Project 3 focuses on (a) public health care services as a channel to reach low-income, less-educated female smokers of child-bearing age; and (b) understanding formation of and changes in motivation to quit smoking among this more economically disadvantaged segment of the program project's target population. Project 3 will: 1. develop, implement, and evaluate a smoking cessation motivation intervention for women smokers in prenatal, family planning, and well- child public health clinics in metropolitan Chicago. The intervention will be evaluated in a matched-pair experimental design study in 24 clinics, with 12 clinics assigned to a control condition (No Intervention) and 12 matched clinics assigned to the experimental (Motivational Intervention) condition. Baseline data will be collected from 2,400 smokers through a self-administered questionnaire at the time of the clinic visit. Follow-up interviews will be conducted at 1, 3, 6, 12, and 18 months after the initial clinic visit. The main evaluation outcomes are (a) increased motivation to quit, (b) increased readiness to quit, (c) action toward quitting (e.g., calling a telephone number for assistance, reducing smoking, attempting to quit), and (d) quitting smoking. 2. use the panel data collected in the baseline and follow-up interviews to analyze changes in motivation level and stages of readiness to quit smoking over time, including how they are affected by exposure to the clinic intervention and by personal events in the women's lives. 3. systematically assess the continued implementation and institutionalization of the experimental intervention in the 18 months following the end of the research-assisted period and identify clinic and program factors that facilitate or deter the implementation and institutionalization process.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
3P01CA042760-10S3
Application #
6102313
Study Section
Project Start
1996-07-01
Project End
1999-02-28
Budget Start
Budget End
Support Year
10
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of Illinois at Chicago
Department
Type
DUNS #
121911077
City
Chicago
State
IL
Country
United States
Zip Code
60612
Turner, Lindsey R; Mermelstein, Robin; Hitsman, Brian et al. (2008) Social support as a moderator of the relationship between recent history of depression and smoking cessation among lower-educated women. Nicotine Tob Res 10:201-12
Crittenden, Kathleen S; Manfredi, Clara; Cho, Young I et al. (2007) Smoking cessation processes in low-SES women: the impact of time-varying pregnancy status, health care messages, stress, and health concerns. Addict Behav 32:1347-66
Manfredi, Clara; Cho, Young Ik; Crittenden, Kathleen S et al. (2007) A path model of smoking cessation in women smokers of low socio-economic status. Health Educ Res 22:747-56
Manfredi, Clara; Crittenden, Kathleen S; Cho, Young Ik et al. (2004) Long-term effects (up to 18 months) of a smoking cessation program among women smokers in public health clinics. Prev Med 38:10-9
Mermelstein, Robin; Hedeker, Donald; Wong, Siu Chi (2003) Extended telephone counseling for smoking cessation: does content matter? J Consult Clin Psychol 71:565-74
Manfredi, C; Crittenden, K; Cho, Y I et al. (2001) Maintenance of a smoking cessation program in public health clinics beyond the experimental evaluation period. Public Health Rep 116 Suppl 1:120-35
Turner, L R; Morera, O F; Johnson, T P et al. (2001) Examining the effectiveness of a community-based self-help program to increase women's readiness for smoking cessation. Am J Community Psychol 29:465-91
Warnecke, R B; Morera, O; Turner, L et al. (2001) Changes in self-efficacy and readiness for smoking cessation among women with high school or less education. J Health Soc Behav 42:97-110
Manfredi, C; Crittenden, K S; Cho, Y I et al. (2000) Minimal smoking cessation interventions in prenatal, family planning, and well-child public health clinics. Am J Public Health 90:423-7
Manfredi, C; Crittenden, K S; Cho, Y I et al. (2000) The effect of a structured smoking cessation program, independent of exposure to existing interventions. Am J Public Health 90:751-6

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