title: A couple-focused intervention to prevent postnatal smoking relapse: PRISM study design.
abstract: BACKGROUND
  Maternal smoking is one of the most modifiable factors with clear adverse effects for the fetus and the entire family. Addressing the dearth of pregnancy smoking interventions with partner support, PRISM (Prevent Relapse In SMoking) is a partnership between a research institution and the two largest state-owned obstetrics and gynecology clinics in Cluj-Napoca, Romania. The study will assess the efficacy of a couple-focused telephone-counseling program to prevent smoking relapse among mothers who quit smoking closely before or during pregnancy.
  
  
  METHODS
  The intervention is a program for couples based on motivational interviewing delivered over the phone after birth. The study is an ongoing randomized controlled trial of 250 Romanian women recruited soon after childbirth, who quit smoking in the six months before pregnancy or no later than the end of the first pregnancy trimester and remained abstinent (which was biochemically verified) until delivery. Participants were randomized to: (1) a control arm (usual care); and (2) an intervention arm consisting of up to 4 postnatal counseling calls for mothers and their partners using motivational interviewing to encourage the woman to remain smoke-free and the partner to support her decision. The primary outcome is maternal smoking abstinence at 6 months postpartum (biochemically verified).
  
  
  CONCLUSIONS
  PRISM has the potential to identify strategies to reduce maternal postnatal relapse and increase partner quitting. If successful, the program may be an effective method to prevent and reduce smoking, which may lead to improved child, mother, and partner health both in the short and the long term.
authors: Institute for Health Policy, College of Human Medicine, Michigan State University, East Lansing, MI 48823 USA; Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, A630 East Fee Hall, East Lansing, MI 48823 USA; Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Cristian Ioan
authors: CI
authors: Meghea
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Alexandra
authors: A
authors: Brînzaniuc
authors: "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania, Department of Obstetrics and Gynaecology, "Dominic Stanca" Clinic, 55-57 21 Decembrie 1989 Street, 400124, Cluj-Napoca Romania.
authors: Dan
authors: D
authors: Mihu
authors: "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania, Department of Obstetrics and Gynaecology, "Dominic Stanca" Clinic, 55-57 21 Decembrie 1989 Street, 400124, Cluj-Napoca Romania.
authors: Cristian Ioan
authors: CI
authors: Iuhas
authors: Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania, Department of Gynaecology, Clinic I, 3-5 Clinicilor Street, 400006, Cluj-Napoca, Romania.
authors: Florin
authors: F
authors: Stamatian
authors: Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania, Department of Gynaecology, Clinic I, 3-5 Clinicilor Street, 400006, Cluj-Napoca, Romania.
authors: Gabriela
authors: G
authors: Caracostea
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Alexandra
authors: A
authors: Sidor
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Paula Mădălina
authors: PM
authors: Alexa
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Cătălina
authors: C
authors: Brînza
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania. Electronic address: oana.pop@publichealth.ro.
authors: Oana Maria
authors: OM
authors: Pop
authors: Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.
authors: Răzvan Mircea
authors: RM
authors: Cherecheș
mesh_terms: D019546:Couples Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D062405:Motivational Interviewing / Q000379:methods*; D049590:Postpartum Period; D011247:Pregnancy; D012383:Romania; D055502:Secondary Prevention / Q000379:methods*; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D013689:Telephone
keywords: Romania; couples’ intervention; motivational interviewing; postnatal smoking relapse; pregnancy smoking