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Lee M , Miller SM , Wen KY , Hui SK , Roussi P , Hernandez E
Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women
J Behav Med. 2015 Dec;38(6) :932-43
PMID: 26335312    PMCID: PMC4628860    URL: http://www.ncbi.nlm.nih.gov/pubmed/26335312
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This study evaluated a theory-guided cognitive-behavioral counseling (CBC) intervention for smoking cessation during pregnancy and postpartum. It also explored the mediating role of cognitive-affective variables on the impact of CBC. Underserved inner city pregnant women (N = 277) were randomized to the CBC or a best practice (BP) condition, each of which consisted of two prenatal and two postpartum sessions. Assessments were obtained at baseline, late pregnancy, and 1- and 5-months postpartum. An intent-to-treat analysis found no differences between the two groups in 7-day point-prevalence abstinence. However, a respondents-only analysis revealed a significantly higher cessation rate in the CBC (37.3 %) versus the BP (19.0 %) condition at 5-months postpartum follow-up. This effect was mediated by higher quitting self-efficacy and lower cons of quitting. CBC, based on the Cognitive-Social Health Information Processing model, has the potential to increase postpartum smoking abstinence by assessing and addressing cognitive-affective barriers among women who adhere to the intervention.
Lee, Minsun Miller, Suzanne M Wen, Kuang-Yi Hui, Sui-Kuen Azor Roussi, Pagona Hernandez, Enrique eng R01 CA076644/CA/NCI NIH HHS/ R01 CA104979/CA/NCI NIH HHS/ 2015/09/04 06:00 J Behav Med. 2015 Dec;38(6):932-43. doi: 10.1007/s10865-015-9669-7. Epub 2015 Sep 3.