Smoking Relapse among Mothers of Infants

婴儿母亲吸烟复吸

基本信息

批准号：
6555441
负责人：
Kathleen F. Gaffney
金额：
$ 14.52万
依托单位：
GEORGE MASON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-02-01 至 2007-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6555441
关键词：
carbon monoxide clinical research infant human (0-1 year) low socioeconomic status mother /infant health care parents pregnancy psychological stressor relapse /recurrence smoking women's health

项目摘要

DESCRIPTION (provided by applicant): The overall purposes of the proposed feasibility study are to: (1) build on the findings of recent postpartum smoking cessation research by exploring previously untested factors that may place mothers of infants at risk for relapse, and (2) provide direction for a future clinical intervention trial to reduce their risk. Specific aims are to: (1) explore the capacity of perceived infant irritability, perceived parenting stress, and evaluation of self as mother to predict smoking behavior and smoking abstinence self-efficacy, (2) establish criteria for at risk candidates for a clinical intervention designed to reduce the risk of smoking cessation relapse, and (3) based on study findings, provide an empirical basis for the refinement and development of a conceptual model for helping mothers of infants who face the challenge of being smoke-free. The significance of a project designed to promote the understanding and support of maternal smoking cessation during the first year after childbirth is underscored by recent findings that 50 percent of women who quit smoking during pregnancy, resume smoking by the time their infants are 3 months old, with the concomitant untoward sequelae for maternal and infant health. Mothers (N = 208) who identify themselves as having been smokers in the month prior to pregnancy and who quit smoking during pregnancy will be recruited into the study from a community-based clinical setting for low-income women. The study's conceptual model is an innovative blending of principles derived from two well-established models: the Relapse Prevention Model (Marlatt, 1985) and the Child Health Model (Barnard & Eyres, 1979). Data will be collected using a combination of face-to-face interviews, written self-reports, and carbon monoxide readings when the mothers' babies are 6 to 8 weeks of age (the peak age for in that crying). Data analysis will include multiple and logistic regression, discriminant analysis, and canonical correlation models. Implications for practice, research, and policy will be disseminated.

描述（由申请人提供）：拟议可行性研究的总体目的是：（1）以最近产后戒烟研究的结果为基础，探索以前未经测试的可能使婴儿母亲面临复发风险的因素，以及（2 ）为未来的临床干预试验提供方向，以降低其风险。具体目标是：(1) 探索感知婴儿烦躁、感知养育压力和作为母亲的自我评价的能力，以预测吸烟行为和戒烟自我效能，(2) 为临床干预的高危候选人建立标准旨在降低戒烟复发的风险，(3)根据研究结果，为完善和发展概念模型提供经验基础，以帮助面临无烟挑战的婴儿母亲。最近的研究结果强调了旨在促进人们对产后第一年戒烟的理解和支持的项目的重要性，该研究结果显示，50% 在怀孕期间戒烟的妇女在婴儿 3 个月大时恢复吸烟，随之而来的是孕产妇和婴儿健康方面的不良后遗症。那些自称在怀孕前一个月吸烟并在怀孕期间戒烟的母亲 (N = 208) 将从社区临床环境中招募低收入女性参加这项研究。该研究的概念模型是源自两个完善模型的原则的创新融合：复发预防模型（Marlatt，1985）和儿童健康模型（Barnard & Eyres，1979）。当母亲的婴儿 6 至 8 周大（哭闹的高峰年龄）时，将通过面对面访谈、书面自我报告和一氧化碳读数的结合来收集数据。数据分析将包括多元回归和逻辑回归、判别分析和典型相关模型。对实践、研究和政策的影响将被传播。