Smoking Cessation in Pregnancy within the Framework of Health Behavioral Theories: A Current Review

Yıl 2022, Cilt: 14 Sayı: 2, 152 - 164, 30.06.2022

Didem Acar , H. Özlem Sertel Berk

https://doi.org/10.18863/pgy.898127

Öz

Since smoking during pregnancy affects both health of the mother and the baby, smoking cessation during pregnancy is an important health behavior and is one of the important issues of health psychology. The aim of this article is to review descriptive studies which handle smoking cessation during pregnancy within the framework of “health behavioral theories” and theory-based intervention studies conducted after 2000 about this topic. For this purpose, several databases were scanned with the "smoking cessation in pregnant women", "health behavior models", "theory-based interventions" keywords between February-March 2021. Approximately 70 related articles were accessed, but only 9 of them were evaluated within the scope of theory-based interventions. It was seen that achieved studies were handled within the scope of social cognitive theory, planned behavior theory and transtheoretical model, and self-efficacy as a trans-theoretical concept was the important predictor of intention to quit smoking among pregnant women. Although it is difficult to mention clear findings about the effectiveness of theory-based interventions on this topic, studies have pointed out that interventions based on stages of change can be supportive.

Anahtar Kelimeler

pregnancy, smoking cessation, health behavioral theories

Proje Numarası

-

Sağlık Davranış Kuramları Çerçevesinden Hamilelikte Sigara Bırakma: Güncel Bir Derleme

Öz

Hamilelikte sigara kullanımı hem anne hem de bebeğin sağılığını etkilediğinden hamilelikte sigara bırakma önemli bir sağlık davranışı olup sağlık psikolojisinin de önemli konularından biridir. Bu makalenin amacı, hamilelikte sigara bırakma davranışını “sağlık davranış kuramları” çerçevesinde ele alan betimsel çalışmaların ve bu konuda 2000 yılından sonra yürütülmüş kuram temelli müdahale çalışmalarının gözden geçirilmesidir. Bu amaçla çeşitli veri tabanları Şubat-Mart 2021 tarihleri arasında “gebelerde/hamilerde sigara bırakma”, “sağlık davranış modelleri”, “teori temelli müdahaleler” anahtar kelimeleri ile taranmıştır. Bu kapsamda konuyla ilgili yaklaşık 70 makaleye erişilmiş ancak kuram temelli müdahaleler kapsamında sadece 9 çalışma değerlendirmeye alınmıştır. Ulaşılan çalışmaların sosyal bilişsel kuram, planlı davranış teorisi ve transteoretik model kapsamında ele alındığı ve hamilelerde sigarayı bırakma niyetinin önemli yordayıcısının kuramlar üstü bir kavram olan öz-etkinlik olduğu görülmüştür. Konuyla ilgili yürütülen kuram temelli müdahalelerin etkililiklerine dair net bulgulardan bahsetmek zor olsa da, çalışmalar değişim evrelerine uygun müdahalelerin destekleyici olabileceğine işaret etmiştir.

