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BACKGROUND Tobacco smoking is a major cause of morbidity and mortality, including during pregnancy. Although effective ways of promoting smoking cessation during pregnancy exist, the impact of these interventions has not been studied at a national level. We estimated the prevalence of smoking throughout pregnancy in the Netherlands and quantified(More)
OBJECTIVE To establish smoking prevalence of fertile-aged women; before and during pregnancy, and 6 months after delivery. DESIGN Cross-sectional. METHOD Yearly surveys by questionnaires handed out during 2001-2003 to mothers visiting a Well Baby Clinic with infants aged 0-6 months. RESULTS Out ofa total of 14,540 questionnaires, 9133 (63%) were(More)
OBJECTIVE To establish trends in the prevalence of smoking during pregnancy between 2001 and 2010 and to relate these to differences in educational gradient in the Netherlands. DESIGN National surveys. METHOD In 2001, 2002, 2003, 2005, 2007 and 2010, 28,720 questionnaires were handed out to mothers with infants aged up to 6 months at periodic check-ups(More)
BACKGROUND AND OBJECTIVES Smoking cessation treatment practices described by the 5 A's (ask, advise, assess, assist, arrange) are not well applied at cardiology wards because of various reasons, such as a lack of time and appropriate skills of the nursing staff. Therefore, a simplified guideline proposing an ask-advise-refer (AAR) strategy was introduced in(More)
Adoption of potentially effective preventive interventions often fails. This study aimed to identify factors that determine why midwifery practices decide to use a smoking cessation protocol, using a comprehensive model of both organizational and psychosocial factors. A cross-sectional survey was conducted among representatives of all 446 Dutch midwifery(More)
OBJECTIVE The aim of our study was to identify the psychological and organizational determinants of adopting a smoking cessation intervention in cardiology wards, using the Integrated Change Model (I-Change Model) as the theoretical basis. METHODS A cross-sectional survey by means of questionnaires was conducted among the heads of all 121 cardiology wards(More)
Health promotion interventions are often underused by care practitioners and, therefore, are not effective. In this study, we assessed nurses' use of a smoking cessation intervention in Dutch cardiac wards and factors associated with their adherence. Ninety-four of 206 nurses did not fully apply the intervention in daily practice; they did not always(More)
AIMS To examine the impact of two national tobacco control interventions in the past decade on (dispensed) prescriptions of stop-smoking medication. DESIGN Ecological study with interrupted time-series analyses of quarterly data points of three nation-wide representative databases. SETTING The Netherlands 2001-2012, with the introduction of the(More)
In a controlled study, primary care dental professionals in the intervention group were encouraged to provide smoking cessation advice and support for all smoking patients with the help of a stage-based motivational protocol. The barriers and facilitators reported by the dental professionals on two occasions for their efforts to incorporate smoking(More)
BACKGROUND In 2011, the Netherlands implemented a national policy that ensured that health insurance companies reimbursed behavioural counselling for smoking cessation or the combination of behavioural counselling with pharmacological therapy. OBJECTIVE To examine the real-world impact of a national reimbursement policy and accompanying media attention on(More)