title: The role of prepartum motivation in the maintenance of postpartum smoking abstinence.
abstract: OBJECTIVE
  Motivation plays an important role in a variety of behaviors, including smoking cessation, and is integral to theory and treatment of smoking. For many women, pregnancy offers a motivational shift that helps them stop smoking and maintain abstinence during pregnancy. However, women's motivation to maintain smoking abstinence postpartum is not well-understood and may play a role in high postpartum relapse rates. The current study utilized multiple measures of prepartum motivation to maintain smoking abstinence to predict postpartum smoking abstinence.
  
  
  METHODS
  As part of a randomized clinical trial on postpartum smoking relapse prevention, pregnant women who quit smoking during pregnancy reported their motivation to continue smoking abstinence at a prepartum baseline session. Biochemically verified continued smoking abstinence was assessed at 8 and 26 weeks postpartum.
  
  
  RESULTS
  Direct relationships among multiple measures of motivation were significant, and ranged in strength from weak to moderate. All motivation measures individually predicted continuous smoking abstinence, after controlling for treatment group, demographics, and prequit tobacco use. When tested simultaneously, a global motivation measure and parenthood motives for quitting remained significant predictors of abstinence. Backward selection modeling procedures resulted in a reduced model of prepartum predictors of postpartum abstinence including global motivation, parenthood motives, and stage of change.
  
  
  CONCLUSIONS
  Global motivation for smoking abstinence and parenthood motives for quitting are particularly important motivational constructs for pregnant women's continued smoking abstinence.
authors.affiliation: Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA.
authors.forename: Whitney L
authors.initials: WL
authors.lastname: Heppner
authors.forename: Lingyun
authors.initials: L
authors.lastname: Ji
authors.forename: Lorraine R
authors.initials: LR
authors.lastname: Reitzel
authors.forename: Lorraine
authors.initials: L
authors.lastname: Reitzel
authors.forename: Yessenia
authors.initials: Y
authors.lastname: Castro
authors.forename: Virmarie
authors.initials: V
authors.lastname: Correa-Fernandez
authors.forename: Jennifer Irvin
authors.initials: JI
authors.lastname: Vidrine
authors.forename: Yisheng
authors.initials: Y
authors.lastname: Li
authors.forename: Patricia
authors.initials: P
authors.lastname: Dolan-Mullen
authors.forename: Mary M
authors.initials: MM
authors.lastname: Velasquez
authors.forename: Paul M
authors.initials: PM
authors.lastname: Cinciripini
authors.forename: Paul
authors.initials: P
authors.lastname: Cinciripini
authors.forename: Ludmila
authors.initials: L
authors.lastname: Cofta-Woerpel
authors.forename: Ludmilla
authors.initials: L
authors.lastname: Cofta-Woerpel
authors.forename: Anthony
authors.initials: A
authors.lastname: Greisinger
authors.forename: David
authors.initials: D
authors.lastname: Wetter
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D009042:Motivation; D058725:Peripartum Period; D049590:Postpartum Period; D011247:Pregnancy; D012008:Recurrence; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D055815:Young Adult