Anahtar Kelimeler

hamilelik, sigara bırakma, sağlık davranış kuramları

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

• Ajzen I (2002) Perceived behavioral control, self-efficacy, locus of control, and the Theory of Planned Behavior. J. Appl. Soc. Psychol., 32: 665-683.
• Arshad S M, Khani-jeihooni A, Moradi Z, Kouhpayeh S A, Kashfi S M, Dehghan A (2017) Effect of theory of planned behavior-based educational intervention on breastfeeding behavior in pregnant women in Fasa city, Iran. J Educ Community Health, 4: 55-63.
• Aveyard P, Lawrence T, Cheng K K, Griffin C, Croghan E, Johnson C (2006) A randomized controlled trial of smoking cessation for pregnant women to test the effect of a transtheoretical model-based intervention on movement in stage and interaction with baseline stage. Br J Health Psychol, 11:263–278.
• Azjen I (1980) Understanding attitudes and predicting social behavior. Englewood Cliffs. New Jersey.
• Bandura A (1977) Self-Efficacy: Toward a Unifying Theory of Behavioral Change, Psychol Bull, 84:191-215.
• Bandura A (1986) Social foundations of thought and action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall
• Bandura A (1998). Health Promotion from the Perspective of Social Cognitive Theory, Psychol and Health, 13: 623-649. Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process, 50:179-211.
• Bandura A (2001) Social cognitive theory: An agentic perspective. Annu. Rev. Psychol., 52:1–26.
• Bartholomew L K, Parcel G S, Kok G, Gottlieb N H, Schaalma H C, Markham CC et al. (2006) Planning health promotion programs: An intervention mapping approach. 4th ed. San Francisco (CA):John Wiley & Sons. Bennett P, Clatworthy J (1999) Smoking cessation during pregnancy: Testing a psycho-biological model. Psychology, Health & Medicine, 4:319-326.
• Bowden JA, Oag DA, Smith KL, Miller CL (2010) An integrated brief intervention to address smoking in pregnancy. Acta Obstet Gynecol Scand, 89:496-504.
• Boyd K A, Briggs A H, Bauld L, Sinclair L, Tappin D (2016) Are financial incentives cost‐effective to support smoking cessation during pregnancy?. Addiction, 111:360-370.
• Buja A, Guarnieri E, Forza G, Tognazzo F, Sandona P, Zampieron A (2011) Socio-demographic factors and processes associated with stages of change for smoking cessation in pregnant versus non-pregnant women. BMC Women’s Health, 11:1-8.
• Bullock L, Everett K D, Mullen P D, Geden E, Longo D R, Madsen R (2009) Baby BEEP: A randomized controlled trial of nurses’ individualized social support for poor rural pregnant smokers. Matern Child Health J, 13: 395-406.
• Çelik E (2015) The validity and reliability of the Turkish version of The Smoking-Specific Compensatory Health Beliefs Scale for adolescent. Education Sciences & Psychology, 3:30-41.
• De Vries H, Backbier E (1994) Self-efficacy as an important determinant of quitting among pregnant women who smoke: the phi-pattern. Prev Med., 23:167–174.
• De Wilde K, Maes L, Boudrez H, Tency I, Temmerman M, Clays E (2017) Analysis of smoking cessation beliefs in pregnant smokers and ex-smokers using the theory of planned behavior. J Public Health, 25:267-274.
• Dempsey DA, Benowitz NL (2001) Risks and benefits of nicotine to aid smoking cessation in pregnancy. Drug Saf, 24:277-322.
• Dias-Damé J L, Cesar J A (2015) Disparities in prevalence of smoking and smoking cessation during pregnancy: a population-based study. Biomed Res Int, 1-8.
• Dünya Sağlık Örgütü (2020) Tobacco. https://www.who.int/news-room/fact-sheets/detail/tobacco#:~:text=Tobacco%20kills%20more%20than%208,%2D%20and%20middle%2Dincome%20countries (2021’de ulaşıldı).
