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Applying the Health Belief Model to Evaluate the Effectiveness of a Passive Smoking Prevention Intervention Program among Pregnant Women at the Heping Branch and Branch for Women and Children of Taipei City Hospital
exposure of passive smoke
passive smoking prevention intervention program
health belief model
The purpose of this study was to create and evaluate the effectiveness of a passive smoking intervention program among pregnant women. The study employed a true experimental design at the Heping Branch and the Women and Children Branch of Taipei City Hospital from November 2010 to March 2011. Subjects were identified at the obstetrics and gynecology clinic area and were randomly allocated based on the registration sequence. The odd-numbered individuals were assigned to the experimental group, while the even-numbered ones the control group. Subjects in the experimental group (n = 50) enrolled in the program which was developed based on the health belief model and self-efficacy theory, while subjects in the control group (n = 50) received usual counseling care. Questionnaires were distributed and smoking exposures dosage was measured at three time points: pre-test, post-test and post post-test. One-way Analysis of Covariance (1-ANCOVA) was conducted. The main research findings were as follows: (1) At the baseline all of the recruited pregnant women revealed insufficient knowledge with respect to harm caused by passive smoking and the health belief of rejecting passive smoking. Sources of “cues to action for rejecting passive smoking” were limited. In addition, “self-efficacy of rejecting passive smoking” and ”acting to reject passive smoking” were measured poorly. Only did “smoking exposure dosage” be found within normal ranges. (2) Compared to the control group, pregnant women in the experimental group performed better in the post-test and post post-test with respect to “knowledge concerning harm caused by p[passive smoking”, “perceived susceptibility for passive smoking”, “perceived severities for passive smoking”, “perceived benefits for rejecting passive smoking”, “perceived barriers for rejecting passive smoking”, “ cues to action for rejecting passive smoking”, “self-efficacy of rejecting passive smoking”, “acting to reject passive smoking”, and “smoking exposure dosage”. In conclusion, the study demonstrated that the passive smoking prevention program was effective. This program can enhance the insights, beliefs and actions of a pregnant woman who intends to reject passive smoking. Finally, it is recommended that this program be adopted by local governmental health departments for pregnant women. The program can also be implemented in other kinds of healthcare organizations such as obstetrics and gynecology clinics and postpartum care centers.
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