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Adapting Smoking Relapse–Prevention Materials for Pregnant and Postpartum Women: Formative Research

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Objective: To decrease smoking relapse among pregnant and postpartum women by adapting existing, validated relapse–prevention materials to meet the unique needs of pregnant and postpartum women. Methods: A series of semi-structured interviews and learner verification activities were conducted with pregnant abstinent, postpartum abstinent, and postpartum relapsed women. Results were used to create new relapse–prevention materials, specific to the needs of pregnant and postpartum women, which are currently being used in a randomized clinical trial. Results: Findings are consistent with the recurrent themes in the literature regarding smoking cessation among pregnant and postpartum women and revealed exceptional needs for coping and stress reduction strategies related to remaining abstinent postpartum. Conflict levels were also high in areas of identity, social support, and reasons for quitting. Conclusion: By interviewing women about their cessation related needs, the current study was able to produce smoking relapse–prevention materials specific to this population. Having pregnant and postpartum women review the modified program materials before starting the clinical trial enhanced the quality, dependability, and validity of the materials. We await the results of the clinical trial to determine if this intervention is indeed more efficacious than previous attempts to intervene with this population.

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ACKNOWLEDGMENTS

The research reported here was supported by National Cancer Institute Grant RO1 CA 94256. A copy of the Forever Free for Baby and Me booklets may be requested from Thomas Brandon at brandont@moffitt.usf.edu.

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Authors and Affiliations

  1. Department of Interdisciplinary Oncology, University of South Florida College of Medicine, Tampa, FL, 33612, USA

    Gwendolyn Quinn PhD & Cathy Meade PhD, RN, FAAN

  2. Department of Community and Family Health, University of South Florida, Tampa, FL, 33612, USA

    Bethany Bell Ellison MPH

  3. Mahaska Health Partnership, Oskaloosa, Iowa, 52577, USA

    C. Nannette Roach PhD

  4. Department of Psychology, University of South Florida, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, 33617, USA

    Elena Lopez MA

  5. Communication and Behavioral Oncology, Barbara Ann Karmanos Cancer Institute, Detroit, MI, 48201, USA

    Terrance Albrecht PhD

  6. Departments of Psychology and Interdisciplinary Oncology, University of South Florida, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, 33617, USA

    Thomas H. Brandon PhD

  7. Department of Interdisciplinary Oncology, University of South Florida College of Medicine, MDC 44, MRC-CANCONT, 12902 Magnolia Drive, Tampa, FL, 33612, USA

    Gwendolyn Quinn PhD

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  1. Gwendolyn Quinn PhD
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  2. Bethany Bell Ellison MPH
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  3. Cathy Meade PhD, RN, FAAN
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  4. C. Nannette Roach PhD
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  5. Elena Lopez MA
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  6. Terrance Albrecht PhD
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  7. Thomas H. Brandon PhD
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Correspondence to Gwendolyn Quinn PhD.

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Quinn, G., Ellison, B.B., Meade, C. et al. Adapting Smoking Relapse–Prevention Materials for Pregnant and Postpartum Women: Formative Research. Matern Child Health J 10, 235–245 (2006). https://doi.org/10.1007/s10995-005-0046-y

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  • DOI: https://doi.org/10.1007/s10995-005-0046-y

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