Le renoncement au tabac et la grossesse
Un examen des pratiques exemplaires de renoncement au tabac conçues pour les filles et les femmes pendant la grossesse et la période postnatale
Annexes
Annexe A : Préparation du maintien de l’abstinence tabagique après l’accouchement
Détermination (à la 28e semaine de la grossesse) de la probabilité du maintien de l’abstinence tabagique après l’accouchement :
- En ce moment, lequel des énoncés suivants décrit le mieux l’objectif que vous visez à l’é-gard de l’usage du tabac après votre grossesse? 1) vous abstenir de fumer, 2) limiter les lieux et les occasions où vous vous autoriserez à fumer, 3) recommencer à fumer, 4) votre objectif n’est pas encore très précis pour l’instant.
- Quelles sont les probabilités que vous recommenciez à fumer dans les six mois qui suivent la naissance du bébé? 1) très forte probabilité, 2) forte probabilité, 3) probabilité assez grande, 4) probabilité très faible, 5) aucune probabilité.
- Depuis votre dernière consultation prénatale, avez-vous touché à une cigarette (ne serait-ce qu’une bouffée)? 1) oui, 2) non
Tiré de : Stotts et al. (2000). Postpartum return to smoking: Staging a “suspended” behavior. Health Psychology, 19, 324–32.
Annexe B : Tableau des études incluses dans l’examen
Tableau 8.1 Études incluses dans l’examen (publiées ou réalisées après 1990)
Annexe C : Tableau des études éliminées de l’examen
Tableau 8.2 Interventions éliminées de l’examen (études publiées après 1990)
Annexe D : Bibliographie des interventions axées sur le renoncement au tabac, mentionnées dans des revues spécialisées
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Windsor, R. A., Lowe, J. B., Perkins, L. L., Smith-Yoder, D., Artz, L., Crawford, M., Amburgy, K. et Boyd Jr, N. R. (1993). Health education for pregnant smokers: Its behavioral impact and cost benefit. American Journal of Public Health, 83(2), 201-206.
Windsor, R. A., Woodby, L. L., Miller, T. M., Hardin, J. M., Crawford, M. A. et DiClemente, C. C. (2000). Effectiveness of Agency for Health Care Policy and Research clinical practice guideline and patient education methods for pregnant smokers in medicaid maternity care. American Journal of Obstetrics & Gynecology., 182(1 Pt. 1), 68-75.
Wisborg, K., Henriksen, T. et Secher, N. (1998). A prospective intervention study of stopping smoking in pregnancy in a routine antenatal care setting. British Journal of Obstetrics & Gynaecology, 105(11), 1171-1176.
Wisborg, K., Henriksen, T. B., Jespersen, L. B. et Secher, N. J. (2000). Nicotine patches for pregnant smokers: a randomized controlled study. Obstetrics and Gynecology, 96(6), 967-971.
Wright, L. N., Pahel-Short, L., Hartmann, K., Kuller, J. A. et Thorp Jr., J. M. (1996). Statewide assessment of a behavioral intervention to reduce cigarette smoking by pregnant women. American Journal of Obstetrics and Gynecology, 175(2), 283-287, discussion 287-288.
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Annexe E : Liste de programmes de renoncement au tabac destinés aux femmes et aux filles pendant la grossesse et la période postnatale
Tableau 8e.1 Programmes destinés aux femmes et aux filles pendant la grossesse et la période postnatale
Programme |
Clientèle cible (Femmes enceintes...) |
Pays d’origine |
Établissement à contacter |
A Pregnant Women’s Guide to Quit Smoking |
Population générale |
US |
University of Alabama at Birmingham (Dr. Richard Windsor) |
Question d’écoute |
Dispensateurs de soins périnatals |
Canada |
Association canadienne de santé publique |
Baby’s Coming, Baby’s Home |
Population générale |
| NFLD Lung Association |
Born Free |
Population générale |
Canada |
PEI Lung Association |
Freedom from Smoking for You and Your Baby |
Population générale |
É.-U. |
N’importe quelle association pulmonaire provinciale |
Great Start |
Population générale |
É.-U. |
|
Holding Our Own |
Femmes autochtones; population générale |
Canada |
Walpole Island Health Unit |
Kick Butt for 2 |
Adolescentes, jeunes femmes |
Canada |
St. Mary’s Home, Ottawa (Ontario) |
New Start |
Population générale |
Canada |
Société canadienne du cancer |
PREGNETS |
Population générale |
Canada |
CAMH; www.pregnets.org |
Smoke Free Journey |
Femmes autochtones; population générale |
Canada |
Northern Family Health Society, Prince George (C.-B.) |
Start Quit, Stay Quit |
Population générale |
Canada |
Windsor-Essex Health Unit (Ontario) |
Stopping When You’re Ready |
Population générale |
Canada |
Windsor-Essex County Health Unit |
Tableau 8e.2 Programmes destinés aux femmes et aux filles (pourraient sans doute être adaptés)
Programme |
Clientèle cible |
Pays d’origine |
Établissement à contacter |
Sacred Plant, Sacred Ways |
Hommes et femmes autochtones |
Canada |
National Association of Friendship Centres |
Kichi Chistemaw Pimatisiwin |
Femmes autochtones |
Canada |
Native Women’s Transition Centre, Winnepeg |
Well Being for Women: A LifeStyle Change Program |
Femmes à faible revenu |
Canada |
YWCA |
How to Make $1000 By Doing Nothing |
Adolescentes |
Canada |
University of Toronto Centre for Health Promotion |
Arrêter de fumer : un programme à l’intention des femmes |
Femmes |
Canada |
Santé Canada |
Protecting Our Families |
Familles autochtones |
Canada |
Organisation nationale des représentants indiens et inu its en santé communautaire |
Catching Our Breath |
Femmes |
Canada |
Women’s Health Clinic, Manitoba |
Pour en finir avec le tabagisme: Guide de renoncement au tabac à l'intention des femmes autochtones du Canada |
Femmes autochtones |
Canada |
Association des femmes autochtones du Canada |
Annexe F : Liste de termes de recherche et description du processus de notation
Tableau 8f.1 Liste des bases de données consultées et des termes-clés utilisés
Base de données |
Termes-clés |
Silver Platter: information psychologique, toutes les années, résumés, reg, clinique, ouvrages (y compris les publications épuisées) |
Smok* et cessation et pregnan* |
Medline, toutes les années |
(tobacco ou smok) et mother et (cessation ou quit) |
Medline, toutes les années |
pregnancy et tobacco et (cessation ou quit) |
Medline, toutes les années |
Pregnancy/ et smoking cessation/ et intervention |
Web of Science, toutes les années |
Pregnan* et smok* et cessation et (programme ou intervention) |
Medline |
Teen et pregnant et smoking |
Medline |
Pregnant et relapse et smoking |
Medline |
Pregnancy et buproprion |
Medline |
Pregnant et nicotine replacement |
Medline |
Postpartum et relapse et smoking |
Medline |
Pharmacotherapy et pregnant et smoking |
*Nous avons également fait des recherches par auteur et d’après les interventions mentionnées dans divers articles.
Description du processus de notation
Les interventions ont été notées séparément par deux évaluateurs. En cas de désaccord, les évaluateurs ont discuté des points de divergence jusqu’à ce qu’ils parviennent à une entente. Les recommandations préliminaires ont été formulées à partir de ces conclusions. L’équipe a discuté de manière assez détaillée des interventions dans le contexte des ouvrages théoriques et a dégagé les divers éléments, démarches et sous-populations pertinents.
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