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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

Failure to replicate the structure of a Spanish-language brief Wisconsin Inventory of Smoking Dependence Motives across three samples of Latino smokers.
Authors: Castro Y. , Correa-Fernández V. , Cano M.Á. , Mazas C. , Gonzalez K. , Vidrine D.J. , Vidrine J.I. , Wetter D.W. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014 Sep; 16(9), p. 1277-81.
EPub date: 2014-06-09.
PMID: 24912605
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Pathways linking socioeconomic status and postpartum smoking relapse.
Authors: Businelle M.S. , Kendzor D.E. , Reitzel L.R. , Vidrine J.I. , Castro Y. , Mullen P.D. , Velasquez M.M. , Cofta-Woerpel L. , Cinciripini P.M. , Greisinger A.J. , et al. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2013 Apr; 45(2), p. 180-91.
PMID: 23086590
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Mediators of the association of major depressive syndrome and anxiety syndrome with postpartum smoking relapse.
Authors: Correa-Fernández V. , Ji L. , Castro Y. , Heppner W.L. , Vidrine J.I. , Costello T.J. , Mullen P.D. , Cofta-Woerpel L. , Velasquez M.M. , Greisinger A. , et al. .
Source: Journal of consulting and clinical psychology, 2012 Aug; 80(4), p. 636-48.
EPub date: 2012-03-05.
PMID: 22390410
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Race/ethnicity moderates the effect of prepartum menthol cigarette use on postpartum smoking abstinence.
Authors: Reitzel L.R. , Nguyen N. , Cao Y. , Vidrine J.I. , Daza P. , Mullen P.D. , Velasquez M.M. , Li Y. , Cinciripini P.M. , Cofta-Woerpel L. , et al. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2011 Dec; 13(12), p. 1305-10.
EPub date: 2011-05-26.
PMID: 21622498
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The role of prepartum motivation in the maintenance of postpartum smoking abstinence.
Authors: Heppner W.L. , Ji L. , Reitzel L.R. , Reitzel L. , Castro Y. , Correa-Fernandez V. , Vidrine J.I. , Li Y. , Dolan-Mullen P. , Velasquez M.M. , et al. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2011 Nov; 30(6), p. 736-45.
EPub date: 2011-08-22.
PMID: 21859215
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Preventing postpartum smoking relapse among diverse low-income women: a randomized clinical trial.
Authors: Reitzel L.R. , Vidrine J.I. , Businelle M.S. , Kendzor D.E. , Costello T.J. , Li Y. , Daza P. , Mullen P.D. , Velasquez M.M. , Cinciripini P.M. , et al. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2010 Apr; 12(4), p. 326-35.
EPub date: 2010-02-12.
PMID: 20154055
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Acculturation differentially predicts smoking cessation among Latino men and women.
Authors: Castro Y. , Reitzel L.R. , Businelle M.S. , Kendzor D.E. , Mazas C.A. , Li Y. , Cofta-Woerpel L. , Wetter D.W. .
Source: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2009 Dec; 18(12), p. 3468-75.
PMID: 19959697
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The role of tobacco in cancer health disparities.
Authors: Irvin Vidrine J. , Reitzel L.R. , Wetter D.W. .
Source: Current oncology reports, 2009 Nov; 11(6), p. 475-81.
PMID: 19840525
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The Smoking Consequences Questionnaire: Factor structure and predictive validity among Spanish-speaking Latino smokers in the United States.
Authors: Vidrine J.I. , Vidrine D.J. , Costello T.J. , Mazas C. , Cofta-Woerpel L. , Mejia L.M. , Wetter D.W. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2009 Nov; 11(11), p. 1280-8.
EPub date: 2009-08-20.
PMID: 19696309
Related Citations

Low-level smoking among Spanish-speaking Latino smokers: relationships with demographics, tobacco dependence, withdrawal, and cessation.
Authors: Reitzel L.R. , Costello T.J. , Mazas C.A. , Vidrine J.I. , Businelle M.S. , Kendzor D.E. , Li Y. , Cofta-Woerpel L. , Wetter D.W. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2009 Feb; 11(2), p. 178-84.
EPub date: 2009-02-26.
PMID: 19246627
Related Citations

The influence of subjective social status on vulnerability to postpartum smoking among young pregnant women.
Authors: Reitzel L.R. , Vidrine J.I. , Li Y. , Mullen P.D. , Velasquez M.M. , Cinciripini P.M. , Cofta-Woerpel L. , Greisinger A. , Wetter D.W. .
Source: American journal of public health, 2007 Aug; 97(8), p. 1476-82.
EPub date: 2007-06-28.
PMID: 17600249
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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 D.W. , Mazas C. , Daza P. , Nguyen L. , Fouladi R.T. , Li Y. , Cofta-Woerpel L. .
Source: Cancer, 2007-01-15; 109(2 Suppl), p. 406-13.
PMID: 17149758
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At-risk drinking in employed men and women.
Authors: Mazas C.A. , Cofta-Woerpel L. , Daza P. , Fouladi R.T. , Vidrine J.I. , Cinciripini P.M. , Gritz E.R. , Wetter D.W. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2006 Jun; 31(3), p. 279-87.
PMID: 16700642
Related Citations

Racial and ethnic differences in predictors of smoking cessation.
Authors: Daza P. , Cofta-Woerpel L. , Mazas C. , Fouladi R.T. , Cinciripini P.M. , Gritz E.R. , Wetter D.W. .
Source: Substance use & misuse, 2006; 41(3), p. 317-39.
PMID: 16467009
Related Citations

Categorizing race among Hispanic smokers.
Authors: Daza P. , Mazas C. , Nguyen L. , Wetter D.W. .
Source: Cancer control : journal of the Moffitt Cancer Center, 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 D.W. , Cofta-Gunn L. , Fouladi R.T. , Irvin J.E. , Daza P. , Mazas C. , Wright K. , Cinciripini P.M. , Gritz E.R. .
Source: Addictive behaviors, 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 D.W. , Cofta-Gunn L. , Irvin J.E. , Fouladi R.T. , Wright K. , Daza P. , Mazas C. , Cinciripini P.M. , Gritz E.R. .
Source: Preventive medicine, 2005 Apr; 40(4), p. 452-60.
PMID: 15530598
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