Learning Objectives: Explain why pregnancy is an appropriate time to intervene to achieve smoking cessation. Describe tested interventions known to produce clear, short-term, and cost-effective benefits, and variations on these interventions that are beginning to show promise. Describe special issues in smoking cessation for pregnant and postpartum adolescents.
Abstract: The Robert Wood Johnson Foundation's Smoke Free Families (SFF) national research program supports the development and evaluation of effective new interventions to help women quit smoking before, during, and after pregnancy. This panel will include presentations by three SFF program grantees on their findings to date, and a commentary by the chair of the SFF national advisory committee. The panel will benefit researchers and practitioners working with pregnant and postpartum women smokers. The first study to be presented is a qualitative study of smoking cessation and relapse among pregnant and postpartum adolescents. It employs grounded theory methodology to identify networks of personal goals, agency beliefs, emotions, and environmental context elements that together influence smoking behavior among pregnant and postpartum adolescents. Next is a pilot study for a three-group contingency management based randomized controlled trial testing the relative efficacy of best practice, best practice plus $25/month incentive, and best practice plus $75/month incentive, to increase smoking cessation behavior among pregnant women who access private practice clinics. The third study to be presented is an randomized controlled trial to compare the efficacy of a telephone counseling intervention, delivered throughout pregnancy and up to 3 months post-partum, with a best practice control. This study uses motivational approaches to deliver a pregnancy-targeted, stage-based intervention to women in a network-model HMO. Finally, the discussant will pull together the findings from these three studies and discuss their implications within the context of other SFF program findings and the full research base in this area.
Constantine Pregnant Teens Cessation.pdf (183.0 kb)
Donatelle 5As and Incentives.ppt (136.0 kb)
Park Telephone Based Cessation Counseling.ppt (152.0 kb)
Back to Innovations To Stop Smoking During and Beyond Pregnancy: The Smoke-Free Families Research Program
Back to Cessation, Nicotine, and the Science of Addiction
Back to The 2002 National Conference on Tobacco or Health