TY - JOUR
T1 - Naturalistic changes in the readiness of postpartum women to quit smoking
AU - Händel, G.
AU - Hannöver, W.
AU - Röske, K.
AU - Thyrian, J. R.
AU - Rumpf, H. J.
AU - John, U.
AU - Hapke, U.
N1 - Funding Information:
This study is part of the Research Collaboration in Early Substance use Intervention (EARLINT), has been funded by the German Federal Ministry of Education and Research (grants # 01EB0120, 01EB0420) and the Social Ministry of the State of Mecklenburg-West Pomerania (grant #. IX311a 406.68.43.05).
Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2009/5/1
Y1 - 2009/5/1
N2 - Background: This study involves a long-term examination of the natural behavioral changes in postpartum women undergoing smoking cessation. The analysis was based on the readiness to quit smoking as assessed using the Transtheoretical Model of intentional behavioral change. This is a secondary data analysis of a randomized controlled trial. Methods: Between May 2002 and March 2003, all women in the maternity wards of six hospitals in the German state of Mecklenburg-West Pomerania were screened for smoking before or during pregnancy. Of the women who answered in the affirmative, 871 (77%) participated in the study. We utilized a questionnaire to classify 345 women into stages of progress regarding their motivation to change their smoking behavior 4-6 weeks postpartum (T0). Participants were followed-up after 6 (T1), 12 (T2), and 18 months (T3). In addition to the descriptive analysis, latent transition analysis was applied as a statistical method to test models of patterns of change and to evaluate transitions in the stages of change over time. Results: During the time interval between consecutive follow-up surveys, 59.1% (T0/T1), 72.3% (T1/T2), and 67.9% (T2/T3) of women remained at the same stage of motivation to change. Most relapses into earlier stages occurred 6 months postpartum (T1) (31.5% of the stage transition). The patterns of change across the first three time points were best described by a model that includes stability, one-stage progressions, and one-to-four-stage regressions. Conclusions: Readiness to quit smoking in study participants did not substantially change over the span of 18 months postpartum.
AB - Background: This study involves a long-term examination of the natural behavioral changes in postpartum women undergoing smoking cessation. The analysis was based on the readiness to quit smoking as assessed using the Transtheoretical Model of intentional behavioral change. This is a secondary data analysis of a randomized controlled trial. Methods: Between May 2002 and March 2003, all women in the maternity wards of six hospitals in the German state of Mecklenburg-West Pomerania were screened for smoking before or during pregnancy. Of the women who answered in the affirmative, 871 (77%) participated in the study. We utilized a questionnaire to classify 345 women into stages of progress regarding their motivation to change their smoking behavior 4-6 weeks postpartum (T0). Participants were followed-up after 6 (T1), 12 (T2), and 18 months (T3). In addition to the descriptive analysis, latent transition analysis was applied as a statistical method to test models of patterns of change and to evaluate transitions in the stages of change over time. Results: During the time interval between consecutive follow-up surveys, 59.1% (T0/T1), 72.3% (T1/T2), and 67.9% (T2/T3) of women remained at the same stage of motivation to change. Most relapses into earlier stages occurred 6 months postpartum (T1) (31.5% of the stage transition). The patterns of change across the first three time points were best described by a model that includes stability, one-stage progressions, and one-to-four-stage regressions. Conclusions: Readiness to quit smoking in study participants did not substantially change over the span of 18 months postpartum.
UR - http://www.scopus.com/inward/record.url?scp=84856077053&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2009.01.011
DO - 10.1016/j.drugalcdep.2009.01.011
M3 - Journal articles
C2 - 19250773
AN - SCOPUS:84856077053
SN - 0376-8716
VL - 101
SP - 196
EP - 201
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 3
ER -