Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2012 Nov;102(11):2109-15.
doi: 10.2105/AJPH.2012.300653. Epub 2012 Sep 20.

Self-help booklets for preventing postpartum smoking relapse: a randomized trial

Thomas H Brandon  1 , Vani Nath Simmons, Cathy D Meade, Gwendolyn P Quinn, Elena N Lopez Khoury, Steven K Sutton, Ji-Hyun Lee
Affiliations
Randomized Controlled Trial

Self-help booklets for preventing postpartum smoking relapse: a randomized trial

Thomas H Brandon et al. Am J Public Health. 2012 Nov.

Abstract

Objectives: We tested a series of self-help booklets designed to prevent postpartum smoking relapse.

Methods: We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, mailed until 8 months postpartum, or (2) 2 existing smoking cessation materials, as a usual care control (UCC). Assessments were completed at baseline and at 1, 8, and 12 months postpartum.

Results: We received baseline questionnaires from 504 women meeting inclusion criteria. We found a main effect for treatment at 8 months, with FFB yielding higher abstinence rates (69.6%) than UCC (58.5%). Treatment effect was moderated by annual household income and age. Among lower income women (< $30 000), treatment effects were found at 8 and 12 months postpartum, with respective abstinence rates of 72.2% and 72.1% for FFB and 53.6% and 50.5% for UCC. No effects were found for higher income women.

Conclusions: Self-help booklets appeared to be efficacious and offered a low-cost modality for providing relapse-prevention assistance to low-income pregnant and postpartum women.

PubMed Disclaimer

Figures

FIGURE 1—
FIGURE 1—
CONSORT flow diagram: Self-Help Booklets for Preventing Postpartum Smoking Relapse, 2004–2008 Note. FFB = Forever Free for Baby and Me booklets; UCC = usual care control.
FIGURE 2—
FIGURE 2—
Treatment effects as a function of annual household income (a) ≤ $30 000 and (b) > $30 000: Self-Help Booklets for Preventing Postpartum Smoking Relapse, 2004–2008.
See this image and copyright information in PMC

References

    1. US Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The Health Benefits of Smoking Cessation. Atlanta, GA: US Department of Health and Human Services; 1990. DHHS Publication No (CDC) 90–8416.
    1. Centers for Disease Control and Prevention Women and smoking: a report of the Surgeon General. Executive summary. MMWR Recomm Rep. 2002;51(RR-12):1–13 - PubMed
    1. Tong VT, Jones JR, Dietz PM, D’Angelo D, Bombard JM. Trends in smoking before, during, and after pregnancy—Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 31 sites, 2000-2005. MMWR Surveill Summ. 2009;58(4):1–29 - PubMed
    1. Centers for Disease Control and Prevention Smoking during pregnancy–United States, 1990-2002. MMWR Morb Mortal Wkly Rep. 2004;53(39):911–915 - PubMed
    1. US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau Women’s Health USA 2010. Rockville, MD: US Department of Health and Human Services; 2010

Publication types