-
Views
-
Cite
Cite
Lorraine R. Reitzel, Jennifer Irvin Vidrine, Michael S. Businelle, Darla E. Kendzor, Tracy J. Costello, Yisheng Li, Patricia Daza, Patricia Dolan Mullen, Mary M. Velasquez, Paul M. Cinciripini, Ludmila Cofta-Woerpel, David W. Wetter, Preventing postpartum smoking relapse among diverse low-income women: A randomized clinical trial, Nicotine & Tobacco Research, Volume 12, Issue 4, April 2010, Pages 326–335, https://doi.org/10.1093/ntr/ntq001
- Share Icon Share
Abstract
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).
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.
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.
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.
Comments