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Grant Details

Grant Number: 5R01CA089350-06 Interpret this number
Primary Investigator: Wetter, David
Organization: Ut Md Anderson Cancer 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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Grant Numbers:
NCI NIH HHS - R25 CA057730-08 NCCDPHP CDC HHS - K01DP000086 NCCDPHP CDC HHS - K01DP001120-01
NCI NIH HHS - R01 CA089350-06 NCI NIH HHS - R01 CA94826 NCI NIH HHS - R01 CA094826-05
NCI NIH HHS - R25 CA57730 NCI NIH HHS - R01 CA89350

MeSH Terms:
Randomized Controlled Trials as Topic Humans Prognosis
Texas Smoking Acculturation
Hispanic Americans Risk Factors Adult
Cohort Studies Smoking Cessation Follow-Up Studies
Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA94826 NCI NIH HHS - R25 CA57730 NCI NIH HHS - R01 CA89350

MeSH Terms:
United States Information Services Humans
Hotlines Counseling Smoking
Patient Education as Topic Hispanic Americans Smoking Cessation
Adult National Institutes of Health (U.S.) Treatment Outcome
Follow-Up Studies Language Female
Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - P01 CA51671 NCI NIH HHS - R01 CA94826 NCI NIH HHS - R25 CA57730
NCI NIH HHS - R01 CA89350

MeSH Terms:
Demography Risk Factors Humans
Adult Follow-Up Studies Employment
Alcohol Drinking Male Female
Prevalence

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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
Related Citations

Grant Numbers:
NCI NIH HHS - P01 CA51671 NIDA NIH HHS - R01 DA14818 NCI NIH HHS - R01 CA94826
NCI NIH HHS - R25 CA57730 NCI NIH HHS - R01 CA89350

MeSH Terms:
Smoking Culture Prospective Studies
Ethnic Groups Humans Smoking Cessation
Adult Follow-Up Studies Employment
Male Female

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA94826 NIDA NIH HHS - R01 DA14818 NCI NIH HHS - R25 CA57730
NCI NIH HHS - R01 CA89350

MeSH Terms:
Socioeconomic Factors Smoking Randomized Controlled Trials as Topic
Hispanic Americans Humans Adult
Male Female Emigration and Immigration

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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
Related Citations

Grant Numbers:
NCI NIH HHS - P01 CA51671 NCI NIH HHS - R01 CA94826 NCI NIH HHS - R25 CA57730
NCI NIH HHS - R01 CA89350

MeSH Terms:
Educational Status Attitude to Health Humans
Texas Employment Alcohol Drinking
Socioeconomic Factors Smoking Risk Factors
Adult Middle Aged Female
Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - P01 CA51671 NCI NIH HHS - R01 CA94826 NCI NIH HHS - R25 CA57730
NCI NIH HHS - R01 CA89350

MeSH Terms:
Educational Status Humans Alcohol Drinking
Multivariate Analysis Southeastern United States Socioeconomic Factors
Marital Status Prospective Studies Adult
Cohort Studies Smoking Cessation Middle Aged
Female Male

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