title: Self-help booklets for preventing postpartum smoking relapse: a randomized trial.
abstract: OBJECTIVE
  We tested a series of self-help booklets designed to prevent postpartum smoking relapse.
  
  
  METHODS
  We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, mailed until 8 months postpartum, or (2) 2 existing smoking cessation materials, as a usual care control (UCC). Assessments were completed at baseline and at 1, 8, and 12 months postpartum.
  
  
  RESULTS
  We received baseline questionnaires from 504 women meeting inclusion criteria. We found a main effect for treatment at 8 months, with FFB yielding higher abstinence rates (69.6%) than UCC (58.5%). Treatment effect was moderated by annual household income and age. Among lower income women (< $30 000), treatment effects were found at 8 and 12 months postpartum, with respective abstinence rates of 72.2% and 72.1% for FFB and 53.6% and 50.5% for UCC. No effects were found for higher income women.
  
  
  CONCLUSIONS
  Self-help booklets appeared to be efficacious and offered a low-cost modality for providing relapse-prevention assistance to low-income pregnant and postpartum women.
authors.affiliation: Tobacco Research & Intervention Program, Moffitt Cancer Center, 4115 E. Fowler Ave., Tampa, FL 33617, USA. thomas.brandon@moffitt.org
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Brandon
authors.forename: Vani Nath
authors.initials: VN
authors.lastname: Simmons
authors.forename: Cathy D
authors.initials: CD
authors.lastname: Meade
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
authors.forename: Elena N
authors.initials: EN
authors.lastname: Lopez Khoury
authors.forename: Steven K
authors.initials: SK
authors.lastname: Sutton
authors.forename: Ji-Hyun
authors.initials: JH
authors.lastname: Lee
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007182:Income; D010353:Patient Education as Topic / Q000379:methods; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D055502:Secondary Prevention; D012656:Self-Help Devices / Q000523:psychology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires