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Grant Details

Grant Number: 5R01CA076945-05 Interpret this number
Primary Investigator: Pollak, Kathryn
Organization: Duke University
Project Title: Partner Assisted Interventions for Pregnant Smokers
Fiscal Year: 2001
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Abstract

DESCRIPTION: Smoking during pregnancy increases women's risk of complications of pregnancy and numerous birth outcomes. Two-thirds of women smokers continue to smoke during pregnancy, with particularly high rates of smoking among low income and less educated women. For the majority of women, pregnancy occurs in the context of an intimate relationship that pregnant women report as their primary source of support. However, naturally occurring partner support may not be enough to assist pregnant smokers with cessation, particularly when the partner is a smoker. The proposed study is a five year randomized trial to evaluate the incremental improvement of providing a part-assisted support adjunct to state-of-the-science self-help smoking cessation interventions for pregnant smokers. Ft. Bragg military base located in Fayetteville, NC was selected as the study site because of high smoking rates, high birth rates and the majority of women who receive prenatal care are married to military personnel. Three intervention conditions will be tested in an additive design. Eligible couples who are receiving prenatal care at Ft. Bragg/Womack Army Medical Center will be identified from automated appointment logs and recruited to participate. Couples who agree (n=700) will be randomized to: (1) provide advice and a self-help booklet (usual care prototype, n=233); (2) self-help guide and relapse prevention kit plus pre-and postpartum telephone counseling (enhanced self-help, n=233); or (3) enhanced self-help plus a partner-assisted support intervention that includes a couple contact session and tailored serialized written materials plus cessation materials for partner smokers (partner-assisted, n=233). Participants will be surveyed at baseline, 32 weeks of pregnancy, and 8 weeks, 6 and 12 months postpartum. Self reported smoking status will be biochemically validated late in pregnancy and at the 12 month follow-up. The primary outcomes of interest will be rates of smoking cessation among pregnant women and levels of perceived partner support for cessation at all follow-ups.