• Dünya Sağlık Örgütü -World Health Organization (WHO). WHO Report on the Global Tobacco Epidemic, 2011: Warning about the Dangers of Tobacco. Geneva: WHO; 2011. http://whqlibdoc.who.int/ publications/2011/9789240687813_eng.pdf?ua=1. (28 Ağustos 2014’te ulaşıldı).
• Eiden R D, Homish GG, Colder CR, Schuetze P, Gray TR, Huestis MA (2013) Changes in smoking patterns during pregnancy. Subst Use Misuse 48: 513-522.
• Everett-Murphy K et al. (2010) The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa. Acta Obstet Gynecol Scand, 89:478-89.
• Fishbein M, Ajzen I (1975) Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research, Addison-Wesley, Reading, Massachusetts.
• Foy R, Francis J J, Johnston M, Eccles M, Lecouturier J, Bamford C, Grimshaw J (2007) The development of a theory-based intervention to promote appropriate disclosure of a diagnosis of dementia, BMC Health Serv Res, 7: 1-9.
• Galvin T. (1992). A critical review of the health belief model in relation to cigarette smoking behaviour, J Clin Nurs, 1: 13-18.
• Godin G, Valois P, Lepage L, Desharnais R (1992) Predictors of smoking behaviour: an application of Ajzen’s theory of planned behaviour. Br J Addict, 87:1335-1343.
• Groner JA, Ahijevych K, Grossman L, Rich LN (2000) The impact of a brief interveintion on maternal smoking behavior. Pediactrics, 105: 267-271.
• Gwaltney C J, Metrik J, Kahler C W, Shiffman S (2009) Self-efficacy and smoking cessation: a meta-analysis. Psychology of Addictive Behaviors, 23:56.
• Haslam C, Draper E (2000) Stage of change is associated with assessment of the health risks of maternal smoking among pregnant women. Soc Sci Med, 51:1189–1196.
• Haslam C, Lawrence W (2004) Health-related behavior and beliefs of pregnant smokers. Health Psychology, 23:486.
• Heckman C J, Egleston B L, Hofmann M T (2010) Efficacy of motivational interviewing for smoking cessation: A systematic review and meta-analysis. Tob Control, 19: 410-416.
• Hennrikus D, Pirie P, Hellerstedt W, Lando HA, Steele J, Dunn C (2010). Increasing support for smoking cessation during pregnancy and postpartum: Results of a randomized controlled pilot study. Prev. Med. Mar, 50:134-7.
• Ingall G, Cropley M (2010) Exploring the barriers of quitting smoking during pregnancy: a systematic review of qualitative studies. Women Birth, 23:45–52.
• Jeihooni A K, Kashfi S M, Harsini P A (2019) Impact of an educational intervention on breastfeeding behaviour among pregnant women. Br. J. Midwifery, 27: 33-42.
• Joseph J, Breslin C, Skinner H (1999) Critical perspectives on the transtheoretical model and stages of change. The Guilford Press.
• Karatay G, Kublay G, Emiroğlu O N (2010) Effect of motivational interviewing on smoking cessation in pregnant women. Journal of Advanced Nursing 66:1328–1337.
• Keten E, Gölbaşı Z (2013) Sigara içen gebe kadınlara uygulanan üç farklı sigarayı bıraktırma müdahalesinin etkisi. TAF Preventive Medicine Bulletin,12: 553-562.
• Kintz T, Pryor C, Shemami H, Kridli S A O (2014) Nursing interventions to promote smoking cessation during pregnancy: An integrative review. J NURS EDUC, 4:77.
• Kong G, Ells D M, Camenga D R, Krishnan-Sarin S (2014) Text messaging-based smoking cessation intervention: A narrative review. Addict Behav, 39: 907-917.
• Lawrence T, Aveyard P, Cheng K K (2003) A cluster randomised controlled trial of smoking cessation in pregnant women comparing interventions based on the transtheoretical (stages of change) model to standard care. Tob Control, 12:168-177.
• Lawrence T, Aveyard P, Cheng K K, Griffin C, Johnson C, Croghan E (2004) Does stage-based smoking cessation advice in pregnancy result in long-term quitters? 18-month postpartum follow-up of a randomized controlled trial. Addiction, 100:107–116.
