Abstract
This study examined the effects of a smoking cessation intervention on stages of change in 349 low-income, pregnant women. At first prenatal visit, women were randomized into experimental or usual care condition and classified by stage of change: precontemplation, contemplation, preparation, or action. For each stage of change at the first prenatal visit, the stage distributions of the experimental and usual care groups were compared at the second and 36-week prenatal visits. Kruskal-Wallis tests revealed significant differences at the second visit in the stage distributions by condition for subjects who were initially in precontemplation or in preparation. In each case, a greater proportion of experimental than usual care subjects advanced through the stages. The shift was not maintained at the 36-week visit.
Similar content being viewed by others
References
DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., and Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change.J. Consult. Clin. Psychol. 59: 295–304.
Hughes, J. R., Gulliver, S. B., Fenwick, J. W., Valliere, W. A., Cruser, K., Pepper, S., Shea, P., Solomon, L. J., and Flynn, B. S. (1992). Smoking cessation among self-quitters.Health Psychol. 11: 331–334.
Prochaska, J. O. (1994). Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors.Health Psychol. 13: 47–51.
Prochaska, J. O., and DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change.J. Consult. Clin. Psychol. 51: 390–395.
Prochaska, J. O., Velicer, W. F., DiClemente, C. C., and Fava, J. (1988). Measuring processes of change: Application to the cessation of smoking.J. Consult. Clin. Psychol. 56: 520–528.
Prochaska, J. O., Velicer, W. F., Guadagnoli, E., Rossi, J. S., and DiClemente, C. C. (1991). Patterns of change: Dynamic typology applied to smoking cessation.Multivar. Behav. Res. 26: 83–107.
Prochaska, J. O., DiClemente, C. C., and Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors.Am. Psychol. 47: 1102–1114.
Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., and Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors.Health Psychol. 13: 39–46.
Secker-Walker, R. H., Solomon, L. J., Flynn, B. S., Lepage, S., Crammond, J., Worden, J. K., and Mead, P. B. (1992). Training obstetric and family practice residents to give smoking cessation advice during prenatal care.Am. J. Obstet. Gynecol. 166: 1356–1363.
Secker-Walker, R. H., Flynn, B. S., Solomon, L. J., Vacek, P. M., Donvaldt, A. L., Geller, B. M., Worden, J. K., and Skelly, J. M. (1996). Helping women quit smoking: Baseline observations for a community health education program.Am. J. Prev. Med. (in press).
Velicer, W. F., DiClemente, C. C., Prochaska, J. O., and Brandenburg, N. (1985). A decisional balance measure for predicting smoking cessation.J. Person. Soc. Psychol. 48: 1279–1289.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Solomon, L.J., Secker-Walker, R.H., Skelly, J.M. et al. Stages of change in smoking during pregnancy in low-income women. J Behav Med 19, 333–344 (1996). https://doi.org/10.1007/BF01904760
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01904760