The purpose of this project is to develop and evaluate a theoretically- and empirically-based “Motivational Relapse Prevention” (MRP) treatment and an “Enhanced Motivational Relapse Prevention” (MRP+) treatment for preventing postpartum smoking relapse among women who quit during pregnancy. Participants (N=450) are randomly assigned to: 1) Usual Care (UC): self-help materials and brief relapse prevention advice based on the Treating Tobacco Use and Dependence Clinical Practice Guideline; 2) MRP: self-help materials, brief relapse prevention advice, and 6 telephone counseling sessions; 3) MRP+: self-help materials, brief relapse prevention advice, 6 telephone counseling sessions, and 2 in-person counseling sessions. The study is designed to yield critical information on a novel counseling approach and on the intensity of treatment needed to prevent postpartum relapse. Treatment is designed to be easily disseminated to health care systems or population-based settings for tobacco control. MRP and MRP+ uses a motivational enhancement approach that specifically targets commitment and intrinsic motives for maintaining abstinence, relapse prevention theory constructs, and issues of particular relevance to postpartum women (e.g., negative affect, stress, social support, weight). This study is one of the first to apply a motivational enhancement approach to the prevention of smoking relapse as opposed to simply motivating a quit attempt.

UT M.D. Anderson Cancer Center / National Cancer Institute (5 R01 CA089350; D. Wetter, PI)