Internet Program to Prevent Postpartum Smoking Relapse

描述(申请人提供)：当女性吸烟者怀孕时，约有三分之一的女性停止吸烟。因此，怀孕对于这些女性来说是一个重要的机会之窗，可以在戒烟成功的基础上朝着终身戒烟的目标前进。不幸的是，这些人中的绝大多数人在产后一年内重新开始吸烟，尽管他们在怀孕期间平均7个月或更长时间没有吸烟。因此，我们错过了一个重要的公共卫生机会，帮助这些妇女保持不吸烟状态，从而避免对她们自己和她们的后代产生与吸烟有关的重大风险。该项目将开发和评估一个互动的、以种族为目标的互联网/光盘计划，旨在鼓励产后妇女继续不吸烟。这项干预措施将针对女性的种族/民族(高加索人、非裔美国人、西班牙裔和多民族)，并将重点放在个性化健康风险、压力和情绪管理、体重控制、社会支持、管理吸烟冲动和制定个人计划上。第一阶段将以1个种族/民族次级方案和3个内容模块为目标，对这一方法进行可行性测试，这些妇女在一家大型管理型护理医院的产后护理中心就诊。

DESCRIPTION (provided by applicant): When women smokers become pregnant, about 1/3rd of them stop smoking cigarettes. Pregnancy therefore, represents an important window of opportunity for these women to build upon their cessation success toward the goal of remaining smoke-free for life. Unfortunately, the vast majority of these individuals resume smoking within a year postpartum, despite the fact that they have not smoked for an average of 7 or more months during pregnancy. As a result, an important public health opportunity is being missed to help these women maintain their nonsmoking status and therefore avoid significant smoking-related risks for both themselves and their offspring. This project will develop and evaluate an interactive, ethnically targeted Internet/CD-ROM program designed to encourage continued nonsmoking among postpartum women. The intervention will be targeted to women's race/ethnicity (Caucasian, African American, Hispanic and multiethnic) and it will focus on personalizing health risks, stress and mood management, weight management, social support, managing smoking urges, and developing a personal plan. Phase I will provide a feasibility test of this approach by targeting 1 racial/ethnic subprogram and 3 content modules with women attending a Postpartum Care Center in a large managed care hospital.