Postpartum Maintenance of Abstinence From Tobacco

产后戒烟维持

• 批准号: 7269473
• 负责人: THOMAS Mills LASATER
• 金额: $ 72.14万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7269473
• 关键词: Abstinence; Address; Behavioral; Caring; Child; Cigarette; Clinic; Clinic Visits; Clinical; Code; Cognitive; Condition; Contacting Client; Counseling; Data; Depth; Effectiveness of Interventions; Environmental Tobacco Smoke; Equilibrium; Event; Exposure to; Failure; Fetus; Health; Healthcare Systems; Intervention; Interview; Life; Literature; Low Income Population; Low income; Maintenance; Managed Care; Manuals; Mediator of activation protein; Minority; Motivation; Newborn Infant; Numbers; Outcome; Participant; Pattern; Population; Postpartum Abstinence; Postpartum Period; Pregnancy; Pregnant Women; Probability; Process; Public Health; Rate; Recruitment Activity; Relapse; Research; Research Design; Risk; Risk Factors; Self Efficacy; Sleep Deprivation; Smoke; Smoking; Smoking Status; Smoking and Health Research; Social support; Stress; Telephone; Testing; Time; Tobacco use; Upper arm; Variant; Visit; Week; Woman; Work; base; behavior change; cigarette smoking; design; disorder later incidence prevention; dosage; experience; follow-up; improved; insight; motivational enhancement therapy; negative mood; prenatal; pressure; programs; racial and ethnic; self help; skills; smoking cessation; social cognitive theory; success; theories; tobacco abstinence; treatment effect; treatment program; uptake

DESCRIPTION (provided by applicant): An ideal time to help underserved young women to stop smoking cigarettes and remain abstinent for life is during pregnancy. The field has made great progress in assisting women to quit during this time. Unfortunately, maintenance of this highly significant behavior change is dismal with up to 75% of those who quit for pregnancy returning to smoking after delivery of the newborn. Especially for underserved women, pregnancy is one of the few times that they have an extended contact with the health care system and thus, we have the opportunity not only to help then quit smoking for the health of their fetus but for their own long term health as well. To date, there has been insufficient research on how best to maintain abstinence during the critical postpartum period, where a unique constellation of risk factors, including sleep deprivation, variations in negative mood, and increased stress heighten the probability of relapse. The potential payoff is enormous. The literature, while not extensive, provides sufficient guidance and justification for the specific approach and intervention components we have chosen. Also, to both increase and to better understand maintenance of abstinence and our research team has the experience and well established relationships with more than enough prenatal clinics to successfully implement the research design as proposed. Thus, we are proposing to develop and field test a maintenance of smoking abstinence program to be designed for a predominately low-income, high-risk population of women from a wide variety of ethnic/racial backgrounds who have quit smoking because of (or during) their pregnancy. The Specific Aims of the current maintenance study are: 1) To compare biochemically confirmed smoking abstinence rates of women who quit smoking during their pregnancy and who receive an intervention based on telephone counseling using motivational interviewing versus quitters who receive usual care. Maintenance of abstinence will be assessed at 1, 3, 6, and 9 months postpartum. (2) To collect both qualitative and quantitative data to better understand short term and long term maintenance mediators and moderators of abstinence postpartum for low SES women who quit smoking during pregnancy.

描述（由申请人提供）：帮助服务不足的年轻妇女戒烟并终身保持禁欲的理想时机是在怀孕期间。在此期间，该领域在帮助妇女戒烟方面取得了很大进展。不幸的是，这种非常重要的行为变化的维持是令人沮丧的，高达75%的怀孕戒烟者在新生儿分娩后重新吸烟。特别是对于服务不足的妇女，怀孕是他们与医疗保健系统有长期接触的少数几次之一，因此，我们不仅有机会帮助他们戒烟，为了胎儿的健康，也为了他们自己的长期健康。迄今为止，关于如何在关键的产后时期最好地保持禁欲的研究还不够，其中一系列独特的风险因素，包括睡眠不足，消极情绪的变化，以及增加的压力增加了复发的可能性。潜在的回报是巨大的。文献虽然不广泛，但为我们选择的具体方法和干预成分提供了足够的指导和理由。此外，为了增加和更好地了解禁欲的维持，我们的研究团队拥有经验，并与足够多的产前诊所建立了良好的关系，以成功实施拟议的研究设计。因此，我们建议制定和现场测试的戒烟计划，旨在为主要是低收入，高风险的妇女人口从各种各样的种族/种族背景谁戒烟，因为（或期间）他们的怀孕。目前维持研究的具体目的是：1）比较在怀孕期间戒烟并接受基于使用动机访谈的电话咨询的干预的妇女与接受常规护理的戒烟者的生化证实的戒烟率。将在产后1、3、6和9个月评估禁欲的维持情况。(2)收集定性和定量数据，以更好地了解低SES妇女在怀孕期间戒烟的产后禁欲的短期和长期维持介质和调节剂。