{"doi":"10.1016/j.ejogrb.2025.03.010","title":"The Quit Together couples-focused pilot randomized trial of tobacco cessation for pregnant smokers","abstract":"AIMS: This study reports on the feasibility and preliminary efficacy of prenatal and postnatal couples-focused telephone counseling for pregnant tobacco smokers. DESIGN AND SETTING: This pilot randomized controlled trial (RCT) was conducted online in Romania and enrolled a total of 90 pregnant smokers and 77 of their life partners. PARTICIPANTS: 90 adult pregnant smokers and 77 of their life partners were randomized either to (1) Motivation and Problem Solving (MAPS) telephone counseling (n = 45 pregnant smokers who received up to 8 pre/postnatal telephone counseling sessions and n = 40 partners who received up to 4 sessions) or (2) usual care (n = 45 pregnant smokers and n = 37 partners). MEASUREMENTS: The primary outcomes were maternal 7-day self-reported and biochemically verified tobacco point-prevalence abstinence (PPA) and prolonged abstinence (PA) between birth and three months postpartum. Unadjusted group comparisons were used to assess preliminary intervention efficacy. FINDINGS: 20 % of women in the intervention group reported PPA, compared to 15.6 % (p = 0.58) in the usual care group. Women (n = 15) who received three or more counseling sessions had higher PPA (40.0 vs 15.6 %, p < 0.05) than women in the usual care group. 8.9 % of the women in the intervention group had biochemically verified abstinence compared to 4.4 % (p = 0.67) in the usual care group, with a significantly higher rate among women who received at least three counseling sessions (26.7 % vs 4.4 %, p = 0.03). CONCLUSION: A prenatal and postnatal couple-focused telephone counseling intervention for pregnant smokers is feasible and provides preliminary efficacy of cessation and postpartum abstinence when a minimum intervention dosage is delivered.","journal":"European Journal of Obstetrics & Gynecology and Reproductive Biology","year":2025,"id":543335,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9271,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":516365,"name":"Marina D. Dascăl","orcid":"0000-0003-2871-9052","position":1,"is_corresponding":false},{"id":516364,"name":"Rana Jaber","orcid":"0000-0001-9366-0320","position":2,"is_corresponding":false},{"id":1433395,"name":"Alexandra Brînzaniuc","orcid":null,"position":3,"is_corresponding":false},{"id":1433006,"name":"Alexandra Sidor","orcid":"0000-0002-8931-0894","position":4,"is_corresponding":false},{"id":953161,"name":"Răzvan Mircea Cherecheș","orcid":"0000-0002-0118-0539","position":5,"is_corresponding":false},{"id":1433396,"name":"Dan Mihu","orcid":null,"position":6,"is_corresponding":false},{"id":1433397,"name":"Cristian Iuhaș","orcid":null,"position":7,"is_corresponding":false},{"id":1433398,"name":"Florin Stamatian","orcid":null,"position":8,"is_corresponding":false},{"id":1433007,"name":"Daniel Mureșan","orcid":"0000-0002-7744-0501","position":9,"is_corresponding":false},{"id":1433008,"name":"Gabriela Caracostea","orcid":"0000-0002-0011-8522","position":10,"is_corresponding":false},{"id":411789,"name":"Kristie L. Foley","orcid":"0000-0002-3759-4581","position":11,"is_corresponding":false},{"id":1433009,"name":"Adriana Băban","orcid":"0000-0001-6333-0005","position":12,"is_corresponding":false},{"id":1433010,"name":"Thomas C. Voice","orcid":"0000-0003-3178-8024","position":13,"is_corresponding":false},{"id":418166,"name":"Ken Resnicow","orcid":"0000-0003-1416-9627","position":14,"is_corresponding":false},{"id":444101,"name":"David W. Wetter","orcid":"0000-0002-6366-0108","position":15,"is_corresponding":false},{"id":437610,"name":"Oana M. Blaga","orcid":"0000-0002-1934-2591","position":16,"is_corresponding":false},{"id":437612,"name":"Cristian Meghea","orcid":"0000-0002-7603-0869","position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T02:53:04.088079Z","pmid":"40068469","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}