Stages of change in smoking during pregnancy in low-income women.
This study examined the effects of a smoking cessation intervention on stages of change in 349 low-income, pregnant women. At first prenatal visit, women were randomized into experimental or usual care condition and classified by stage of change: precontemplation, contemplation, preparation, or action. For each stage of change at the first prenatal visit, the stage distributions of the experimental and usual care groups were compared at the second and 36-week prenatal visits. Kruskal-Wallis tests revealed significant differences at the second visit in the stage distributions by condition for subjects who were initially in precontemplation or in preparation. In each case, a greater proportion of experimental than usual care subjects advanced through the stages. The shift was not maintained at the 36-week visit.
Solomon
L J
LJ
Department of Psychology, University of Vermont, Burlington 05405, USA.
Secker-Walker
R H
RH
Skelly
J M
JM
Flynn
B S
BS
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D011203:Poverty / Q000523:psychology*; D011247:Pregnancy / Q000523:psychology*; D011295:Prenatal Care; D016540:Smoking Cessation / Q000523:psychology*