The Development and Testing of a Perinatal Tobacco Attitudes and Behaviors Survey

Geraldine R. Britton; Rosemary Collier; Joyce M. Rhodes Keefe; Wendi F. Gallagher; Ann Feeney; Lori M. Sprague; Gary D. James

doi:10.1891/JNM-D-20-00108

The Development and Testing of a Perinatal Tobacco Attitudes and Behaviors Survey

Geraldine R. Britton
, Rosemary Collier
, Joyce M. Rhodes Keefe
, Wendi F. Gallagher
, Ann Feeney
, Lori M. Sprague
, Gary D. James

School of Nursing Acad

Binghamton University

State University of New York Binghamton University
University of Scranton

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background and Purpose: Accurate assessment of tobacco use in pregnant smokers is key to effective nursing intervention. There is a lack of valid and reliable tools easily integrated into prenatal care. Therefore, the purpose of this study was to develop and test a perinatal survey, guided by the Health Promotion Model (HPM). Methods: The survey was tested with 107 pregnant women via iPad. Urine cotinine assays and a process evaluation were conducted. Results: Reliability yielded a Cronbach’s alpha of .873 for the ever-smoker sample and .835 for the total sample. Factors dovetailed with HPM constructs. Conclusions: Perinatal Tobacco Attitudes and Behaviors Survey (PTABS) exhibits high reliability and validity and is easily utilized. Updates need to include questions on all nicotine products and to be streamlined. With accurate identification of nicotine users nurses can provide targeted interventions early in pregnancy.

Original language	English
Pages (from-to)	419-432
Number of pages	14
Journal	Journal of Nursing Measurement
Volume	30
Issue number	3
DOIs	https://doi.org/10.1891/JNM-D-20-00108
State	Published - 2022

Keywords

instrument reliability and validity
measurement
pregnancy
self-report
tobacco use

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10.1891/JNM-D-20-00108

Cite this

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title = "The Development and Testing of a Perinatal Tobacco Attitudes and Behaviors Survey",

abstract = "Background and Purpose: Accurate assessment of tobacco use in pregnant smokers is key to effective nursing intervention. There is a lack of valid and reliable tools easily integrated into prenatal care. Therefore, the purpose of this study was to develop and test a perinatal survey, guided by the Health Promotion Model (HPM). Methods: The survey was tested with 107 pregnant women via iPad. Urine cotinine assays and a process evaluation were conducted. Results: Reliability yielded a Cronbach{\textquoteright}s alpha of .873 for the ever-smoker sample and .835 for the total sample. Factors dovetailed with HPM constructs. Conclusions: Perinatal Tobacco Attitudes and Behaviors Survey (PTABS) exhibits high reliability and validity and is easily utilized. Updates need to include questions on all nicotine products and to be streamlined. With accurate identification of nicotine users nurses can provide targeted interventions early in pregnancy.",

keywords = "instrument reliability and validity, measurement, pregnancy, self-report, tobacco use",

author = "Britton, \{Geraldine R.\} and Rosemary Collier and \{Rhodes Keefe\}, \{Joyce M.\} and Gallagher, \{Wendi F.\} and Ann Feeney and Sprague, \{Lori M.\} and James, \{Gary D.\}",

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year = "2022",

doi = "10.1891/JNM-D-20-00108",

language = "English",

volume = "30",

pages = "419--432",

journal = "Journal of Nursing Measurement",

issn = "1061-3749",

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AU - Britton, Geraldine R.

AU - Collier, Rosemary

AU - Rhodes Keefe, Joyce M.

AU - Gallagher, Wendi F.

AU - Feeney, Ann

AU - Sprague, Lori M.

AU - James, Gary D.

PY - 2022

Y1 - 2022

N2 - Background and Purpose: Accurate assessment of tobacco use in pregnant smokers is key to effective nursing intervention. There is a lack of valid and reliable tools easily integrated into prenatal care. Therefore, the purpose of this study was to develop and test a perinatal survey, guided by the Health Promotion Model (HPM). Methods: The survey was tested with 107 pregnant women via iPad. Urine cotinine assays and a process evaluation were conducted. Results: Reliability yielded a Cronbach’s alpha of .873 for the ever-smoker sample and .835 for the total sample. Factors dovetailed with HPM constructs. Conclusions: Perinatal Tobacco Attitudes and Behaviors Survey (PTABS) exhibits high reliability and validity and is easily utilized. Updates need to include questions on all nicotine products and to be streamlined. With accurate identification of nicotine users nurses can provide targeted interventions early in pregnancy.

AB - Background and Purpose: Accurate assessment of tobacco use in pregnant smokers is key to effective nursing intervention. There is a lack of valid and reliable tools easily integrated into prenatal care. Therefore, the purpose of this study was to develop and test a perinatal survey, guided by the Health Promotion Model (HPM). Methods: The survey was tested with 107 pregnant women via iPad. Urine cotinine assays and a process evaluation were conducted. Results: Reliability yielded a Cronbach’s alpha of .873 for the ever-smoker sample and .835 for the total sample. Factors dovetailed with HPM constructs. Conclusions: Perinatal Tobacco Attitudes and Behaviors Survey (PTABS) exhibits high reliability and validity and is easily utilized. Updates need to include questions on all nicotine products and to be streamlined. With accurate identification of nicotine users nurses can provide targeted interventions early in pregnancy.

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KW - measurement

KW - pregnancy

KW - self-report

KW - tobacco use

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The Development and Testing of a Perinatal Tobacco Attitudes and Behaviors Survey

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Keywords

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