Journal of Behavioral Medicine

, Volume 38, Issue 6, pp 932–943 | Cite as

Cognitive-behavioral intervention to promote smoking cessation for pregnant and postpartum inner city women

  • Minsun Lee
  • Suzanne M. Miller
  • Kuang-Yi Wen
  • Sui-kuen Azor Hui
  • Pagona Roussi
  • Enrique Hernandez


This study evaluated a theory-guided cognitive-behavioral counseling (CBC) intervention for smoking cessation during pregnancy and postpartum. It also explored the mediating role of cognitive-affective variables on the impact of CBC. Underserved inner city pregnant women (N = 277) were randomized to the CBC or a best practice (BP) condition, each of which consisted of two prenatal and two postpartum sessions. Assessments were obtained at baseline, late pregnancy, and 1- and 5-months postpartum. An intent-to-treat analysis found no differences between the two groups in 7-day point-prevalence abstinence. However, a respondents-only analysis revealed a significantly higher cessation rate in the CBC (37.3 %) versus the BP (19.0 %) condition at 5-months postpartum follow-up. This effect was mediated by higher quitting self-efficacy and lower cons of quitting. CBC, based on the Cognitive-Social Health Information Processing model, has the potential to increase postpartum smoking abstinence by assessing and addressing cognitive-affective barriers among women who adhere to the intervention.


Smoking cessation Underserved pregnant women Postpartum Cognitive behavioral intervention Psychosocial mediators 



This study was supported by American Cancer Society Grant TURSG 02-227-01, the National Institute of Health Grants RC1 CA145063 and R01 CA104979, and the Fox Chase Cancer Center Behavioral Research Core Facility P30 CA06927. The authors would like to thank Mary Anne Ryan and Deirdre Kurtz for their technical assistance.

Compliance with ethical standards

Conflict of interest

Minsun Lee, Suzanne M. Miller, Kuang-Yi Wen, Sui-kuen Azor Hui, Pagona Roussi and Enrique Hernandez declare that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Minsun Lee
    • 1
  • Suzanne M. Miller
    • 1
  • Kuang-Yi Wen
    • 1
  • Sui-kuen Azor Hui
    • 1
  • Pagona Roussi
    • 2
  • Enrique Hernandez
    • 3
  1. 1.Department of Psychosocial and Behavioral Medicine ProgramFox Chase Cancer Center/Temple University Health SystemPhiladelphiaUSA
  2. 2.Department of PsychologyAristotle University of ThessalonikiThessaloníkiGreece
  3. 3.Department of Obstetrics, Gynecology and Reproductive SciencesTemple University School of MedicinePhiladelphiaUSA

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