Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women.
J Behav Med
; 38(6): 932-43, 2015 Dec.
Article
in En
| MEDLINE
| ID: mdl-26335312
ABSTRACT
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.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Urban Population
/
Pregnancy
/
Cognitive Behavioral Therapy
/
Smoking Cessation
/
Postpartum Period
/
Smoking Prevention
Type of study:
Clinical_trials
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Year:
2015
Type:
Article