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The Diabetes Educator

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Journal of Health Psychology
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Postpartum Smoking Cessation and Relapse Prevention Intervention

A Structural Equation Modeling Application to Behavioral and Non-behavioral Outcomes of a Randomized Controlled Trial

K. Röske

Ernst-Moritz-Arndt-University Greifswald, Germany, roeske{at}uni-greifswald.de

A. Schumann

Cambridge Health Alliance, Boston, MA, USA

W. Hannöver

Ernst-Moritz-Arndt-University Greifswald, Germany

J. Grempler

Ernst-Moritz-Arndt-University Greifswald, Germany

J.R. Thyrian

Ernst-Moritz-Arndt-University Greifswald, Germany

H.-J. Rumpf

University of Lübeck, Germany

U. John

Ernst-Moritz-Arndt-University Greifswald, Germany

U. Hapke

Ernst-Moritz-Arndt-University Greifswald, Germany

The aim of the study was to test the effectiveness of a postpartum smoking cessation and relapse prevention intervention. Structural equation modeling techniques were applied to evaluate the impact of the intervention on smoking behavior and on non-behavioral variables derived from the Transtheoretical Model (TTM). Women were randomized to an intervention (I) and control group (C). Smoking status, TTM-variables, and control variables were assessed four weeks, six and 12 months postpartum. Membership in the intervention group significantly predicted non-smoking and higher self-efficacy six months, but not one year postpartum, after controlling for demographic, smoking, and postpartum risk variables.

Key Words: cessation • intervention • postpartum • RCT • relapse • smoking

Journal of Health Psychology, Vol. 13, No. 4, 556-568 (2008)
DOI: 10.1177/1359105308088528
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