Self-Help Booklets for Preventing Postpartum Smoking Relapse: A Randomized Trial.

• Autores: Thomas H. Brandon, Vani Nath Simmons, Cathy D. Meade, Gwendolyn P. Quinn, Elena N. Lopez Khoury, Steven K. Sutton, Ji-Hyun Lee
• Localización: American journal of public health, ISSN 0090-0036, Vol. 102, Nº. 11, 2012, págs. 2109-2115
• Idioma: inglés
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• Resumen

  • Objectives. We tested a series of self-help booklets designed to prevent postpartum smoking relapse. Methods. We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, mailed until 8 months postpartum, or (2) 2 existing smoking cessation materials, as a usual care control (UCC). Assessments were completed at baseline and at 1, 8, and 12 months postpartum. Results. We received baseline questionnaires from 504 women meeting inclusion criteria. We found a main effect for treatment at 8 months, with FFB yielding higher abstinence rates (69.6%) than UCC (58.5%). Treatment effect was moderated by annual household income and age. Among lower income women (< $30 000), treatment effects were found at 8 and 12 months postpartum, with respective abstinence rates of 72.2% and 72.1% for FFB and 53.6% and 50.5% for UCC. No effects were found for higher income women. Conclusions. Self-help booklets appeared to be efficacious and offered a lowcost modality for providing relapse-prevention assistance to low-income pregnant and postpartum women. [ABSTRACT FROM AUTHOR]