Predictors of Stage Movement Toward Smoking Cessation in Pregnant Women

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Henry (Director of Instruction, School of Allied Health and Public Service, Chattahoochee College) presents a study exploring the psychosocial characteristics determining a pregnant woman's ability to quit smoking. Based on research on women utilizing the Supplemental Food Program for Women, Infants, and Children (WIC), the volume offers an introduction, a review of the literature, and discussion of the methods and results. Appendices provide material used in the study including the psychosocial questionnaire, prenatal smoking cessation client education materials, and a definition of terms. Annotation (c)2003 Book News, Inc., Portland, OR
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Product Details

  • ISBN-13: 9780773470750
  • Publisher: Mellen, Edwin Press, The
  • Publication date: 12/1/2002
  • Series: Studies in Health and Human Services
  • Pages: 184
  • Product dimensions: 65.00 (w) x 95.00 (h) x 5.00 (d)

Table of Contents

1 Introduction 1
1.1 Tobacco and Women's Health 1
1.2 Tobacco, An Addictive Drug 1
1.3 The New York State Prenatal Smoking Cessation Program 2
1.4 Background and Rationale 3
1.5 Psychosocial Factors 6
1.6 Stages of Change 9
1.7 Statement of the Problem 13
1.8 Purpose of Study 14
1.9 Statement of the Research Question 14
1.10 Sub-Questions 14
1.11 Significance of the Study 15
2 Literature Review 17
2.1 Introduction 17
2.2 Health Effects of Maternal Cigarette Smoking 17
2.3 Impact of Environmental Tobacco Smoke Exposure 22
2.4 Factors associated with smoking cessation during pregnancy 24
2.5 Smoking Cessation Interventions 29
2.6 Smoking Cessation Intervention Findings 35
2.7 Relapse Prevention 38
2.8 Harm Reduction Approach 41
2.9 Stages of Change 42
2.10 Self Reports of Smoking 45
3 Methods 47
3.1 Overview of Study Design 47
3.2 Description of the Study Population 48
3.3 Research Instrumentation 48
3.4 Validity of Survey Instrument 53
3.5 Content Validity 53
3.6 Face Validity 53
3.7 Reliability of Survey Instrument 53
3.8 Internal Consistency 54
3.9 Test-Retest Reliability 54
3.10 Data Collection Procedures 57
3.11 Data Analysis 59
4 Results 62
4.1 Overview 62
4.2 Internal Consistency of Survey Instrument 62
4.3 Descriptive Data 63
4.4 Movement through the stages: Progressions and Regressions 66
4.5 Psychosocial Scales by Stage of Change 68
4.6 Progressive Stage Movement 70
5 Discussion 73
5.1 Research Summary 73
5.2 Discussion of findings 73
5.3 Implications for Research 79
5.4 Implications for Practice 80
5.5 Scope and Limitations 83
5.6 Conclusions 84
App. A: Psychosocial Questionnaire 86
App. B: Prenatal Smoking Cessation Client Education Materials 93
App. C: Definition of terms 100
References 102
Subject Index 113
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