Postpartum Maintenance of Abstinence From Tobacco

产后戒烟维持

• 批准号: 7482218
• 负责人: THOMAS Mills LASATER
• 金额: $ 70.91万
• 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 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7482218
• 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)：怀孕期间是帮助服务不足的年轻女性戒烟并终生戒烟的理想时间。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%的因怀孕而戒烟的人在新生儿出生后重新吸烟。特别是对于服务不足的妇女来说，怀孕是她们与医疗保健系统长期接触的少数几次之一，因此，我们不仅有机会帮助戒烟，然后为了她们胎儿的健康，也为了她们自己的长期健康。到目前为止，关于如何最好地在产后关键时期保持禁欲的研究还不够充分，在产后关键时期，包括睡眠不足、负面情绪变化和压力增加在内的一系列独特的风险因素会增加复发的可能性。潜在的回报是巨大的。这些文献虽然不多，但为我们所选择的具体方法和干预措施提供了充分的指导和理由。此外，为了增加和更好地了解节欲的维持，我们的研究团队拥有足够多的产前诊所的经验和良好的关系，足以成功实施拟议的研究设计。因此，我们建议开发和现场测试一项持续戒烟计划，该计划旨在为主要是低收入、高危人群的女性设计，这些女性来自不同的民族/种族背景，因为(或在怀孕期间)戒烟。目前这项维持性研究的具体目标是：1)比较在怀孕期间戒烟并接受基于电话咨询的干预的女性与接受常规护理的戒烟者的生物化学确认的戒烟率。产后1个月、3个月、6个月和9个月将评估节欲的维持情况。(2)收集定性和定量数据，以更好地了解孕期戒烟低SES妇女产后短期和长期维持戒烟的中介和调节因素。