Internet Program to Prevent Postpartum Smoking Relapse

描述（申请人提供）：当女性吸烟者怀孕时，约1/3的人停止吸烟。因此，怀孕对这些妇女来说是一个重要的机会之窗，可以在戒烟成功的基础上实现终身无烟的目标。不幸的是，这些人中的绝大多数在产后一年内恢复吸烟，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，一个重要的公共卫生机会被错过了，以帮助这些妇女保持其非吸烟状态，从而避免显着的吸烟相关的风险，为自己和他们的后代。该项目将开发和评估一个互动的、针对种族的互联网/光盘方案，旨在鼓励产后妇女继续戒烟。干预措施将针对妇女的种族/族裔（高加索人、非裔美国人、西班牙裔和多族裔），并将侧重于个性化的健康风险、压力和情绪管理、体重管理、社会支持、管理吸烟欲望和制定个人计划。第一阶段将通过针对1个种族/民族子项目和3个内容模块，对在一家大型管理式护理医院的产后护理中心就诊的妇女进行可行性测试。

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.