[' ', ' ', ' ', 'several', 'educational', 'activities', 'including', 'a}', 'exit', 'interviews:', 'b)', 'home', 'ieits:', 'support', 'group', 'sessions', ',', 'and', 'd)', 'community', 'health', 'seminars/faire,', 'Community', 'Health', 'Workers', 'will', 'perform', 'the', 'bulk', 'of', 'the', 'patient', 'tracking', 'and', 'educational', 'intervention', 'field', 'work.', 'Outcome', 'measures', 'of', 'pre', 'and', 'post-study', 'blood', 'pressure,', 'renal', 'function,', 'body', 'weight', 'change,', 'and', 'all-cause', 'mortality', 'will', 'be', 'compared', 'between', 'experimental', 'and', 'controls', 'at', 'two,', 'three', 'and', 'four', 'years', 'into', 'the', 'study.', 'Quality-of-life', 'questionnaires', 'will', 'be', 'obtained', 'pre', 'and', 'post-study', 'and', 'analyzed', 'for', 'new', 'insights', 'into', 'needs', 'assessment,', 'awareness', 'of', 'hypertension,', 'attitudes', 'towards', 'treatment,', 'compliance', 'with', 'drug', 'therapy,', 'and', 'effectiveness', 'of', 'various', 'educational', 'interventions', 'employed', 'in', 'the', 'study.', 'Concurrent', 'efforts', 'to', 'reduce', 'co-morbid', 'risk', 'factors', 'such', 'as', 'obesity,', 'cigarette', 'amoking,', 'excessive', 'alcohol', 'consumption', 'and', 'stress', 'will', 'be', 'assessed', 'as', 'secondary', 'outcomes.', 'The', 'HIP', 'will', 'hope', 'to', 'demonstrate', 'cost-effective', 'innovations', 'for', 'the', 'adaptation', 'of', 'these', 'Medical', 'Center-targeted', 'strategies', 'to', 'community', 'physicians', 'and', 'health', 'clinics', 'of', 'the', 'inner', 'city.', '6/7/106', 'DIALOG(R)File', '266:Fed.', 'Res.', 'in', 'Progress', '(c)', 'format', 'only', '1995', 'Dialog', 'Info.Sves.', 'All', 'rts.', 'reserv.', '0145600', 'IDENTIFYING', 'NO.:', 'SROLHL50815-02', 'AGENCY', 'CODE:', 'CRISP', 'INTERVENTION', 'FOR', 'RESISTANT', 'PREGNANT', 'SMOKERS', 'PRINCIPAL', 'INVESTIGATOR:', 'MULLEN,', 'PATRICIA', 'D', 'ADDRESS:', 'UNIV', 'OF', 'TX', 'HLTH', 'SCI', 'CTR-HOUSTO', 'PO', 'BOX', '20186', 'HOUSTON,', 'TX', '77225', 'PERFORMING', 'ORG.:', 'UNIVERSITY', 'OF', 'TEXAS', 'HLTH', 'SCI', 'CTR', 'HOUSTON,', 'HOUSTON,', 'TEXAS', 'SPONSORING', 'ORG.:', 'NATIONAL', 'HEART,', 'LUNG,', 'AND', 'BLOOD', 'INSTITOTE', '‘', 'FY', '5', '94', 'FUNDS:', '$225,732', 'TYPE', 'OF', 'AWARD:', 'Noncompeting', 'Continuation', 'Type', 'SUMMARY:', 'This', '31-month', 'supplement', 'to', 'Sustaining', 'Women’s', 'Smoking', 'Cessation', 'Postpartum', '(Project', 'PANDA)', 'will', 'design,', 'implement,', 'and', 'evaluate', 'an', 'intensified', 'intervention', 'for', 'pregnant', 'women', 'who', 'were', 'unable', 'to', 'stop', 'smoking', 'with', 'minimal', 'assistance.', 'The', 'substudy', 'is', 'a', 'population-based', 'experiment', 'with', 'White,', 'Black,', 'and', 'Hispanic', 'pregnant', 'women', 'whose', 'continued', 'smoking', 'makes', 'them', 'ineligible', 'for', 'randomization', 'into', 'the', 'parent', 'study.', 'It', 'is', 'unique', 'in', 'focusing', 'on', 'heavier,', 'more', 'addicted', 'pregnant', 'smokers.', 'PANDA', 'research', 'sites', 'and', 'protocols', 'offer', 'a', 'spacial', 'opportunity', 'for', 'a', 'low', 'cost', 'test', 'of', 'a', 'disseminable', 'intervention', 'which', 'this', 'project', 'team', 'is', 'uniquely', 'qualified', 'to', 'design', 'and', 'implement.', 'The', 'new', 'intervention,', 'One-', 'to-One,', 'will', 'use', 'telephone', 'counselors', 'to', 'assess', 'the', 'counselee’s', 'stage', 'in', 'the', 'change', 'process', 'and', 'give', 'stage-appropriate', 'messages,', 'using', 'tablished', 'techniques', 'of', 'motivational', 'interviewing.', 'Between', 'the', 'two', 'counselor', 'calls', 'spaced', '10', 'days', 'apart,', 'counselees', 'will', 'receive', 'personalized', 'written', 'feedback', 'and', 'suggestions.', 'The', 'primary', 'aim,', 'increasing', 'quitting', 'during', 'pregnancy,', 'will', 'be', 'assessed', 'by', 'unobtrusive', 'urine', 'samples', 'taken', 'curing', 'prenatal', 'visits', 'in', 'the', 'ninth', 'month', 'and', 'identified', 'only', 'by', 'study', 'group.', 'A', 'series', 'of', 'postpartum', 'interviews', 'with', 'subsample', 'cotinine', 'validation', 'will', 'be', 'used', 'to', 'examine', 'the', 'second', 'important', 'aim,', 'reduction', 'of', 'infant', 'smoke', 'exposure.', 'A', 'combination', 'of', 'messages,', 'peer', 'modeling,', 'and', 'support', 'will', 'help', 'women', 'sustain', 'cessation', 'after', 'delivery', 'and', 'eliminate', 'smoking', 'around', 'the', 'baby.', 'Project', 'PANDA', 'videotapes', 'and', 'newsletters', 'already', 'contain', 'these', 'messages', 'and', 'require', 'only', 'minimal', 'as', 'One-to-One', 'experimental', 'group,', 'regardl:', 'pregnancy.', 'As', 'in', 'Project', 'PANDA,', 'the', 'as', 'experiment', 'by', 'anrolling', 'subjects', 'in', 'a', 'university-sponsored', 'study', 'of', 'new', 'mothera’', 'health', 'practices', 'and', 'baby', 'care', 'and', 'by', 'presenting', 'the', 'program', 'as', 'usual', 'care', 'by', 'the', 'health', 'care', 'site.', 'The', 'substudy', 'results', 'will', '1)', 'demonstrate', 'the', 'effectiveness', 'of', 'the', 'intensified', 'program', 'in', 'boosting', 'rates', 'of', 'prenatal', 'smoking', 'cessation', 'and', 'reducing', 'infant', 'smoke', 'exposure', 'from', 'all', 'sources', 'and', '2)', 'contribute', 'lengitudinal', 'data', 'on', 'change', 'processes', 'involved', 'in', 'amcking', 'cessation', 'and', 'maintenance', 'for', 'this', 'important.', 'group', 'of', 'heavy', 'committed', 'smokers', 'experiencing', 'a', 'critical', 'life', 'transition.', ' ', '   ', '99S2', 'OPTTts', ' ']