Postpartum Exercise Intervention for Previously Smoking Mothers

描述(申请人提供)：针对产后妇女戒烟复发的特定原因的行为健康改变干预措施，如孕后体重管理和育儿压力，可能有助于改善怀孕期间戒烟的妇女的产后戒烟维持结果。具体地说，在试图戒烟的吸烟者中增加运动的干预措施，对这一女性群体来说是一种潜在的有效戒烟方法。第一个目标是进行必要的形成性工作，以开发基于运动的戒烟复发预防计划，以减少怀孕期间戒烟的妇女产后复发。第二个目的是确定以运动为基础的戒烟复发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部分：1)半结构化定性访谈和2)干预材料的开发和试点。在第一阶段，我们将进行10个半结构化的定性访谈，将探讨1)附带体力活动的产后戒烟维持干预措施的可接受性；2)治疗/随访的首选持续时间和形式；以及3)可感知的治疗障碍。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。这项试验性研究将提供有关这类干预的可行性的数据，并有助于确定在设计更大的疗效试验时所需的修改。以前还没有研究过以运动为基础的戒烟计划来防止怀孕期间戒烟的妇女产后戒烟。 公共卫生相关性：这项拟议的研究是开发和试点测试一项以锻炼为基础的戒烟复发预防计划，并辅之以体力活动计划，以帮助妇女在产后保持戒烟。这一干预措施将提供信息，以创建更成功的干预措施，帮助妇女在产后保持节欲。

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. PUBLIC HEALTH RELEVANCE: The proposed study is the development and pilot testing of an exercise- based smoking cessation relapse prevention program with an adjunct physical activity program to help women remain abstinent postpartum. This intervention will provide information to create more successful interventions to help women remain abstinent postpartum.