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Motivational Counseling in Preventing Smoking Relapse After Pregnancy in Pregnant Women Who Quit Smoking During Pregnancy


2002-04


2016-08


2016-08


469

Study Overview

Motivational Counseling in Preventing Smoking Relapse After Pregnancy in Pregnant Women Who Quit Smoking During Pregnancy

RATIONALE: Motivational counseling may help prevent pregnant women from smoking again after pregnancy. PURPOSE: This randomized clinical trial is studying three different types of counseling to see how well they work in preventing smoking relapse after pregnancy in pregnant women who quit smoking during pregnancy.

OBJECTIVES: * Develop and evaluate 2 "Motivational Relapse Prevention" (MRP) treatments of varying intensity for reducing postpartum smoking relapse among pregnant women who quit smoking during pregnancy. * Assess MRP and Enhanced MRP (MRP+) effects on treatment mechanisms and the role of those mechanisms in mediating MRP and MRP+ effects on abstinence. * Assess the cost-effectiveness of both the MRP and MRP+ treatments relative to each other and to usual care for reducing postpartum smoking relapse. OUTLINE: This is a randomized study. Participants are randomized to 1 of 3 intervention arms. * Arm I (usual care [UC]): Participants receive self-help materials and brief relapse prevention advice based on the Treating Tobacco Use and Dependence Clinical Practice Guideline. * Arm II (motivational relapse prevention [MRP]): Participants receive the same intervention as in arm I. Participants also undergo telephone counseling over 30 minutes at 34 and 36 weeks gestation and then at 2, 4, 7, and 16 weeks postpartum. * Arm III (enhanced MRP [MRP+]): Participants receive the same intervention as in arm I and telephone counseling as in arm II. Participants also undergo in-person counseling over 1 hour at 30-33 weeks gestation and then at 8 weeks postpartum. Participants in all arms complete questionnaires at baseline, at 30-33 weeks gestation, and then at 8 and 26 weeks postpartum. Participants are followed at 8 and 26 weeks postpartum. PROJECTED ACCRUAL: A total of 450 participants will be accrued for this study.

  • Bladder Cancer
  • Cervical Cancer
  • Esophageal Cancer
  • Gastric Cancer
  • Head and Neck Cancer
  • Kidney Cancer
  • Leukemia
  • Liver Cancer
  • Lung Cancer
  • Pancreatic Cancer
  • Tobacco Use Disorder
  • BEHAVIORAL: Smoking Prevention Usual Care
  • BEHAVIORAL: Counseling Intervention
  • BEHAVIORAL: Counseling Intervention
  • BS01-178
  • R01CA089350 (U.S. NIH Grant/Contract)
  • P30CA016672 (U.S. NIH Grant/Contract)
  • MDA-BS01-178 (OTHER Identifier) (OTHER: UT MD Anderson Cancer Center)
  • CDR0000466327 (REGISTRY Identifier) (REGISTRY: NCI PDQ)
  • NCI-2010-01136 (REGISTRY Identifier) (REGISTRY: NCI CTRP)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2006-03-29  

N/A  

2016-09-21  

2006-03-29  

N/A  

2016-09-23  

2006-04-03  

N/A  

2016-09  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Smoking Prevention Usual Care

Arm I (usual care): Self-help materials and brief relapse prevention advice based on Treating Tobacco Use and Dependence Clinical Practice Guideline.

BEHAVIORAL: Smoking Prevention Usual Care

  • Usual care of self-help materials and advice for staying cigarette free
: MRP

Arm II (motivational relapse prevention [MRP]): Same intervention as usual care, plus 30 minutes telephone counseling at 34 & 36 weeks gestation then at 2, 4, 7, & 16 weeks postpartum.

BEHAVIORAL: Smoking Prevention Usual Care

  • Usual care of self-help materials and advice for staying cigarette free

BEHAVIORAL: Counseling Intervention

  • 6 x 30 minute counseling sessions over the telephone

BEHAVIORAL: Counseling Intervention

  • 2 in-person counseling sessions
: Enhanced MRP +

Arm III (enhanced MRP [MRP+]): Same intervention as usual care and telephone counseling as MRP, plus 1 hour in-person counseling at 30-33 weeks gestation & 8 weeks postpartum.

BEHAVIORAL: Smoking Prevention Usual Care

  • Usual care of self-help materials and advice for staying cigarette free

BEHAVIORAL: Counseling Intervention

  • 6 x 30 minute counseling sessions over the telephone

BEHAVIORAL: Counseling Intervention

  • 2 in-person counseling sessions
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of Patients with Smoking AbstinenceSmoking abstinence as measured by the Society for Research on Nicotine and Tobacco Smoking Status Measure at 26 weeks following study treatment26 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Number of Cigarettes Smoked DailyCigarettes smoked per day at 26 weeks following study treatment26 weeks following study treatment

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
FEMALE

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. age 18 or older 2. former smoker who quit during pregnancy as assessed via self-report 3. smoked an average of greater than or equal to 1 cigarette per day during the year prior to the current pregnancy 4. gestational age < 33 weeks and ability to attend an in-person visit at University of Texas MD Anderson Cancer Center (UTMDACC) between 30-33 weeks of gestational age 5. can speak, read and write in English. 6. must have a functioning home or personal cell phone
    Exclusion Criteria:
    1) high-risk pregnancy or known negative birth outcome

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • National Cancer Institute (NCI)

  • PRINCIPAL_INVESTIGATOR: David Wetter, PhD, BS, BA, M.D. Anderson Cancer Center

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available