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Grant Details

Grant Number: 5R01CA073242-04 Interpret this number
Primary Investigator: Emmons, Karen
Organization: Dana-Farber Cancer Institute
Project Title: Motivational Intervention for Pregnant Smokers
Fiscal Year: 1999
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Abstract

DESCRIPTION: Smoking cessation during pregnancy remains an elusive public health goal. For poor and undereducated women, smoking may not be a priority in light of other pressing life issues. The proposed research evaluates the role of outreach health nurses in delivering a novel smoking intervention to poor, high-risk pregnant women. The smoking intervention will be conducted in the context of the Healthy Baby Program (HBP), an innovative community based outreach program that addresses basic life needs and medical care issues for pregnant women. A quasi-experimental design will evaluate the impact of a motivational intervention delivered via a well-established resource to reach women who would not typically present themselves for smoking interventions. A home visitation model will be used to deliver motivational and skills- based intervention components designed to increase women's awareness of smoking's impact on the fetus, their own health, and their household environment. The motivational intervention includes measurement and personalized feedback about the woman's pulmonary function and carbon monoxide, her household nicotine concentration, and linkages to the health care system. The control group receives usual care, as currently delivered by the HBP staff. Both groups will be followed for 12 months post- partum. The primary outcome is reduction in 7-day point prevalence smoking status. Secondary and intermediate outcomes include reduction in household nicotine concentrations, movement in stages of change, and smoking cessation attempts. Results will test the outcome and cost- effectiveness of a motivational intervention delivered via an existing social service program.

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Publications

Measuring the costs of outreach motivational interviewing for smoking cessation and relapse prevention among low-income pregnant women.
Authors: Ruger J.P. , Emmons K.M. , Kearney M.H. , Weinstein M.C. .
Source: BMC pregnancy and childbirth, 2009-09-23; 9, p. 46.
EPub date: 2009-09-23.
PMID: 19775455
Related Citations

Economic evaluations of smoking cessation and relapse prevention programs for pregnant women: a systematic review.
Authors: Ruger J.P. , Emmons K.M. .
Source: Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2008 Mar-Apr; 11(2), p. 180-90.
EPub date: 2007-09-13.
PMID: 17854435
Related Citations

Cost-effectiveness of motivational interviewing for smoking cessation and relapse prevention among low-income pregnant women: a randomized controlled trial.
Authors: Ruger J.P. , Weinstein M.C. , Hammond S.K. , Kearney M.H. , Emmons K.M. .
Source: Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2008 Mar-Apr; 11(2), p. 191-8.
EPub date: 2007-09-13.
PMID: 17854434
Related Citations

Testing stage effects in an ethnically diverse sample.
Authors: Johnson J.L. , Fava J.L. , Velicer W.F. , Monroe A.D. , Emmons K. .
Source: Addictive behaviors, 2002 Jul-Aug; 27(4), p. 605-17.
PMID: 12188595
Related Citations

Intervention and policy issues related to children's exposure to environmental tobacco smoke.
Authors: Emmons K.M. , Wong M. , Hammond S.K. , Velicer W.F. , Fava J.L. , Monroe A.D. , Evans J.L. .
Source: Preventive medicine, 2001 Apr; 32(4), p. 321-31.
PMID: 11304093
Related Citations

Motivational interviewing in health care settings. Opportunities and limitations.
Authors: Emmons K.M. , Rollnick S. .
Source: American journal of preventive medicine, 2001 Jan; 20(1), p. 68-74.
PMID: 11137778
Related Citations

A research agenda for tobacco control.
Authors: Emmons K.M. .
Source: Cancer causes & control : CCC, 2000 Feb; 11(2), p. 193-4.
PMID: 10710205
Related Citations

Smoking cessation and tobacco control: an overview.
Authors: Emmons K.M. .
Source: Chest, 1999 Dec; 116(6 Suppl), p. 490S-492S.
PMID: 10619516
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