Postpartum relapse rates among women who quit smoking during pregnancy are exceedingly high (i.e., approximately 45 percent at 2-3 months postpartum, 60-70 percent at 6 months, and up to 80 percent at one year). These high rates of postpartum relapse are surprising because they occur in a population where the majority of women have been abstinent for 7-9 months prior to giving birth. Thus, the tremendous public health opportunity to facilitate long-term abstinence from tobacco among mothers as well as reduce the detrimental effects on smoking on their children is not being fully realized. The overall aim of this project is to develop and evaluate a """"""""Motivational Relapse Prevention"""""""" (MRP) treatment for reducing postpartum smoking relapse among women who quit during pregnancy. MRP will utilize a motivational enhancement approach that specifically targets increasing commitment and intrinsic motives for maintaining postpartum abstinence, relapse prevention theory constructs (i.e., self-efficacy, outcome expectancies, coping behavior), and issues of particular relevance to postpartum women (e.g., negative affect, stress, social support, weight concerns). Treatment will be telephone-based and is designed to be easily disseminated to population-based settings for tobacco control (e.g., state quitlines, health care systems). In addition, the project will assess the cost-effectiveness of MRP. Participants (N=400) will be randomly assigned to one of two groups: 1) Standard Relapse Prevention, or 2) MRP. MRP will consist of six telephone counseling calls, and relapse prevention self-help materials designed specifically for the postpartum period. Postpartum assessments will occur at weeks 8, 26, and 52.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
1R01CA089350-01A1
Application #
6434070
Study Section
Special Emphasis Panel (ZRG1-RPHB-2 (01))
Program Officer
Bloch, Michele H
Project Start
2002-02-01
Project End
2007-01-31
Budget Start
2002-02-01
Budget End
2003-01-31
Support Year
1
Fiscal Year
2002
Total Cost
$481,039
Indirect Cost
Name
University of Texas MD Anderson Cancer Center
Department
Type
Organized Research Units
DUNS #
001910777
City
Houston
State
TX
Country
United States
Zip Code
77030
Castro, Yessenia; Correa-Fernández, Virmarie; Cano, Miguel Á et al. (2014) Failure to replicate the structure of a Spanish-language brief Wisconsin Inventory of Smoking Dependence Motives across three samples of Latino smokers. Nicotine Tob Res 16:1277-81
Businelle, Michael S; Kendzor, Darla E; Reitzel, Lorraine R et al. (2013) Pathways linking socioeconomic status and postpartum smoking relapse. Ann Behav Med 45:180-91
Correa-Fernandez, Virmarie; Ji, Lingyun; Castro, Yessenia et al. (2012) Mediators of the association of major depressive syndrome and anxiety syndrome with postpartum smoking relapse. J Consult Clin Psychol 80:636-48
Heppner, Whitney L; Ji, Lingyun; Reitzel, Lorraine R et al. (2011) The role of prepartum motivation in the maintenance of postpartum smoking abstinence. Health Psychol 30:736-45
Reitzel, Lorraine R; Nguyen, Nga; Cao, Yumei et al. (2011) Race/ethnicity moderates the effect of prepartum menthol cigarette use on postpartum smoking abstinence. Nicotine Tob Res 13:1305-10
Reitzel, Lorraine R; Vidrine, Jennifer Irvin; Businelle, Michael S et al. (2010) Preventing postpartum smoking relapse among diverse low-income women: a randomized clinical trial. Nicotine Tob Res 12:326-35
Reitzel, Lorraine R; Costello, Tracy J; Mazas, Carlos A et al. (2009) Low-level smoking among Spanish-speaking Latino smokers: relationships with demographics, tobacco dependence, withdrawal, and cessation. Nicotine Tob Res 11:178-84
Castro, Yessenia; Reitzel, Lorraine R; Businelle, Michael S et al. (2009) Acculturation differentially predicts smoking cessation among Latino men and women. Cancer Epidemiol Biomarkers Prev 18:3468-75
Irvin Vidrine, Jennifer; Reitzel, Lorraine R; Wetter, David W (2009) The role of tobacco in cancer health disparities. Curr Oncol Rep 11:475-81
Vidrine, Jennifer Irvin; Vidrine, Damon J; Costello, Tracy J et al. (2009) The Smoking Consequences Questionnaire: Factor structure and predictive validity among Spanish-speaking Latino smokers in the United States. Nicotine Tob Res 11:1280-8

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