title: Smoking cessation and relapse prevention for postpartum women: results from a randomized controlled trial at 6, 12, 18 and 24 months.
abstract: OBJECTIVE
  To test the efficacy of an aid to cessation/relapse prevention intervention for women postpartum.
  
  
  METHODS
  Two-armed randomized controlled trial. Follow-ups at 6, 12, 18, and 24 months, screenings on maternity wards. Intervention group received face-to-face counseling 40 days postpartum plus telephone counseling calls 4 and 12 weeks later. Control group received usual care plus self-help material for each parent.
  
  
  RESULTS
  With regard to smoking cessation, 4 week point prevalence abstinent rates were higher in the treatment group at 6, 12, and 18 months (7% vs. 1%, 7% vs. 2%, and 9% vs. 1%, respectively). Sustained abstinence was higher in the treatment group at 6 months follow-up (3% vs. 0%). No difference was observed with regard to relapse prevention.
  
  
  CONCLUSIONS
  Regarding aid to cessation we observed small effects, regarding relapse prevention no effect. In order to capitalize on the opportunity childbirth poses with regard to smoking, theories on relapse prevention in smoking cessation that guide in designing interventions are needed.
authors.affiliation: Ernst-Moritz-Arndt-University Greifswald, Institute for Medical Psychology, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany. hannoeve@uni-greifswald.de
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hannöver
authors.forename: Jochen René
authors.initials: JR
authors.lastname: Thyrian
authors.forename: Kathrin
authors.initials: K
authors.lastname: Röske
authors.forename: Julia
authors.initials: J
authors.lastname: Grempler
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Rumpf
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
authors.forename: Ulfert
authors.initials: U
authors.lastname: Hapke
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods; D005260:Female; D005858:Germany; D006801:Humans; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods; D011181:Postnatal Care; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D055502:Secondary Prevention; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology*; D013689:Telephone; D013997:Time Factors; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*; D014342:Truth Disclosure
chemical_list: D014028:Tobacco Smoke Pollution