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Nicotine Tob Res. 2010 Apr;12(4):326-35. doi: 10.1093/ntr/ntq001. Epub 2010 Feb 12.

Preventing postpartum smoking relapse among diverse low-income women: a randomized clinical trial.

Author information

  • 1Department of Health Disparities Research, University of Texas M.D. Anderson Cancer Center, Unit 1440, P.O. Box 301402, Houston, TX 77230, USA. lrreitze@mdanderson.org

Abstract

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.

PMID:
20154055
[PubMed - indexed for MEDLINE]
PMCID:
PMC2847071
Free PMC Article

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