Affect Regulation Training for Pregnant Smokers

怀孕吸烟者的影响调节培训

基本信息

批准号：
7495031
负责人：
Clara Margaret Bradizza
金额：
$ 44.56万
依托单位：
STATE UNIVERSITY OF NEW YORK AT BUFFALO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-15 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7495031
关键词：
Abstinence Address Affect Anger Anxiety Attention Behavior Therapy Behavioral Cigarette Clinical Trials Cognitive Cognitive Therapy Condition Coping Skills Data Data Analyses Data Set Depressed mood Effectiveness Female of child bearing age Fetus Goals Health Health Benefit Infant Intervention Low income Maintenance Manuals Methods Modeling Mothers National Institute of Drug Abuse Numbers Outcome Participant Phase Pilot Projects Play Pregnancy Pregnant Women Public Health Randomized Randomized Clinical Trials Rate Recruitment Activity Regulation Research Research Personnel Role Sample Size Second Pregnancy Trimester Services Smoke Smoker Smoking Smoking Behavior Smoking Cessation Intervention Staging Testing Therapeutic Studies Time Training Translating Treatment Protocols Week Withdrawal Withholding Treatment Woman Women&apos s Health Writing base cigarette smoking coping day design efficacy trial emotion regulation fetal tobacco exposure improved programs response satisfaction size skills smoking cessation smoking prevalence therapy development

项目摘要

DESCRIPTION (provided by applicant): Recent data indicate that approximately one-third of women of childbearing age smoke cigarettes, and 25-50% of women smoke during pregnancy. Cigarette smoking during pregnancy is a significant public health issue that can have profound effects on women's health and the health of their developing fetus. Smoking among pregnant women is associated with high levels of negative affect, which play a key role in the maintenance of smoking behavior and in difficulty quitting smoking during pregnancy. Despite the clear role of negative affect in the maintenance of smoking among pregnant women, and while this issue has received increased attention by clinicians and researchers, we know of no smoking cessation intervention that combines coping skills and emotion regulation approaches to address the role of negative affect in smoking cessation. Smoking cessation treatment strategies that have demonstrated effectiveness in regular smokers have not translated into effective treatment strategies for pregnant women, particularly low-income pregnant women. The goal of this project is to develop and test an affect regulation smoking cessation intervention for low-income pregnant smokers. The major aims of this project will be addressed in two sequential phases. In Phase 1, we will develop two 8-session smoking cessation treatment manuals including: (a) Affect Regulation Training and Cognitive Behavioral Treatment (ART+CBT) and Cognitive-Behavioral Treatment (CBT). In Phase 2, we will conduct a randomized clinical trial pilot study (Total N = 60) to compare the ART+CBT and CBT conditions on: a) the feasibility and acceptability of the interventions, (b) the impact of these interventions on smoking cessation rates at post treatment and at 6-months post-quit date, (c) affect regulation skills, and (d) negative affect among pregnant smokers. The long-term goal of this proposed research is to increase smoking cessation rates among pregnant smokers, which would provide significant long-term health benefits for both mothers and their infants. This Stage 1 application will be used to generate feasibility and preliminary efficacy data, setting the stage for a Stage II efficacy trial.

描述（由申请人提供）：最近的数据表明，大约三分之一的育龄妇女吸烟，25-50% 的妇女在怀孕期间吸烟。怀孕期间吸烟是一个重大的公共卫生问题，可能对妇女的健康及其发育中的胎儿的健康产生深远的影响。孕妇吸烟会带来高水平的负面影响，这对于维持吸烟行为和怀孕期间戒烟困难起着关键作用。尽管负面情绪在孕妇维持吸烟中发挥着明显的作用，而且这个问题已受到临床医生和研究人员的越来越多的关注，但我们知道，没有戒烟干预措施可以结合应对技巧和情绪调节方法来解决负面情绪的作用。影响戒烟。已证明对经常吸烟者有效的戒烟治疗策略尚未转化为对孕妇，特别是低收入孕妇的有效治疗策略。该项目的目标是为低收入怀孕吸烟者开发并测试一种影响调节戒烟干预措施。该项目的主要目标将分两个连续阶段实现。在第一阶段，我们将制定两本8疗程的戒烟治疗手册，包括：(a) 情绪调节训练和认知行为治疗（ART+CBT）和认知行为治疗（CBT）。在第二阶段，我们将进行一项随机临床试验试点研究（总 N = 60），以比较 ART+CBT 和 CBT 条件：a）干预措施的可行性和可接受性，（b）这些干预措施对吸烟的影响治疗后和戒烟后 6 个月的戒烟率，(c) 影响调节技能，(d) 对怀孕吸烟者产生负面影响。这项拟议研究的长期目标是提高怀孕吸烟者的戒烟率，这将为母亲及其婴儿带来显着的长期健康益处。该第一阶段申请将用于生成可行性和初步功效数据，为第二阶段功效试验奠定基础。