The Effect of Couple's Motivational Interviewing on Exposure to Secondhand Smoke Among Pregnant Women at Home
,
Abstract
Objective: Secondhand smoke (SHS) during pregnancy is associated with many maternal-fetal complications. Iran has a high male smoking prevalence rate. This study aimed to determine the effect of motivational interviewing with couples on exposure to SHS at home in pregnant women referring to health centers in Urmia in 2019.
Materials and methods: A randomized control trial was performed on 112 non-smoking pregnant women with smoking husbands, randomly allocated into two groups (each with 56 members). The participants were asked to specify the daily average times and duration of exposure during the last week. Five motivational interviewing sessions were held for the members of the intervention group. Each session lasted90 minutes and two sessions were held per week. The data were collected before and four weeks after the intervention. The data were analyzed using the repeated-measures analysis of variance (ANOVA) by SPSS-20 at a significance level of 0.05.
Results: Of 112 couples who were randomized, 102 (91.07%) completed the trial. There was a significant reduction in terms of the daily frequency and duration of SHS exposure of the husband one week and one month after the intervention in the intervention group. The daily frequency and duration of SHS exposure of people other than the spouse at home did not decrease over time.
Conclusion: Following the results of the study, the couple-based motivational interviewing approach can be used to reduce SHS exposure in women at home.
1. Office on Smoking and Health (US). The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2006.
2. Garrett BE, Dube SR, Winder C, Caraballo RS; Centers for Disease Control and Prevention (CDC). Cigarette smoking - United States, 2006-2008 and 2009-2010. MMWR Suppl 2013; 62: 81-4.
3. George L, Granath F, Johansson AL, Annerén G, Cnattingius S. Environmental tobacco smoke and risk of spontaneous abortion. Epidemiology 2006; 17: 500-5.
4. Acuff L, Fristoe K, Hamblen J, Smith M, Chen J. Third-hand smoke: old smoke, new concerns. J Community Health 2016; 41: 680-7.
5. Alghamdi AS, Jokhadar HF, Alghamdi IM, Alsohibani SA, Alqahtani OJ, Abdelmageed WH. Socioeconomic determinants of exposure to secondhand smoke among pregnant women. international journal of women health and reproductive science 2016; 4: 59-63.
6. Chi YC, Sha F, Yip PSF, Chen JL, Chen YY. Randomized comparison of group versus individual educational interventions for pregnant women to reduce their secondhand smoke exposure. Medicine (Baltimore) 2016;95: e5072.
7. Goel P, Radotra A, Singh I, Aggarwal A, Dua D. Effects of passive smoking on outcome in pregnancy.
J Postgrad Med 2004; 50: 12-6.
8. Amasha HA, Jaradeh MS. Effect of active and passive smoking during pregnancy on its outcomes. Health science journal 2012; 6: 335-52.
9. Hawsawi AM, Bryant LO, Goodfellow LT. Association between exposure to secondhand smoke during pregnancy and low birthweight: a narrative review. Respir Care 2015; 60: 135-40.
10. Kharrazi M, DeLorenze GN, Kaufman FL, Eskenazi B, Bernert JT Jr, Graham S, et al. Environmental tobacco smoke and pregnancy outcome. Epidemiology 2004;15: 660-70.
11. Hawsawi AM, Bryant LO, Goodfellow LT. Association between exposure to secondhand smoke during pregnancy and low birth weight: a narrative review. Respir Care 2015; 60: 135-
12. Hanke W, Sobala W, Kalinka J. Environmental tobacco smoke exposure among pregnant women: impact on fetal biometry at 20–24 weeks of gestation and newborn child’s birth weight. Int Arch Occup Environ Health 2004;77: 47-52.
13. Crane J, Keough M, Murphy P, Burrage L, Hutchens D. Effects of environmental tobacco smoke on perinatal outcomes: a retrospective cohort study. BJOG 2011; 118: 865-71.
14. World Health Organization. WHO report on the global tobacco epidemic, 2008: the MPOWER package: 2008.
15. Bahiraii A, Rad SF, Mirmohammadali M, Nezhad AK. Predictors of home smoking ban in households in pregnant women. Payesh (Health Monitor) 2012; 11: 511-7.
16. Nichter M, Padmajam S, Nichter M, Sairu P, Aswathy S, Mini G, et al. Developing a smoke-free homes initiative in Kerala, India. BMC Public Health 2015;15: 480.
17. Ma SJ, Wang JF, Mei CZ, Xu XF, Yang GH. Passive smoking in China: contributing factors and areas for future interventions. Biomed Environ Sci 2007; 20: 420-5.
