증거기반 사회복지실천을 향하여: 흡연 임산부 금연프로그램의 효과성,지속성,비용효과성 분석 = Towards an Evidence-Based Practice: The Effectiveness, Durability, and Cost-effectiveness Analysis of Smoking Cessation Programmes for Pregnant Women

다국어 초록 (Multilingual Abstract)

The purpose of this paper is to analyze the effectiveness, durability, and cost-effectiveness of smoking cessation programmes for pregnant women from the perspective of EBP (Evidence-Based Practice). The type of study considered is randomized controlled trials, where the participants of the studies were pregnant women who smoke. There were no limitations on the type of interventions which were delivered either during pregnancy or in the postpartum period. Eleven articles which were found via MEDLINE in Ovid and Google Scholar are reviewed. Use of meta-analysis conducted by the Review Manager Program (Version 5.5) shows that the smoking cessation programmes for pregnant women are effective (overall estimate is OR=0.53, 95%) as well as durable (overall estimate is OR=0.47, 95%). Furthermore, the program is cost-effective (22 QALYs). This research has three policy implications: First, smoking cessation programmes for pregnant women should be amended toward increasing effectiveness. Second, these programs should be enhanced for durability. Finally, the Korean EBP model should be designed.