Richardson Emily M, Schisler Eric, Dobbs Page D
Eleanor Mann School of Nursing, University of Arkansas, Fayetteville, United States.
Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, United States.
Tob Prev Cessat. 2024 Oct 7;10. doi: 10.18332/tpc/193605. eCollection 2024.
Quality of patient-provider communication regarding tobacco use may encourage cessation that could lead to improved health outcomes for mothers and children. However, currently there are no validated measures of frequency and quality of patient-provider communication about cigarettes and e-cigarettes. The objective of this study was to adapt and validate measures of frequency and quality of patient-provider communication about smoking and e-cigarette use among a sample of pregnant mothers who currently smoked.
An online sample of US pregnant women who reported past 30-day smoking were recruited to complete a cross-sectional, online survey (n=267). An exploratory factor analysis examined the factor structure of four measures of frequency and quality of patient-provider communication about cigarettes and e-cigarettes among those who reported prior communication with their provider about cigarettes and e-cigarettes (n=170). Relationships between measures were explored, and a logistic regression explored each measure's association with intention to switch from cigarettes to e-cigarettes.
Items measuring the frequency of communication loaded onto one factor for both cigarettes and e-cigarettes (α=0.88). Quality of communication loaded onto two factors for both cigarettes and e-cigarettes, termed active communication and internalized perception. Internalized perceptions of communication quality about cigarettes (β= -0.32, p<0.002), active communication (β=0.46, p<0.02), and internalized perceptions of communication about e-cigarettes (β= -0.36, p<0.001) were related to intention to switch, in separated models.
Quality conversations between healthcare providers and pregnant patients is likely more important for behavioral decision-making than the frequency of communication.
关于烟草使用的医患沟通质量可能会促进戒烟，从而改善母婴健康状况。然而，目前尚无关于医患之间就香烟和电子烟沟通频率及质量的有效衡量指标。本研究的目的是对目前吸烟的孕妇样本中，关于吸烟和电子烟使用的医患沟通频率及质量的衡量指标进行调整和验证。
招募了一个报告过去30天内吸烟的美国孕妇在线样本，以完成一项横断面在线调查（n = 267）。一项探索性因素分析考察了在那些报告曾与医护人员就香烟和电子烟进行过沟通的人群（n = 170）中，四种关于医患就香烟和电子烟沟通频率及质量的衡量指标的因素结构。探讨了各指标之间的关系，并通过逻辑回归分析了每个指标与从香烟转向电子烟意愿之间的关联。
衡量沟通频率的项目在香烟和电子烟方面均加载到一个因素上（α = 0.88）。沟通质量在香烟和电子烟方面均加载到两个因素上，分别称为主动沟通和内化认知。在单独的模型中，关于香烟沟通质量的内化认知（β = -0.32，p < 0.002）、主动沟通（β = 0.46，p < 0.02）以及关于电子烟沟通的内化认知（β = -0.36，p < 0.001）与转向意愿相关。
对于行为决策而言，医疗保健提供者与孕妇之间的高质量对话可能比沟通频率更为重要。
