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Organization of Smoking Cessation in Pregnant Women With the Implementation of the 5A Strategy in New Aquitaine. — 5A-QUIT-N  

Smoking Cessation Clinical Trial

Official title:
Organization of Smoking Cessation in Pregnant Women: Study of the Effectiveness, Transferability, Barriers and Facilitators of the Implementation of the 5A Strategy in French Context. A Cluster Randomized Controlled Trial in New Aquitaine.

Clinical Trial Summary

The investigators are conducting a pragmatic cluster randomized trial in stepped-wedge of which objectives are to evaluate the effectiveness and the conditions of effectiveness of an organizational strategy for smoking cessation - 5A-QUIT-N - among pregnant women in New Aquitaine (NA), by using and optimizing existing resources

Clinical Trial Description

In France, in 2016, 16.6% of pregnant women were smokers, the highest levels among European countries. Pregnancy is considered a teachable moment for smoking cessation. There are many tools, interventions and programs to reduce the smoking habits of pregnant women. The challenge is therefore not to propose new interventions but to understand what is hindering the implementation of existing interventions and proposing corrective measures. In this context, the scientific literature shows that interventions for smoking pregnant women only seem effective when based on a comprehensive approach that combines multiple interventions. In particular, interventions based on the 5A's model (Ask, Advise, Assess, Assist, Arrange) are largely recommended and have shown their effectiveness abroad. Factors facilitating or hindering the implementation of such strategies are mainly organizational. As organizations are context-dependent by nature, considering the generalization of such strategies in France therefore requires adapting them to the French health system and evaluating them in context, in a pragmatic approach, inserted into routine care and using the tools, procedures and existing organizations in the territories. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05355012
Study type Interventional
Source University Hospital, Bordeaux
Contact François Alla, Prof
Phone +335 57 82 26 50
Email francois.alla@u-bordeaux.fr
Status Recruiting
Phase N/A
Start date October 3, 2022
Completion date May 31, 2026
View Details
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