A video-based intervention to overcome pregnancy smoking stigma among healthcare students: a randomised controlled trial

J-C. David, N. Rascle, M. Auriacombe, F. Serre, A.-L. Sutter-Dallay, D. Loyal
Psychology & Health. 2024-02-19; : 1-20
DOI: 10.1080/08870446.2024.2316677

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David JC(1), Rascle N(2), Auriacombe M(3)(4), Serre F(4), Sutter-Dallay AL(2)(3), Loyal D(1).

Author information:
(1)Université Paris Cité, CRPMS, Paris, France.
(2)Univ. Bordeaux, Inserm U1219 Bordeaux Population Health, Bordeaux, France.
(3)Hôpital Charles Perrens, Bordeaux, France.
(4)Univ. Bordeaux, CNRS, SANPSY, UMR 6033, Bordeaux, France.

OBJECTIVES: This study tests a video intervention to reduce pregnancy smoking
stigma among French healthcare students.
DESIGN: The participants were randomly selected to watch online either an
experimental video (presenting educational content regarding stigma and contact
with pregnant smokers) or a control video (presenting standard educational
content about the risks of smoking). The students completed scales assessing
stigma, intention to address smoking cessation and self-efficacy to do so,
before the intervention (T0, n = 252), one week after the intervention (T1,
n = 187), and one month after the intervention (T2, n = 131).
RESULTS: Compared to the medical students, especially men, the midwifery
students reported lower derogative cognitions (η2p = .18), negative behaviours
(η2p = .07) and personal distress (η2p = .06). However, the midwifery students
also reported lower levels of intention to address smoking (η2p = .02) than the
medical students. The experimental video decreased derogative cognitions to a
greater extent than the control video (η2p = .23) in both the short and medium
term. This study is the first intervention designed to reduce the stigmatisation
of pregnant smokers by healthcare students. We recommend that the issue of
stigma should receive more attention in the medical curriculum.

DOI: 10.1080/08870446.2024.2316677
PMID: 38372141

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