Postpartum Exercise Intervention for Previously Smoking Mothers

描述（由申请人提供）：针对产后女性戒烟复发的特定原因（如妊娠后体重管理和养育压力）的行为健康改变干预可能有助于改善妊娠期戒烟女性的产后戒烟维持结果。具体而言，在试图戒烟的吸烟者中增加运动的干预措施是这组妇女戒烟维持的一种潜在有效方法。第一个目标是进行必要的形成性工作，以制定一个基于运动的戒烟复吸预防计划，以减少怀孕期间戒烟的妇女产后复吸。第二个目的是确定基于运动的戒烟复吸预防计划的可行性和可接受性。为了实现这些目标，该试点项目将包括两个组成部分：1）半结构化的定性访谈和2）制定和试点干预材料。在第1阶段，我们将进行10次半结构化定性访谈，探讨1）产后戒烟维持干预与辅助体力活动的可接受性; 2）首选治疗/随访的持续时间和形式; 3）感知的治疗障碍。第一阶段和第二阶段将用于完善和修订干预方案，并进行小型可行性试验。这项初步研究将提供有关这种类型的干预措施的可行性数据，并有助于确定在设计更大的疗效试验时所需的修改。没有先前的研究检查了基于运动的戒烟计划，以防止怀孕期间戒烟的妇女产后戒烟。

DESCRIPTION (provided by applicant): Behavioral health change interventions targeting specific reasons for smoking cessation relapse in postpartum women such as post pregnancy weight management and parenting stress may be helpful in improving postpartum smoking cessation maintenance outcomes in women who quit smoking while pregnant. Specifically, interventions to increase exercise among smokers attempting to quit represent a potentially efficacious approach for cessation maintenance for this group of women. The first aim is to conduct the formative work needed to develop an exercise-based smoking cessation relapse prevention program for reducing postpartum relapse in women who quit smoking during pregnancy. The second aim is to determine the feasibility and acceptability of the exercise-based smoking cessation relapse prevention program. To address these aims this pilot project will include two components: 1) semi-structured qualitative interviews and 2) development and piloting of intervention materials. In Phase 1 we will conduct 10 semi-structured qualitative interviews that will explore 1) acceptability of a postpartum smoking cessation maintenance intervention with an adjunct physical activity component; 2) preferred duration and format of treatment / follow- up; and 3) perceived barriers to treatment. Phases 1 and 2 will be used to refine and revise the intervention protocol and to conduct a small feasibility trial. This pilot stdy will provide data regarding the feasibility of this type of intervention and help to identify modifications needed in the design of a larger efficacy trial. No prior study has examined an exercise-based smoking cessation program to prevent postpartum smoking cessation in women who quit smoking during pregnancy.