• Lawrence T, Aveyard P, Cheng KK (2003) A cluster randomised controlled trial of smoking cessation in pregnant women comparing interventions based on the transtheoretical (stages of change) model to standard care. Tobacco Control, 12:168-177. Lawrence W T, Haslam C (2007) Smoking during pregnancy: Where next for stage-based interventions?. J Health Psychol, 12: 159-169.
• McAndrew F, Thompson J, Fellows L, Large A, Speed M, Renfrew M J (2012) Infant Feeding Survey 2010. Health and Social Care Information Centre.
• McGowan A, Hamilton S, Barnett D, Nsofor M, Proudfoot J, Tappin DM (2010) ‘Breathe’: The stop smoking service for pregnant women in Glasgow. Midwifery, 26: e1-e13.
• Middlestadt S E, Macy J T, Dowty R, Arrieta A, Jay S J (2020) Moderating effect of partner smoking on pregnant women’s intention to stop smoking: applying the reasoned action approach. Addiction Research & Theory, 28:510-516.
• Miller WR, Rollnick S (2002) What is Motivational Interviewing? Motivational Interviewing, 2nd ed. New York, The Guilford Pres.
• Modeste N, Lee J, Lim V J, Anjejo D (2004) Factors associated with intention to quit smoking among African American pregnant women. Californian J Health Promot, 2: 98-106.
• Mohsin M, Bauman A E (2005) Socio-demographic factors associated with smoking and smoking cessation among 426,344 pregnant women in New South Wales, Australia. BMC Public Health, 5:1-9.
• Moore P J, Turner R, Park C L, Adler N E (1996) The impact of behavior and addiction on psychological models of cigarette and alcohol use during pregnancy. Addict Behaviors, 21: 645-658.
• Murin S, Rafii R, Bilello K (2011). Smoking and smoking cessation in pregnancy. Clin Chest Med, 32:75-91.
• Natan M B, Golubev V, Shamrai V (2010) Smoking during pregnancy: analysis of influencing factors using the Theory of Planned Behaviour. International Nursing Review, 57: 388–394.
• Noar S M (2004) A health educator's guide to theories of health behavior. International Quarterly of Community Health Education, 24:75-92.
• Osterman M J K, Martin J A, Matthews T J, Hamilton B E (2011) Expanded data from the new birth certificate 2008. Natl Vital Stat Rep, 59: 1-27.
• Patten C A, Windsor R A, Renner CC, Enoch C, Hochreiter A, Nevak C et al. (2010) Feasibility of a tobacco cessation intervention for pregnant Alaska Native women. Nicotine Tob Res, 12:79-87.
• Patten CA, Koller K R, Flanagan CA, Hiratsuka VY, Hughes CA, Wolfe AW et al. (2019) Biomarker feedback intervention for smoking cessation among Alaska Native pregnant women: Randomized pilot study. Patient Educ Couns, 102:528-535.
• Pletsch P K (2002) Reduction of primary and secondary smoke exposure for low-income black pregnant women. Nursing Clinics, 37:315-329.
• Prochska J O, DiClemente CC (1982) Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research And Practice, 19: 276-288.
• Prochska JO, DiClemente CC, Norcross JC (1992) In search of how people change: Applications to addictive behaviors. The American Psychological Association, Inc., 47:1102-1114.
• Rigotti N A, Park E R, Regan S, Chang Y, Perry K, Loudin B et al. (2006) Efficacy of telephone counseling for pregnant smokers. Obstet Gynecol, 108:83–92.
• Roberts, C N (2006) Applying the theory of planned behavior to the intent to quit smoking among pregnant women (Doctoral dissertation) Birmingham, The University of Alabama.
• Ruggiero L, Tsoh J Y, Everett K, Fava J L, Guise B J (2000) The Transtheoretical Model of smoking: Comparison of pregnant and nonpregnant smokers. Addictive Behaviors, 25:239–251.
• Ruggiero L, Tsoh J Y, Everett K, Fava J L, Guise B J (2000) The transtheoretical model of smoking: comparison of pregnant and nonpregnant smokers. Addictive Behaviors, 25:239-251. Scherman A, Tolosa J E, McEvoy C (2018) Smoking cessation in pregnancy: A continuing challenge in the United States. Therapeutic Advances in Drug Safety, 9: 457-474.
