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03-09-2015 | Uitgave 6/2015

Journal of Behavioral Medicine 6/2015

Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women

Journal of Behavioral Medicine > Uitgave 6/2015
Minsun Lee, Suzanne M. Miller, Kuang-Yi Wen, Sui-kuen Azor Hui, Pagona Roussi, Enrique Hernandez


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.

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