INTERVENTION FOR RESISTANT PREGNANT SMOKERS

对耐药怀孕吸烟者的干预

• 批准号: 3369751
• 负责人: PATRICIA DOLAN MULLEN
• 金额: $ 25.72万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-01-25 至 1995-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3369751
• 关键词: behavior modification; education evaluation /planning; ethnic group; female; human subject; human therapy evaluation; longitudinal human study; mother /infant health care; postpartum; smoking cessation; social support network; socioenvironment; tobacco abuse education; tobacco abuse prevention; videotape /videodisc

This 31-month supplement to Sustaining Women's Smoking Cessation Postpartum (Project PANDA) will design, implement, and evaluate an intensified intervention for pregnant women who were unable to stop smoking with minimal assistance. The substudy is a population-based experiment with White, Black, and Hispanic pregnant women whose continued smoking makes them ineligible for randomization into the parent study. It is unique in focusing on heavier, more addicted pregnant smokers. PANDA research sites and protocols offer a special opportunity for a low cost test of a disseminable intervention which this project team is uniquely qualified to design and implement. The new intervention, One- to-One, will use telephone counselors to assess the counselee's stage in the change process and give stage-appropriate messages, using established techniques of motivational interviewing. Between the two counselor calls spaced 10 days apart, counselees will receive personalized written feedback and suggestions. The primary aim, increasing quitting during pregnancy, will be assessed by unobtrusive urine samples taken during prenatal visits in the ninth month and identified only by study group. A series of postpartum interviews with subsample cotinine validation will be used to examine the second important aim, reduction of infant smoke exposure. A combination of messages, peer modeling, and support will help women sustain cessation after delivery and eliminate smoking around the baby. Project PANDA videotapes and newsletters already contain these messages and require only minimal supplementation to be used with the One-to-One experimental group, regardless of their success in quitting in pregnancy. As in Project PANDA, the assessments will be separated from the experiment by enrolling subjects in a university-sponsored study of new mothers' health practices and baby care and by presenting the program as usual care by the health care site. The substudy results will 1) demonstrate the effectiveness of the intensified program in boosting rates of prenatal smoking cessation and reducing infant smoke exposure from all sources and 2) contribute longitudinal data on change processes involved in smoking cessation and maintenance for this important group of heavy committed smokers experiencing a critical life transition.

这项31个月的补充是维持妇女戒烟 产后（熊猫项目）将设计，实施和评估 对无法停止的孕妇的加强干预 在最小的帮助下吸烟。 该物质是基于人群的 尝试白人，黑色和西班牙裔孕妇，她们继续 吸烟使它们不符合随机进行父母研究的资格。 它专注于较重，上瘾的孕妇吸烟者的独特之处。 熊猫的研究网站和协议为低点提供了特殊的机会 该项目团队的可见干预措施的成本测试 独特的资格设计和实施。 新干预，一 一对一，将使用电话顾问评估顾问阶段 使用已建立的变更过程并提供适合阶段的消息 动机访谈的技术。 在两个辅导员之间 间隔10天，Counselees将获得个性化的书面 反馈和建议。 主要目的是增加戒烟 怀孕，将通过在 在第九个月进行产前访问，仅通过研究组确定。 对Cotinine验证子样本的一系列产后访谈将 用于检查第二个重要目标，减少婴儿烟雾 接触。 消息，同行建模和支持的组合将 帮助妇女分娩后维持停止并消除吸烟 婴儿。 Project Panda录像带和新闻通讯已经包含这些 消息，仅需要最小补充 一对一的实验组，无论他们在退出方面的成功如何 在怀孕。 与项目熊猫项目一样，评估将分开 通过将受试者纳入大学资助的研究来从实验中 新妈妈的健康实践和婴儿护理以及通过介绍 医疗保健网站照常照顾。 取代结果将为1）证明 促进产前戒烟和 减少所有来源的婴儿烟雾暴露，2）贡献 有关戒烟和涉及的变更过程的纵向数据 为这一重要的沉重吸烟者维护 经历批判性生活过渡。