Smoking cessation and relapse prevention for postpartum women: results from a randomized controlled trial at 6, 12, 18 and 24 months.
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.
Hannöver
Wolfgang
W
Ernst-Moritz-Arndt-University Greifswald, Institute for Medical Psychology, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany. hannoeve@uni-greifswald.de
Thyrian
Jochen René
JR
Röske
Kathrin
K
Grempler
Julia
J
Rumpf
Hans-Jürgen
HJ
John
Ulrich
U
Hapke
Ulfert
U
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
D014028:Tobacco Smoke Pollution