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Grant Details

Grant Number: 5R01CA089350-06 Interpret this number
Primary Investigator: Wetter, David
Organization: University Of Tx Md Anderson Can Ctr
Project Title: Smoking Relapse Prevention Among Postpartum Women
Fiscal Year: 2007
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Abstract

Postpartum relapse rates among women who quit smoking during pregnancy are exceedingly high (i.e., approximately 45 percent at 2-3 months postpartum, 60-70 percent at 6 months, and up to 80 percent at one year). These high rates of postpartum relapse are surprising because they occur in a population where the majority of women have been abstinent for 7-9 months prior to giving birth. Thus, the tremendous public health opportunity to facilitate long-term abstinence from tobacco among mothers as well as reduce the detrimental effects on smoking on their children is not being fully realized. The overall aim of this project is to develop and evaluate a "Motivational Relapse Prevention" (MRP) treatment for reducing postpartum smoking relapse among women who quit during pregnancy. MRP will utilize a motivational enhancement approach that specifically targets increasing commitment and intrinsic motives for maintaining postpartum abstinence, relapse prevention theory constructs (i.e., self-efficacy, outcome expectancies, coping behavior), and issues of particular relevance to postpartum women (e.g., negative affect, stress, social support, weight concerns). Treatment will be telephone-based and is designed to be easily disseminated to population-based settings for tobacco control (e.g., state quitlines, health care systems). In addition, the project will assess the cost-effectiveness of MRP. Participants (N=400) will be randomly assigned to one of two groups: 1) Standard Relapse Prevention, or 2) MRP. MRP will consist of six telephone counseling calls, and relapse prevention self-help materials designed specifically for the postpartum period. Postpartum assessments will occur at weeks 8, 26, and 52.

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Publications

Acculturation differentially predicts smoking cessation among Latino men and women.
Authors: Castro Y, Reitzel LR, Businelle MS, Kendzor DE, Mazas CA, Li Y, Cofta-Woerpel L, Wetter DW
Source: Cancer Epidemiol Biomarkers Prev, 2009 Dec;18(12), p. 3468-75.
PMID: 19959697
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Reaching and treating Spanish-speaking smokers through the National Cancer Institute's Cancer Information Service. A randomized controlled trial.
Authors: Wetter DW, Mazas C, Daza P, Nguyen L, Fouladi RT, Li Y, Cofta-Woerpel L
Source: Cancer, 2007 Jan 15;109(2 Suppl), p. 406-13.
PMID: 17149758
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At-risk drinking in employed men and women.
Authors: Mazas CA, Cofta-Woerpel L, Daza P, Fouladi RT, Vidrine JI, Cinciripini PM, Gritz ER, Wetter DW
Source: Ann Behav Med, 2006 Jun;31(3), p. 279-87.
PMID: 16700642
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Racial and ethnic differences in predictors of smoking cessation.
Authors: Daza P, Cofta-Woerpel L, Mazas C, Fouladi RT, Cinciripini PM, Gritz ER, Wetter DW
Source: Subst Use Misuse, 2006;41(3), p. 317-39.
PMID: 16467009
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Categorizing race among Hispanic smokers.
Authors: Daza P, Mazas C, Nguyen L, Wetter DW
Source: Cancer Control, 2005 Nov;12 Suppl 2, p. 91-2.
PMID: 16327756
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Understanding the associations among education, employment characteristics, and smoking.
Authors: Wetter DW, Cofta-Gunn L, Fouladi RT, Irvin JE, Daza P, Mazas C, Wright K, Cinciripini PM, Gritz ER
Source: Addict Behav, 2005 Jun;30(5), p. 905-14.
PMID: 15893088
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What accounts for the association of education and smoking cessation?
Authors: Wetter DW, Cofta-Gunn L, Irvin JE, Fouladi RT, Wright K, Daza P, Mazas C, Cinciripini PM, Gritz ER
Source: Prev Med, 2005 Apr;40(4), p. 452-60.
PMID: 15530598
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