The effectiveness of family counselling on reducing exposure to secondhand smoke at home among pregnant women in Iran
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Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Modeling of Non-CommunicableDiseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
Azam Maleki   

Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran
Publish date: 2019-11-15
Submission date: 2019-06-13
Final revision date: 2019-09-16
Acceptance date: 2019-10-16
Tob. Prev. Cessation 2019;5(November):41
Pregnant women are often exposed to secondhand smoke that affects them and their child. Our aim was to determine the effectiveness of family counselling using the BASNEF model on reducing exposure to secondhand smoke at home among pregnant women.

A quasi-experimental study was conducted on 103 pregnant women exposed to secondhand smoke. They were selected using a multistage cluster sampling method and allocated into intervention (50 people) and control (53 people) groups. Four family counseling sessions using the BASNEF model were held for the intervention group while the control group received routine care. The outcomes were measured before and at one month after the last session of counselling.

In the timeframe before the intervention, the number of days in which there was reported exposure to secondhand smoke was 5.08 ± 1.1 in the intervention group, significantly decreasing to 3.5 ± 1.6 after the intervention (p<0.001). No significant change was observed in the control group (p=0.1). Also, the mean scores of all constructs of the BASNEF model increased significantly after the intervention compared to those of the control group (p<0.05).

Family counseling had a positive effect on decreasing the exposure to secondhand smoke at home among a sample of pregnant women. The BASNEF model is useful for implementing educational care programs in these settings.

The authors acknowledge the support of the Student Research Center of Hamadan University of Medical Sciences, the staff of the participating health centres for their collaboration, and the mothers for their participation.
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
There was no source of funding for this research.
FS is the first supervisor and also contributed to the design of the study, and reporting of the result. The conception, design of the study, and data collection process were undertaken by FB and GS. Reporting were also supervised by GHR and AM. All authors contributed in drafting the article, revising it and in agreement with final version of the manuscript to be submitted to the journal and they also met the criteria of authorship.
Not commissioned; externally peer reviewed.
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