Perinatal Attentional Retraining Intervention for Smoking (PARIS)
Smokers exhibit an “attention bias” for smoking-related cues, meaning their attention is unconsciously drawn toward things in the environment that remind them of smoking. This attentional bias is believed to be cause cravings, also called cue-provoked cravings, that lead to smoking. A behavioral intervention, called attentional bias modification or attentional retraining, has been used experimentally to reduce attentional bias and decrease cue-provoked craving. PARIS will test an attentional retraining program on a smartphone to reduce the attention toward smoking cues in pregnant women who smoked prior to pregnancy. The goal is to help women stay abstinent from smoking after delivery.
Can I participate in this study?
- History of smoking in the 6 months prior to pregnancy
- Over 18 years of age
- Pregnant (before 32 weeks’ gestation)
- Black or Latina Women
- Not planning on moving within the pregnancy or 6 months post-partum
- English Speaking/Reading
What does participating in this study look like?
Participants will be asked to carry around smartphones as they go about their daily lives for two weeks in their last month of pregnancy. The smartphone will sound an alert randomly 3 times during the day. Participants will be asked to respond to a short set of questions about how they are feeling and complete the attentional retraining or control procedures. This will be repeated for two weeks following delivery. There will also be six brief (~20 min) study visits, two in pregnancy and four after delivery. Except for the first visit, all other study visits can be done virtually.
What do I gain from participating in this study?
- You will be compensated for your time, up to $400.
- By participating in this research study, you will help other pregnant women who have a history of smoking.
- You will be provided with an Apple iPhone 7 that you can keep once the study is complete.
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Quick Video Overview for Potential Participants - What does it look like to participate in PARIS?
Publications
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Forray, A., Gunter-Riley, R. G., Maltz, C., & Waters, A. J. (2023). Pilot study of attentional retraining for postpartum smoking relapse. Frontiers in Psychiatry, 14, 1231702.
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Forray, A., Martino, S., Gilstad-Hayden, K., Kershaw, T., Ondersma, S., Olmstead, T., & Yonkers, K. A. (2019). Assessment of an electronic and clinician-delivered brief intervention on cigarette, alcohol and illicit drug use among women in a reproductive healthcare clinic. Addictive behaviors, 96, 156–163.
Forray, A., Gilstad-Hayden, K., Suppies, C., Bogen, D., Sofuoglu, M., & Yonkers, K. A. (2017). Progesterone for smoking relapse prevention following delivery: A pilot, randomized, double-blind study. Psychoneuroendocrinology, 86, 96–103.
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Forray, A., Merry, B., Lin, H., Ruger, J. P., & Yonkers, K. A. (2015). Perinatal substance use: a prospective evaluation of abstinence and relapse. Drug and alcohol dependence, 150, 147–155.
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Forray, A., Gotman, N., Kershaw, T., & Yonkers, K. A. (2014). Perinatal smoking and depression in women with concurrent substance use. Addictive behaviors, 39(4), 749–756.
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Robinson, C. D., Muench, C., Brede, E., Endrighi, R., Szeto, E. H., Sells, J. R., Lammers, J. P., Okuyemi, K. S., & Waters, A. J. (2017). Effect of attentional retraining on cognition, craving, and smoking in African American smokers. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 31(5), 636–646.
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Robinson, C. D., Muench, C., Brede, E., Endrighi, R., Szeto, E. H., Sells, J. R., Lammers, J. P., Okuyemi, K. S., Izmirlian, G., & Waters, A. J. (2018). Pro-tobacco advertisement exposure among African American smokers: An ecological momentary assessment study. Addictive behaviors, 83, 142–147.
MacIntyre, J. M., Ruscio, A. C., Brede, E., & Waters, A. J. (2018). Emotion dysregulation and negative affect: Laboratory and EMA investigations in smokers. Addictive behaviors reports, 7, 65–70.
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MacLean, R. R., Sofuoglu, M., & Waters, A. J. (2020). Naturalistic measurement of dual cue attentional bias in moderate to heavy-drinking smokers: A preliminary investigation. Drug and alcohol dependence, 209, 107892.
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