Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women.
This study evaluated a theory-guided cognitive-behavioral counseling (CBC) intervention for smoking cessation during pregnancy and postpartum. It also explored the mediating role of cognitive-affective variables on the impact of CBC. Underserved inner city pregnant women (N = 277) were randomized to the CBC or a best practice (BP) condition, each of which consisted of two prenatal and two postpartum sessions. Assessments were obtained at baseline, late pregnancy, and 1- and 5-months postpartum. An intent-to-treat analysis found no differences between the two groups in 7-day point-prevalence abstinence. However, a respondents-only analysis revealed a significantly higher cessation rate in the CBC (37.3 %) versus the BP (19.0 %) condition at 5-months postpartum follow-up. This effect was mediated by higher quitting self-efficacy and lower cons of quitting. CBC, based on the Cognitive-Social Health Information Processing model, has the potential to increase postpartum smoking abstinence by assessing and addressing cognitive-affective barriers among women who adhere to the intervention.
Department of Psychosocial and Behavioral Medicine Program, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
Minsun
M
Lee
Department of Psychosocial and Behavioral Medicine Program, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA. suzanne.miller@fccc.edu.
Suzanne M
SM
Miller
Department of Psychosocial and Behavioral Medicine Program, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
Kuang-Yi
KY
Wen
Department of Psychosocial and Behavioral Medicine Program, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA, 19111, USA.
Sui-kuen Azor
SK
Hui
Department of Psychology, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Pagona
P
Roussi
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, Philadelphia, PA, USA.
Enrique
E
Hernandez
D000328:Adult; D002947:Cities; D015928:Cognitive Behavioral Therapy; D003376:Counseling; D005260:Female; D006801:Humans; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D020377:Self Efficacy; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D000074606:Smoking Prevention; D014505:Urban Population; D035862:Vulnerable Populations / Q000523:psychology; D055815:Young Adult
Cognitive behavioral intervention; Postpartum; Psychosocial mediators; Smoking cessation; Underserved pregnant women