Department of Obstetrics and Gynaecology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
NPJ Prim Care Respir Med. 2020 Nov 18;30(1):51. doi: 10.1038/s41533-020-00209-5.
Despite existing interventions, tobacco smoking and alcohol consumption during pregnancy are common. The Smoke and Alcohol Free with EHealth and Rewards (SAFER) pregnancy intervention combines monthly group sessions, access to a web-based platform and incentives upon biochemically validated cessation for a maximum duration of 6 months to promote cessation of smoking and alcohol use before and during pregnancy. To inform development of the SAFER pregnancy intervention, two focus groups with the target population were held beforehand, with results reported here alongside the final SAFER pregnancy study protocol. In a before-after study we aim to include 66 women who are pregnant or have a wish to become pregnant and who smoke and/or consume alcohol (i.e. target population of the SAFER pregnancy intervention). The primary outcome measure is cessation of smoking and/or alcohol use at 34-38 weeks of gestation, or after six group sessions if women did not become pregnant during the study period. Secondary outcomes focus on the barriers and facilitators for implementation of the SAFER pregnancy intervention.
尽管已经存在干预措施，但孕妇吸烟和饮酒仍很常见。Smoke and Alcohol Free with EHealth and Rewards（SAFER）妊娠干预措施结合了每月的小组会议、使用基于网络的平台的机会以及在生物化学验证停止吸烟和饮酒后提供的奖励，最长持续时间为 6 个月，以促进在妊娠前和妊娠期间停止吸烟和饮酒。为了为 SAFER 妊娠干预措施的制定提供信息，在此之前进行了两次针对目标人群的焦点小组讨论，结果在此处报告，并附有 SAFER 妊娠研究方案的最终草案。在一项前后研究中，我们计划纳入 66 名怀孕或有怀孕意愿且吸烟和/或饮酒的女性（即 SAFER 妊娠干预措施的目标人群）。主要结局测量指标是在 34-38 孕周时停止吸烟和/或饮酒，或如果女性在研究期间未怀孕，则在六次小组会议后停止吸烟和/或饮酒。次要结局重点关注实施 SAFER 妊娠干预措施的障碍和促进因素。