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Publications

Couples' reports of support for smoking cessation predicting women's late pregnancy cessation.
Authors: Pollak K.I. , Baucom D.H. , Palmer C.A. , Peterson B.L. , Ostbye T. , Stanton S. .
Source: American journal of health promotion : AJHP, 2006 Nov-Dec; 21(2), p. 90-6.
PMID: 17152247
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Rated helpfulness and partner-reported smoking cessation support across the pregnancy-postpartum continuum.
Authors: Pollak K.I. , Baucom D.H. , Peterson B.L. , Stanton S. , McBride C.M. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2006 Nov; 25(6), p. 762-70.
PMID: 17100504
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Understanding health behavior change among couples: an interdependence and communal coping approach.
Authors: Lewis M.A. , McBride C.M. , Pollak K.I. , Puleo E. , Butterfield R.M. , Emmons K.M. .
Source: Social science & medicine (1982), 2006 Mar; 62(6), p. 1369-80.
EPub date: 2005-09-16.
PMID: 16146666
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Prenatal and postpartum smoking abstinence a partner-assisted approach.
Authors: McBride C.M. , Baucom D.H. , Peterson B.L. , Pollak K.I. , Palmer C. , Westman E. , Lyna P. .
Source: American journal of preventive medicine, 2004 Oct; 27(3), p. 232-8.
PMID: 15450636
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Weight and smoking cessation among low-income African Americans.
Authors: Pollak K.I. , Namenek Brouwer R.J. , Lyna P. , Taiwo B. , McBride C.M. .
Source: American journal of preventive medicine, 2003 Aug; 25(2), p. 136-9.
PMID: 12880881
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Teachable moments for promoting smoking cessation: the context of cancer care and survivorship.
Authors: McBride C.M. , Ostroff J.S. .
Source: Cancer control : journal of the Moffitt Cancer Center, 2003 Jul-Aug; 10(4), p. 325-33.
PMID: 12915811
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Primary care residents' characteristics and motives for providing differential medical treatment of cervical cancer screening.
Authors: Arredondo E.M. , Pollak K.I. , Costanzo P. , McNeilly M. , Myers E. .
Source: Journal of the National Medical Association, 2003 Jul; 95(7), p. 576-84.
PMID: 12911255
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The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life.
Authors: Keefe F.J. , Ahles T.A. , Porter L.S. , Sutton L.M. , McBride C.M. , Pope M.S. , McKinstry E.T. , Furstenberg C.P. , Dalton J. , Baucom D.H. .
Source: Pain, 2003 May; 103(1-2), p. 157-62.
PMID: 12749970
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The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses.
Authors: Keefe F.J. , Lipkus I. , Lefebvre J.C. , Hurwitz H. , Clipp E. , Smith J. , Porter L. .
Source: Pain, 2003 May; 103(1-2), p. 151-6.
PMID: 12749969
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Understanding the potential of teachable moments: the case of smoking cessation.
Authors: McBride C.M. , Emmons K.M. , Lipkus I.M. .
Source: Health education research, 2003 Apr; 18(2), p. 156-70.
PMID: 12729175
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Reported cessation advice given to African Americans by health care providers in a community health clinic.
Authors: Pollak K.I. , Taiwo B. , Lyna P. , Baldwin M. , Lipkus I.M. , Bepler G. , McBride C.M. .
Source: Journal of community health, 2002 Dec; 27(6), p. 381-93.
PMID: 12458781
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Women's reports of smoking cessation advice during reproductive health visits and subsequent smoking cessation.
Authors: Pollak K.I. , McBride C.M. , Scholes D. , Grothaus L.C. , Civic D. , Curry S.J. .
Source: The American journal of managed care, 2002 Oct; 8(10), p. 837-44.
PMID: 12395952
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Influence of stereotyping in smoking cessation counseling by primary care residents.
Authors: Pollak K.I. , Arredondo E.M. , Yarnall K.S. , Lipkus I. , Myers E. , McNeilly M. , Costanzo P. .
Source: Ethnicity & disease, 2002 Fall; 12(4), p. 578-85.
PMID: 12477145
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Smoking, exercise and dietary behaviors among mothers of elementary school-aged children in a rural North Carolina county.
Authors: Tilson E.C. , McBride C.M. , Albright J.B. , Sargent J.D. .
Source: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2002 Fall; 18(4), p. 547-55.
PMID: 12380897
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Cancer pain at the end of life: a biopsychosocial perspective.
Authors: Sutton L.M. , Porter L.S. , Keefe F.J. .
Source: Pain, 2002 Sep; 99(1-2), p. 5-10.
PMID: 12237179
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Relations between self-generated positive and negative expected smoking outcomes and smoking behavior: an exploratory study among adolescents.
Authors: Anderson C.B. , Pollak K.I. , Wetter D.W. .
Source: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2002 Sep; 16(3), p. 196-204.
PMID: 12236454
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Perceptions of patients' self-efficacy for managing pain and lung cancer symptoms: correspondence between patients and family caregivers.
Authors: Porter L.S. , Keefe F.J. , McBride C.M. , Pollak K. , Fish L. , Garst J. .
Source: Pain, 2002 Jul; 98(1-2), p. 169-78.
PMID: 12098629
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Factors associated with patient-recalled smoking cessation advice in a low-income clinic.
Authors: Pollak K.I. , Yarnall K.S. , Rimer B.K. , Lipkus I. , Lyna P.R. .
Source: Journal of the National Medical Association, 2002 May; 94(5), p. 354-63.
PMID: 12069216
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Exploring the association between perceived risks of smoking and benefits to quitting: who does not see the link?
Authors: Lyna P. , McBride C. , Samsa G. , Pollak K.I. .
Source: Addictive behaviors, 2002 Mar-Apr; 27(2), p. 293-307.
PMID: 11817769
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Attitudes toward smoking and family-based health promotion among rural mothers and other primary caregivers who smoke.
Authors: Tilson E.C. , McBride C.M. , Albright J.B. , Sargent J.D. .
Source: The Journal of school health, 2001 Dec; 71(10), p. 489-94.
PMID: 11816397
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How do residents prioritize smoking cessation for young "high-risk" women? Factors associated with addressing smoking cessation.
Authors: Pollak K.I. , Arredondo E.M. , Yarnall K.S. , Lipkus I. , Myers E. , McNeilly M. , Costanzo P. .
Source: Preventive medicine, 2001 Oct; 33(4), p. 292-9.
PMID: 11570833
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Women's perceived and partners' reported support for smoking cessation during pregnancy.
Authors: Pollak K.I. , McBride C.M. , Curry S.J. , Lando H. , Pirie P.L. , Grothaus L.C. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2001 Summer; 23(3), p. 208-14.
PMID: 11495221
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Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas.
Authors: Demark-Wahnefried W. , Peterson B. , McBride C. , Lipkus I. , Clipp E. .
Source: Cancer, 2000-02-01; 88(3), p. 674-84.
PMID: 10649263
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Evaluation of a minimal self-help smoking cessation intervention following cervical cancer screening.
Authors: McBride C.M. , Scholes D. , Grothaus L.C. , Curry S.J. , Ludman E. , Albright J. .
Source: Preventive medicine, 1999 Aug; 29(2), p. 133-8.
PMID: 10446040
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Prevention of relapse in women who quit smoking during pregnancy.
Authors: McBride C.M. , Curry S.J. , Lando H.A. , Pirie P.L. , Grothaus L.C. , Nelson J.C. .
Source: American journal of public health, 1999 May; 89(5), p. 706-11.
PMID: 10224982
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