Web and Phone Intervention to Maintain Postpartum Tobacco Abstinence

通过网络和电话干预维持产后戒烟

基本信息

批准号：
8474709
负责人：
Brian G. Danaher
金额：
$ 55.96万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-06-09 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8474709
关键词：
Abstinence Behavior Child Demographic Factors Development Feasibility Studies Focus Groups Health Health Benefit Health Services Accessibility Health behavior change Internet Intervention Knowledge Lead Maintenance Measures Mediator of activation protein Methods Moods Morbidity - disease rate Names Online Systems Outcome Phase Pilot Projects Postpartum Period Postpartum Women Pregnancy Preventive Intervention Process Public Health Randomized Recruitment Activity Relapse Relative (related person)Reporting Research Research Personnel Risk Role Self Efficacy Services Smoking Stress Structure Telephone Testing Time Tobacco Tobacco Use Cessation Tobacco smoking Tobacco use Treatment Efficacy Weight Woman Work cost depressive symptoms design disorder later incidence prevention innovation interest mortality non-smoker novel prevent programs quitline smoking cessation smoking relapse therapy design therapy development tobacco abstinence tobacco control tool treatment program usability

项目摘要

DESCRIPTION (provided by applicant): Women who quit smoking for pregnancy are likely to resume tobacco smoking postpartum thereby placing themselves and their babies at risk. However, to date, tobacco interventions have not prevented sufficient numbers of women from relapsing postpartum. Thus, the postpartum period represents an important yet largely untapped opportunity to prevent the negative health consequences of smoking for women children. The proposed research builds on two threads of research by the investigators: 1) inquiry into the key role of weight concerns and mood in postpartum relapse prevention and 2) the use of enhanced Web-based interventions for health behavior change, generally, and tobacco cessation, specifically. Objectives: First, investigators propose to conduct formative work to develop an innovative, Enhanced Web+phone treatment designed to maintain tobacco abstinence postpartum. Then they will conduct a small randomized, controlled pilot feasibility study to assess the feasibility, acceptability, and initial efficacy of this novel, targeted, and tailored postpartum relapse prevention Web+phone intervention. Methods: In the first phase of this application, investigators propose to complete formative work involving postpartum women both in focus groups (n = 32) and in usability testing (n = 40) using an iterative treatment development process. In the second phase, investigators will conduct a pilot feasibility study in which 100 women who quit smoking for pregnancy and who want to remain nonsmokers postpartum will be randomly assigning to an Enhanced Web+phone intervention (n= 50) or a Basic Web Information Only control condition (n= 50). Women will be recruited by calls from research staff in late pregnancy using names and phone numbers provided by a commercial list service. Women will not be able to gain full access to the treatment program until after they have delivered. The proposed treatment program will be designed to be engaging, interactive, and tailored specifically to postpartum women. Measures: Assessment will focus on a) feasibility and acceptability of a Web-based tobacco abstinence maintenance program for postpartum women; b) efficacy of the intervention vs. the control in terms of tobacco use status; and c) exploratory analyses of putative underlying mechanisms (e.g., moderators, such as pre-pregnancy smoking rate, partner's tobacco use, and other demographic factors, and mediators, such as program usage, weight concerns, depressive symptoms, and perceived stress). Assessments will occur at baseline (via phone) and at three and six months postpartum (online). Non-responders will be called. Benefits: Postpartum women who maintain nonsmoking reduce risks of morbidity and mortality for themselves as well as protect the health of their baby. The development of a feasible and acceptable Web-based intervention to sustain tobacco abstinence could have substantial public health benefit because of its low cost and significant reach.

描述（由申请人提供）：戒烟以怀孕的妇女可能会恢复产后吸烟的烟草吸烟，从而使自己和婴儿处于危险之中。但是，迄今为止，烟草干预措施还没有阻止足够数量的女性复发产后。因此，产后时期代表了一个重要但尚未开发的机会，以防止儿童吸烟对健康的负面影响。拟议的研究基于研究人员的两个研究线程：1）调查体重关注和情绪在产后预防中的关键作用，以及2）使用增强的基于Web的干预措施用于健康行为改变，通常是烟草戒烟，特别是烟草。目的：首先，调查人员建议进行形成性的工作，以开发一种创新的，增强的Web+电话处理，旨在维持烟草节产后。然后，他们将进行一项小的随机，受控的飞行员可行性研究，以评估这部小说，有针对性和定制的产后预防Web+电话干预的可行性，可接受性和初始功效。方法：在本应用的第一阶段，研究人员建议使用迭代治疗开发过程完成涉及产后女性（n = 32）和可用性测试（n = 40）的形成性工作。在第二阶段，研究人员将进行一项试验性可行性研究，其中100名戒烟且希望保持非吸烟者产后的女性将随机分配到增强的Web+电话干预措施（n = 50）或仅基本Web信息控制条件（n = 50）。妇女将在怀孕后期的研究人员使用商业清单服务提供的姓名和电话号码招募妇女。妇女在交付后将无法完全访问治疗计划。拟议的治疗计划将设计为专门针对产后妇女的参与，互动和量身定制的。措施：评估将集中在a）基于网络的烟草禁欲维护计划的可行性和可接受性； b）干预措施与控制状态的功效； c）对推定的潜在机制的探索性分析（例如，主持人，例如怀孕前吸烟率，伴侣的烟草使用以及其他人口统计学因素以及调解人，例如程序使用，体重关注，抑郁症状和觉得压力）。评估将在基线（通过电话）和产后三个月和六个月（在线）进行。将调用非响应者。好处：保持不吸烟的产后妇女降低了自己的发病率和死亡风险，并保护婴儿的健康。发展可行且可接受的基于Web的干预措施以维持烟草的禁欲，可能会由于其低成本和大量影响而具有可观的公共卫生益处。