MCHbest. NPM 14.1: Smoking in Pregnancy
Strategy. Health Education
Approach. Provide health education to reduce smoking during pregnancy.
Overview. Research shows that health education can be effective in promoting smoking cessation during pregnancy. Health education interventions are those where women are provided with information about the risks of smoking and advice to quit, but are not given further support or advice about how to make this change. Interventions where the woman was provided with automated support such as self-help manuals or automated text messaging, but there was no personal interaction are considered health education interventions.1
Evidence. Emerging. Initial research shows positive results for this strategy, but further research is needed to confirm effects. The strategy of using health education to reduce smoking during pregnancy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Pregnant women.
Outcome. Smoking cessation during pregnancy. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 7 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Provide health education to reduce smoking during pregnancy,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Cummins SE, Tedeschi GJ, Anderson CM, Zhu SH. Telephone intervention for pregnant smokers: A randomized controlled trial.Am J Prev Med. 2016 Sep;51(3):318-26.