Internet Program to Prevent Postpartum Smoking Relapse

描述(申请人提供)：约三分之一的女性吸烟者在怀孕时停止吸烟。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两个交互式多媒体程序，旨在为孕妇和产后妇女提供互联网服务。其中一个项目将包括针对孕妇的戒烟计划，另一个项目将创建一个复发预防计划，旨在鼓励孕妇和产后戒烟者继续戒烟。干预措施将集中在个性化健康风险、压力和情绪管理、体重管理、社会支持、管理吸烟冲动以及制定个人计划。第一阶段对孕妇和产后非吸烟妇女进行了这种方法的可行性、可接受性和可用性测试。第二阶段将在第一阶段材料的基础上进行扩展，并将在随机临床试验中评估这些计划的效果。与公共健康相关：大约三分之一的女性吸烟者在怀孕时停止吸烟。不幸的是，这些人中的绝大多数在产后一年内重新开始吸烟。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两个针对孕妇和产后妇女的互动式互联网计划：针对孕妇的戒烟计划和针对孕妇和产后戒烟者的复发预防计划。该方案的最终目标是帮助妇女实现永久性戒烟，从而改善她们及其家庭的健康状况。

DESCRIPTION (provided by applicant): About one third of women smokers stop smoking cigarettes when they become pregnant. Pregnancy therefore represents an important window of opportunity for these women to build upon their cessation success toward the goal of remaining smokefree 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 two interactive multimedia programs designed for Internet delivery to pregnant and postpartum women. One program will consist of a smoking cessation program for pregnant women and the other will create a relapse prevention program designed to encourage continued nonsmoking for pregnant and postpartum quitters. The intervention will focus on personalizing health risks, stress and mood management, weight management, social support, managing smoking urges, and developing a personal plan. Phase I provided a feasibility, acceptability and usability test of this approach with pregnant and postpartum nonsmoking women. Phase II will expand upon the Phase I materials and will evaluate the efficacy of the programs in a randomized clinical trial. PUBLIC HEALTH RELEVANCE: About one third of women smokers stop smoking cigarettes when they become pregnant. Unfortunately, the vast majority of these individuals resume smoking within a year postpartum. 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 two interactive, Internet programs for pregnant and postpartum women: a smoking cessation program for pregnant women and a relapse prevention program for pregnant and postpartum quitters. The ultimate goal of the program is to assist women in attaining permanent abstinence from smoking, thereby improving health outcomes for them and their families.