18. Lubick N. Smoking and secondhand smoke: a global estimate of SHS burden. Environmental Health perspectives 2011; 19.
19. Koh-Knox CP. Motivational Interviewing in Health Care: Helping Patients Change Behavior. Am J Pharm Educ 2009; 73: 127.
20. Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care: helping patients change behavior. New York: Guilford Press. 2008:343.
21. Aurrekoetxea JJ, Murcia M, Rebagliato M, Fernández-Somoano A, Castilla AM, Guxens M, et al. Factors associated with second-hand smoke exposure in non-smoking pregnant women in Spain: self-reported exposure and urinary cotinine levels. Sci Total Environ 2014; 470-471: 1189-96.
22. Kazemi A, Ehsanpour S, Nekoei-Zahraei NS. A randomized trial to promote health belief and to reduce environmental tobacco smoke exposure in pregnant women. Health Educ Res 2012; 27: 151-9.
23. Banihosseini SZ, Baheiraei A, Nikpor M, Hamzekhani M, Mohsenifar A. Evaluating the accuracy of self-reported exposure to secondhand smoke during pregnancy by measuring umbilical cord blood cotinine concentration. Journal of Knowledge & Health 2014; 9: 33-9.
24. Rollnick S, Miller WR. What is Motivational Interviewing? Behavioural and Cognitive Psychotherapy1995; 23: 325-34.
25. Soltani R, Barzegar F, Sangestani G, Roshanaii G, Maleki A. The effectiveness of family counselling on reducing exposure to secondhand smoke at home among pregnant women in Iran. Tob Prev Cessat. 2019; 5: 41.
26. Yu S, Duan Z, Redmon PB, Eriksen MP, Koplan JP, Huang C. mHealth intervention is effective in creating smoke-free homes for newborns: A randomized controlled trial study in China. Sci Rep 2017; 7: 9276.
27. Zhang L, Hsia J, Tu X, Xia Y, Zhang L, Bi Z, et al. Exposure to secondhand tobacco smoke and interventions among pregnant women in China: a systematic review. Prev Chronic Dis 2015; 12: E35.
28. Wahabi HA, Massis A, Fayed AA, Esmaeil SA. Effectiveness of health education in reducing secondhand smoke exposure among pregnant women visiting the antenatal clinic in Saudi Arabia: A randomized controlled trial. Indian J Public Health 2020; 64: 102-8.
29. Mohlman MK, Boulos DN, El Setouhy M, Radwan G, Makambi K, Jillson I, et al. A randomized, controlled community-wide intervention to reduce environmental tobacco smoke exposure. Nicotine Tob Res 2013; 15: 1372-81.
30. Alemán A, Morello P, Colomar M, Llambi L, Berrueta M, Gibbons L, et al. Brief counseling on secondhand smoke exposure in pregnant women in Argentina and Uruguay. Int J Environ Res Public Health 2016; 14: 28.
2. Garrett BE, Dube SR, Winder C, Caraballo RS; Centers for Disease Control and Prevention (CDC). Cigarette smoking - United States, 2006-2008 and 2009-2010. MMWR Suppl 2013; 62: 81-4.
3. George L, Granath F, Johansson AL, Annerén G, Cnattingius S. Environmental tobacco smoke and risk of spontaneous abortion. Epidemiology 2006; 17: 500-5.
4. Acuff L, Fristoe K, Hamblen J, Smith M, Chen J. Third-hand smoke: old smoke, new concerns. J Community Health 2016; 41: 680-7.
5. Alghamdi AS, Jokhadar HF, Alghamdi IM, Alsohibani SA, Alqahtani OJ, Abdelmageed WH. Socioeconomic determinants of exposure to secondhand smoke among pregnant women. international journal of women health and reproductive science 2016; 4: 59-63.
6. Chi YC, Sha F, Yip PSF, Chen JL, Chen YY. Randomized comparison of group versus individual educational interventions for pregnant women to reduce their secondhand smoke exposure. Medicine (Baltimore) 2016;95: e5072.
7. Goel P, Radotra A, Singh I, Aggarwal A, Dua D. Effects of passive smoking on outcome in pregnancy.
J Postgrad Med 2004; 50: 12-6.
8. Amasha HA, Jaradeh MS. Effect of active and passive smoking during pregnancy on its outcomes. Health science journal 2012; 6: 335-52.
9. Hawsawi AM, Bryant LO, Goodfellow LT. Association between exposure to secondhand smoke during pregnancy and low birthweight: a narrative review. Respir Care 2015; 60: 135-40.
10. Kharrazi M, DeLorenze GN, Kaufman FL, Eskenazi B, Bernert JT Jr, Graham S, et al. Environmental tobacco smoke and pregnancy outcome. Epidemiology 2004;15: 660-70.
