecology Clinic I, Cluj-Napoca, Romania
Department of Implementation Science, Division of Public Health Sciences, Wake Forest University, North Carolina, USA
Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, Romania
Department of Civil and Environmental Engineering, College of Engineering, Michigan State University, Michigan, USA
Publish date: 2018-05-05
Submission date: 2017-10-13
Final revision date: 2018-04-12
Acceptance date: 2018-04-13
Tob. Prev. Cessation 2018;4(May):17
Tobacco smoking remains the leading global cause of preventable disease and death. Preconception and pregnancy smoking are high in Central and Eastern Europe. Quit Together is a partnership between a US university and a Romanian university, obstetrics and gynecology clinics in Romania, and other community partners in Romania. The objective of the Quit Together pilot study is to adapt, enhance and test the implementation feasibility and initial efficacy of an evidence-based pregnancy and postnatal couple intervention for smoking cessation in Romania. Quit Together builds on the Motivation and Problem Solving (MAPS) approach, enhanced by targeting the couples’ smoking behavior and focusing on dyadic efficacy for smoking cessation. The study is an ongoing randomized controlled trial of 120 Romanian pregnant smokers and their partners. Participants are randomized to: 1) an intervention arm consisting, typically, of up to 8 prenatal and postnatal telephone counseling calls for the women and 4 for their partners, combining motivational strategies and problem-solving/ coping skills to encourage the woman to quit smoking and the partner to support her decision; and 2) a control arm (usual care). The primary outcome is maternal biochemically verified smoking abstinence at 3 months postpartum. Quit Together has the potential to identify effective strategies to increase maternal smoking cessation during pregnancy and smoking abstinence after birth. If effective, Quit Together is expected to have a sustainable positive impact on the health of the child, mother and partner, and potentially reduced health system costs.
Oana Maria Blaga   
Department of Public Health, College of Political, Administrative and Communication Sciences, Babes-Bolyai University Cluj-Napoca, 7 Pandurilor St, 400376 Cluj-Napoca, Romania
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