TY - JOUR
T1 - Preventing postpartum smoking relapse among diverse low-income women
T2 - A randomized clinical trial
AU - Reitzel, Lorraine R.
AU - Vidrine, Jennifer Irvin
AU - Businelle, Michael S.
AU - Kendzor, Darla E.
AU - Costello, Tracy J.
AU - Li, Yisheng
AU - Daza, Patricia
AU - Mullen, Patricia Dolan
AU - Velasquez, Mary M.
AU - Cinciripini, Paul M.
AU - Cofta-Woerpel, Ludmila
AU - Wetter, David W.
PY - 2010/2/12
Y1 - 2010/2/12
N2 - Introduction: Postpartum relapse rates are high among women who spontaneously quit smoking during pregnancy. This randomized clinical trial tested a Motivation and Problem-Solving (MAPS) treatment for reducing postpartum relapse among diverse low-income women who quit smoking during pregnancy (N = 251; 32% Black, 30% Latino, and 36% White; 55% <$30,000/year household income). Methods: Pregnant women were randomly assigned to MAPS/ MAPS+ or Usual Care (UC). Continuation ratio logit models were used to examine differences in biochemically confirmed continuous abstinence at Weeks 8 and 26 postpartum by treatment group and moderators of the treatment effect. Analyses controlled for age, race/ethnicity, partner status, education, smoking rate, and the number of smokers in the participant's environment. Results: MAPS/MAPS+ was more efficacious than UC in the prevention of postpartum relapse (p =.05). An interaction between treatment and the number of cigarettes smoked per day before quitting approached significance (p =.09), suggesting that the MAPS/MAPS+ treatment effect was stronger among women who smoked more cigarettes per day. Discussion: MAPS, a holistic and dynamic approach to changing behavior using a combined motivational enhancement and social cognitive approach, is a promising intervention for postpartum smoking relapse prevention among low-income women, which may have particular relevance for women with higher prequit smoking rates.
AB - Introduction: Postpartum relapse rates are high among women who spontaneously quit smoking during pregnancy. This randomized clinical trial tested a Motivation and Problem-Solving (MAPS) treatment for reducing postpartum relapse among diverse low-income women who quit smoking during pregnancy (N = 251; 32% Black, 30% Latino, and 36% White; 55% <$30,000/year household income). Methods: Pregnant women were randomly assigned to MAPS/ MAPS+ or Usual Care (UC). Continuation ratio logit models were used to examine differences in biochemically confirmed continuous abstinence at Weeks 8 and 26 postpartum by treatment group and moderators of the treatment effect. Analyses controlled for age, race/ethnicity, partner status, education, smoking rate, and the number of smokers in the participant's environment. Results: MAPS/MAPS+ was more efficacious than UC in the prevention of postpartum relapse (p =.05). An interaction between treatment and the number of cigarettes smoked per day before quitting approached significance (p =.09), suggesting that the MAPS/MAPS+ treatment effect was stronger among women who smoked more cigarettes per day. Discussion: MAPS, a holistic and dynamic approach to changing behavior using a combined motivational enhancement and social cognitive approach, is a promising intervention for postpartum smoking relapse prevention among low-income women, which may have particular relevance for women with higher prequit smoking rates.
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U2 - 10.1093/ntr/ntq001
DO - 10.1093/ntr/ntq001
M3 - Article
C2 - 20154055
AN - SCOPUS:77953921420
SN - 1462-2203
VL - 12
SP - 326
EP - 335
JO - Nicotine and Tobacco Research
JF - Nicotine and Tobacco Research
IS - 4
ER -