11. Hawsawi AM, Bryant LO, Goodfellow LT. Association between exposure to secondhand smoke during pregnancy and low birth weight: a narrative review. Respir Care 2015; 60: 135-
12. Hanke W, Sobala W, Kalinka J. Environmental tobacco smoke exposure among pregnant women: impact on fetal biometry at 20–24 weeks of gestation and newborn child’s birth weight. Int Arch Occup Environ Health 2004;77: 47-52.
13. Crane J, Keough M, Murphy P, Burrage L, Hutchens D. Effects of environmental tobacco smoke on perinatal outcomes: a retrospective cohort study. BJOG 2011; 118: 865-71.
14. World Health Organization. WHO report on the global tobacco epidemic, 2008: the MPOWER package: 2008.
15. Bahiraii A, Rad SF, Mirmohammadali M, Nezhad AK. Predictors of home smoking ban in households in pregnant women. Payesh (Health Monitor) 2012; 11: 511-7.
16. Nichter M, Padmajam S, Nichter M, Sairu P, Aswathy S, Mini G, et al. Developing a smoke-free homes initiative in Kerala, India. BMC Public Health 2015;15: 480.
17. Ma SJ, Wang JF, Mei CZ, Xu XF, Yang GH. Passive smoking in China: contributing factors and areas for future interventions. Biomed Environ Sci 2007; 20: 420-5.
18. Lubick N. Smoking and secondhand smoke: a global estimate of SHS burden. Environmental Health perspectives 2011; 19.
19. Koh-Knox CP. Motivational Interviewing in Health Care: Helping Patients Change Behavior. Am J Pharm Educ 2009; 73: 127.
20. Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care: helping patients change behavior. New York: Guilford Press. 2008:343.
21. Aurrekoetxea JJ, Murcia M, Rebagliato M, Fernández-Somoano A, Castilla AM, Guxens M, et al. Factors associated with second-hand smoke exposure in non-smoking pregnant women in Spain: self-reported exposure and urinary cotinine levels. Sci Total Environ 2014; 470-471: 1189-96.
22. Kazemi A, Ehsanpour S, Nekoei-Zahraei NS. A randomized trial to promote health belief and to reduce environmental tobacco smoke exposure in pregnant women. Health Educ Res 2012; 27: 151-9.
23. Banihosseini SZ, Baheiraei A, Nikpor M, Hamzekhani M, Mohsenifar A. Evaluating the accuracy of self-reported exposure to secondhand smoke during pregnancy by measuring umbilical cord blood cotinine concentration. Journal of Knowledge & Health 2014; 9: 33-9.
24. Rollnick S, Miller WR. What is Motivational Interviewing? Behavioural and Cognitive Psychotherapy1995; 23: 325-34.
25. Soltani R, Barzegar F, Sangestani G, Roshanaii G, Maleki A. The effectiveness of family counselling on reducing exposure to secondhand smoke at home among pregnant women in Iran. Tob Prev Cessat. 2019; 5: 41.
26. Yu S, Duan Z, Redmon PB, Eriksen MP, Koplan JP, Huang C. mHealth intervention is effective in creating smoke-free homes for newborns: A randomized controlled trial study in China. Sci Rep 2017; 7: 9276.
27. Zhang L, Hsia J, Tu X, Xia Y, Zhang L, Bi Z, et al. Exposure to secondhand tobacco smoke and interventions among pregnant women in China: a systematic review. Prev Chronic Dis 2015; 12: E35.
28. Wahabi HA, Massis A, Fayed AA, Esmaeil SA. Effectiveness of health education in reducing secondhand smoke exposure among pregnant women visiting the antenatal clinic in Saudi Arabia: A randomized controlled trial. Indian J Public Health 2020; 64: 102-8.
29. Mohlman MK, Boulos DN, El Setouhy M, Radwan G, Makambi K, Jillson I, et al. A randomized, controlled community-wide intervention to reduce environmental tobacco smoke exposure. Nicotine Tob Res 2013; 15: 1372-81.
30. Alemán A, Morello P, Colomar M, Llambi L, Berrueta M, Gibbons L, et al. Brief counseling on secondhand smoke exposure in pregnant women in Argentina and Uruguay. Int J Environ Res Public Health 2016; 14: 28.
| Files | ||
| Issue | Vol 16, No 2 (June 2022) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/jfrh.v16i2.9484 | |
| Keywords | ||
| Secondhand Smoke Counseling Motivation Pregnancy | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Bayrami R, Ebrahimi S, Rasouli J, Feizipour H. The Effect of Couple’s Motivational Interviewing on Exposure to Secondhand Smoke Among Pregnant Women at Home. J Family Reprod Health. 2022;16(2):139-146.
