Evidence map›Paper›PMID 25500989›Full record

ArticleMaternal and child health journal2015

Barriers and promoters of an evidenced-based smoking cessation counseling during prenatal care in Argentina and Uruguay.

Mercedes Colomar, Van T Tong, Paola Morello, Sherry L Farr, Catalina Lawsin, Patricia M Dietz, Alicia Aleman, Mabel Berrueta, Agustina Mazzoni, Ana Becu and 3 more

Abstract read
In one paragraph

Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. A Multifaceted Strategy to Implement Brief Smoking Cessation Counseling During Antenatal Care in Argentina and Uruguay: A Cluster Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Smoking Cessation Is Associated With Lower Indirect Costs.Journal of occupational and environmental medicine · 2018
    Article
  16. Article
  17. Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Article
  18. Understanding Inequalities of Maternal Smoking--Bridging the Gap with Adapted Intervention Strategies.International journal of environmental research and public health · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Mercedes ColomarUnidad de Investigación Clínica y Epidemiológica Montevideo, Hosp Clinicas, Av Italia s/n, Montevideo, Uruguay, mcolomar@unicem-web.org.
Van T Tong
Paola Morello
Sherry L Farr
Catalina Lawsin
Patricia M Dietz
Alicia Aleman
Mabel Berrueta
Agustina Mazzoni
Ana Becu
Pierre Buekens
José Belizán
Fernando Althabe

Funding

PREVENTION RESEARCH CENTER AT TULANE UNIVERSITY (CATEGORY 1)U48DP001948 · DP · TULANE UNIVERSITY OF LOUISIANA · PI JOHNSON, CAROLYN · 2009 to 2013
$5.2M
Argentine Doctoral Training in Implementation Research across the LifespanD43TW009083 · FIC · TULANE UNIVERSITY OF LOUISIANA · PI BUEKENS, PIERRE · 2012 to 2015
$817k
FIC NIH HHS D43 TW009083Intramural CDC HHS CC999999NCCDPHP CDC HHS 5U48DP001948-04NCCDPHP CDC HHS U48 DP001948
6 · The paper itself

Abstract

In Argentina and Uruguay, 10.3 and 18.3 %, respectively, of pregnant women smoked in 2005. Brief cessation counseling, based on the 5A's model, has been effective in different settings. This qualitative study aims to improve the understanding of factors influencing the provision of smoking cessation counseling during pregnancy in Argentina and Uruguay. In 2010, we obtained prenatal care providers', clinic directors', and pregnant smokers' opinions regarding barriers and promoters to brief smoking cessation counseling in publicly-funded prenatal care clinics in Buenos Aires, Argentina and Montevideo, Uruguay. We interviewed six prenatal clinic directors, conducted focus groups with 46 health professionals and 24 pregnant smokers. Themes emerged from three issue areas: health professionals, health system, and patients. Health professional barriers to cessation counseling included inadequate knowledge and motivation, perceived low self-efficacy, and concerns about inadequate time and large workload. They expressed interest in obtaining a counseling script. Health system barriers included low prioritization of smoking cessation and a lack of clinic protocols to implement interventions. Pregnant smokers lacked information on the risks of prenatal smoking and underestimated the difficulty of smoking cessation. Having access to written materials and receiving cessation services during clinic waiting times were mentioned as promoters for the intervention. Women also were receptive to non-physician office staff delivering intervention components. Implementing smoking cessation counseling in publicly-funded prenatal care clinics in Argentina and Uruguay may require integrating counseling into routine prenatal care and educating and training providers on best-practices approaches.

Indexed as

Attitude of Health PersonnelCounselingHealth Knowledge, Attitudes, PracticeProfessional-Patient RelationsAdultArgentinaCommunicationEvidence-Based MedicineFemaleFocus GroupsHealth PersonnelHumansInterviews as TopicMotivationPerceptionPregnancy

Identifiers

PMID25500989
PMCPMC4442744

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.