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Stages of change in smoking during pregnancy in low-income women

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Abstract

This study examined the effects of a smoking cessation intervention on stages of change in 349 low-income, pregnant women. At first prenatal visit, women were randomized into experimental or usual care condition and classified by stage of change: precontemplation, contemplation, preparation, or action. For each stage of change at the first prenatal visit, the stage distributions of the experimental and usual care groups were compared at the second and 36-week prenatal visits. Kruskal-Wallis tests revealed significant differences at the second visit in the stage distributions by condition for subjects who were initially in precontemplation or in preparation. In each case, a greater proportion of experimental than usual care subjects advanced through the stages. The shift was not maintained at the 36-week visit.

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References

  • DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., and Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change.J. Consult. Clin. Psychol. 59: 295–304.

    Article  PubMed  Google Scholar 

  • Hughes, J. R., Gulliver, S. B., Fenwick, J. W., Valliere, W. A., Cruser, K., Pepper, S., Shea, P., Solomon, L. J., and Flynn, B. S. (1992). Smoking cessation among self-quitters.Health Psychol. 11: 331–334.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O. (1994). Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors.Health Psychol. 13: 47–51.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., and DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change.J. Consult. Clin. Psychol. 51: 390–395.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., Velicer, W. F., DiClemente, C. C., and Fava, J. (1988). Measuring processes of change: Application to the cessation of smoking.J. Consult. Clin. Psychol. 56: 520–528.

    PubMed  Google Scholar 

  • Prochaska, J. O., Velicer, W. F., Guadagnoli, E., Rossi, J. S., and DiClemente, C. C. (1991). Patterns of change: Dynamic typology applied to smoking cessation.Multivar. Behav. Res. 26: 83–107.

    Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., and Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors.Am. Psychol. 47: 1102–1114.

    Article  PubMed  Google Scholar 

  • Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., and Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors.Health Psychol. 13: 39–46.

    Article  PubMed  Google Scholar 

  • Secker-Walker, R. H., Solomon, L. J., Flynn, B. S., Lepage, S., Crammond, J., Worden, J. K., and Mead, P. B. (1992). Training obstetric and family practice residents to give smoking cessation advice during prenatal care.Am. J. Obstet. Gynecol. 166: 1356–1363.

    PubMed  Google Scholar 

  • Secker-Walker, R. H., Flynn, B. S., Solomon, L. J., Vacek, P. M., Donvaldt, A. L., Geller, B. M., Worden, J. K., and Skelly, J. M. (1996). Helping women quit smoking: Baseline observations for a community health education program.Am. J. Prev. Med. (in press).

  • Velicer, W. F., DiClemente, C. C., Prochaska, J. O., and Brandenburg, N. (1985). A decisional balance measure for predicting smoking cessation.J. Person. Soc. Psychol. 48: 1279–1289.

    Article  Google Scholar 

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Solomon, L.J., Secker-Walker, R.H., Skelly, J.M. et al. Stages of change in smoking during pregnancy in low-income women. J Behav Med 19, 333–344 (1996). https://doi.org/10.1007/BF01904760

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  • DOI: https://doi.org/10.1007/BF01904760

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