• Schneider S, Huy C, Schutz J, Diehl K (2010) Smoking cessation during pregnancy: a systematic literature review. Drug Alcohol Rev, 29:81–90.
• Slade P, Laxton-Kane M, Spiby H (2006) Smoking in pregnancy: The role of the transtheoretical model and the mother’s attachment to the fetus. Addictive Behaviors, 31:743–757.
• Solomon L J, Quinn V P (2004) Spontaneous quitting: Self-initiated smoking cessation early in pregnancy. Nicotine Tob Res, 6: S203–S216.
• Stotts A L, DeLaune KA, Schmitz J M, Grabowski J (2004) Impact of a motivational intervention on mechanisms of change in low-income pregnant smokers. Addictive Behaviors, 29:1649–1657.
• Sussex B M (2004) Applying the transtheoretical model to cigarette smoking by pregnant and parenting adolescent females (Doctoral dissertation). Oregon, Portland State University.
• Tappin D, Bauld L, Purves D, Boyd K, Sinclair L, MacAskill S et al (2015) Financial incentives for smoking cessation in pregnancy: Randomised controlled trial. Bmj, 350.
• Tappin M, Lumsden M A, Gilmour WH., Crawford F, McIntyre D, Stone D H et al. (2005). Randomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down. BMJ, 331:373-375.
• The American College of Obstetricians and Gynecologists (ACOG) Comittee Opinion (2017). Smoking cessation during pregnancy. Obstet Gynecol, 130:e200-e204.
• Tong V T, Jones J R, Dietz P M, D’Angelo D, Bombard J M (2009) Trends in smoking before, during, and after pregnancy—Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 31 sites, 2000–2005. MMWR Morb Mortal Wkly Rep, 58:1-31.
• Tong V T, England LJ, Dietz PM, Asare LA (2008) Smoking patterns and use of cessation interventions during pregnancy. Am J Prev Med, 35:327–333. Tsoh J Y, Kohn M A, Gerbert B (2010) Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing: a randomized trial. Acta Obstetricia et Gynecologica Scandinavica, 89:515-523.
• Türkiye İstatistik Kurumu (2019) Türkiye Türkiye Sağlık Araştırması, 2019. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661 (2021’de ulaşıldı).
• Türkiye Nüfus ve Sağlık Araştırması-TNSA (2008) Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye.
• Van Zundert R M P, Nijhof L M, Engels R C M E (2009) Testing social cognitive theory as a theoretical framework to predict smoking relapse among daily smoking adolescents. Addictive Behaviors, 34:281–286.
• Vaz L R, Leonardi-Bee J, Aveyard P, Cooper S, Grainge M, Coleman T (2014) Factors associated with smoking cessation in early and late pregnancy in the smoking, nicotine, and pregnancy trial: A trial of nicotine replacement therapy. Nicotine Tob Res, 16:381–389.
• Wedeles J (2014) Predictors of Program Participation and Behavior Change Among Pregnant Women in the West Virginia-Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Program (Doctoral dissertation). Washington, The George Washington University.
• Windsor R, Woodby L, Miller T, Hardin M (2011) Effectiveness of Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) methods in Medicaid-supported prenatal care: Trial III. Health Educ Behav, 38:412-422. World Health Organization (2010). Gender, Women, and the Tobacco Epidemic. https://www.who.int/tobacco/publications/gender/women_tob_epidemic/en/ (2021’de ulaşıldı).
• Xia W, Li H C W, Cai W, Song P, Zhou X, Lam K W K et al. (2020) Effectiveness of a video-based smoking cessation intervention focusing on maternal and child health in promoting quitting among expectant fathers in China: A randomized controlled trial. PLoS Medicine, 17: e1003355.
• Zycinska J (2009) Cognitive and behavioral predictors in the process of smoking cessation during pregnancy: Testing for discontinuity patterns in the Transtheoretical Model. Polish Psychol Bull, 40: 29-37.