ACCELERATING PROGRESS TOWARD SMOKING CESSATION IN PREGNANT WOMEN

经济上处于不利地位的孕妇都更有可能吸烟 在怀孕之前，不太可能在怀孕期间戒烟， 其他育龄妇女。 即使她们在怀孕期间戒烟， 产后容易复发。 因此，怀孕和 产后期是采取干预措施的重要机会 来激励这些女性，加速她们吸烟的进程 停止 在怀孕和产后减少吸烟将有助于 减少两个人的健康风险，母亲和孩子。 拟议的研究旨在开发，实施和评估 一个与阶段相匹配的、个性化的、多成分的、多渠道的 针对经济困难孕妇的干预措施 与标准护理条件相比。 阶段匹配的干预 将基于现有的理论概念和行为变化 跨理论模型的技术，旨在加速 孕妇戒烟的进展。 这种干预 将通过两个渠道，家庭， 和社区卫生诊所，将涉及多个组成部分， 包括专家系统生成的反馈报告、自助手册， 辅导 阶段匹配的干预将提供三个 怀孕期间和产后期间各一次。

Economically disadvantaged pregnant women are both more likely to smoke prior to becoming pregnant and less likely to quit during pregnancy than other women of childbearing age. Even when they do quit during pregnancy, they are likely to relapse postpartum. Therefore, pregnancy and the postpartum period is an important window of opportunity for interventions to motivate these women and accelerate their progress toward smoking cessation. Reducing smoking in pregnancy and postpartum would serve to reduce health risks for two individuals, mother and child. The proposed study is designed to develop, implement, and evaluate the impact of a stage-matched, individualized, multicomponent, multichannel intervention tailored for economically disadvantaged pregnant women compared to a standard care condition. The Stage-Matched Intervention will be based on existing theoretical concepts and behavior change techniques of the Transtheoretical model and is designed to accelerate progress toward smoking cessation in pregnant women. This intervention will be delivered in an integrated manner through two channels, the home and the community health clinic, and will involve multiple components, including expert system generated feedback reports, self-help manuals, and counseling. The stage-matched intervention will be provided on three occasions during pregnancy and once during the post-partum period.