INTERVENTION FOR RESISTANT PREGNANT SMOKERS

对耐药怀孕吸烟者的干预

• 批准号: 3369751
• 负责人: PATRICIA DOLAN MULLEN
• 金额: $ 25.72万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-01-25 至 1995-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3369751
• 关键词: behavior modification; education evaluation /planning; ethnic group; female; human subject; human therapy evaluation; longitudinal human study; mother /infant health care; postpartum; smoking cessation; social support network; socioenvironment; tobacco abuse education; tobacco abuse prevention; videotape /videodisc

This 31-month supplement to Sustaining Women's Smoking Cessation Postpartum (Project PANDA) will design, implement, and evaluate an intensified intervention for pregnant women who were unable to stop smoking with minimal assistance. The substudy is a population-based experiment with White, Black, and Hispanic pregnant women whose continued smoking makes them ineligible for randomization into the parent study. It is unique in focusing on heavier, more addicted pregnant smokers. PANDA research sites and protocols offer a special opportunity for a low cost test of a disseminable intervention which this project team is uniquely qualified to design and implement. The new intervention, One- to-One, will use telephone counselors to assess the counselee's stage in the change process and give stage-appropriate messages, using established techniques of motivational interviewing. Between the two counselor calls spaced 10 days apart, counselees will receive personalized written feedback and suggestions. The primary aim, increasing quitting during pregnancy, will be assessed by unobtrusive urine samples taken during prenatal visits in the ninth month and identified only by study group. A series of postpartum interviews with subsample cotinine validation will be used to examine the second important aim, reduction of infant smoke exposure. A combination of messages, peer modeling, and support will help women sustain cessation after delivery and eliminate smoking around the baby. Project PANDA videotapes and newsletters already contain these messages and require only minimal supplementation to be used with the One-to-One experimental group, regardless of their success in quitting in pregnancy. As in Project PANDA, the assessments will be separated from the experiment by enrolling subjects in a university-sponsored study of new mothers' health practices and baby care and by presenting the program as usual care by the health care site. The substudy results will 1) demonstrate the effectiveness of the intensified program in boosting rates of prenatal smoking cessation and reducing infant smoke exposure from all sources and 2) contribute longitudinal data on change processes involved in smoking cessation and maintenance for this important group of heavy committed smokers experiencing a critical life transition.

这项针对女性持续戒烟的 31 个月补充品 产后（熊猫计划）将设计、实施和评估 对无法停止的孕妇加强干预 在最少的帮助下吸烟。 该子研究是一项以人群为基础的研究 对白人、黑人和西班牙裔孕妇进行实验 吸烟使他们没有资格随机进入家长研究。 它的独特之处在于专注于更重、更上瘾的怀孕吸烟者。 PANDA 研究地点和协议为低风险提供了特殊的机会 该项目团队正在进行的可传播干预措施的成本测试 具有独特的设计和实施资格。 新的干预措施，一 to-One，将使用电话咨询师来评估受咨询者的阶段 变革过程并给出适合阶段的信息，使用既定的 动机访谈的技巧。 在两次辅导员通话之间 相隔 10 天，受辅导者将收到个性化的书面材料 反馈和建议。 主要目标是增加戒烟时间 怀孕期间，将通过在怀孕期间采集的不显眼的尿液样本进行评估 第九个月的产前检查仅由研究组确定。 对子样本可替宁验证进行一系列产后访谈 用于检查第二个重要目标，减少婴儿吸烟 接触。 消息、同行建模和支持的结合将 帮助女性产后持续戒烟并消除周围吸烟 宝宝。 熊猫计划录像带和时事通讯已经包含这些 消息，并且只需要最少的补充即可与 一对一的实验组，无论他们是否成功戒烟 在怀孕期间。 与 PANDA 项目一样，评估将被分开 通过在大学资助的研究中招募受试者来进行实验 介绍新妈妈的健康习惯和婴儿护理，并介绍 按照医疗保健网站的常规护理计划。 子研究结果将 1) 证明该方法的有效性 强化计划以提高产前戒烟率 减少婴儿接触各种来源的烟雾，2) 有助于 关于戒烟所涉及的变化过程的纵向数据 为这一重要的重度吸烟者群体提供维护服务 经历关键的人生转变。