Translation and adaptation of smoking relapse-prevention materials for pregnant and postpartum Hispanic women

J Health Commun. 2011 Jan;16(1):90-107. doi: 10.1080/10810730.2010.529492.


Quitting smoking is one of the most important behavior changes a pregnant woman can make, with health benefits extending beyond pregnancy for the woman and her child. Increasing numbers of pregnant women are quitting smoking; however, the majority resume smoking later in their pregnancy or shortly after giving birth. Previous research has demonstrated the efficacy of self-help smoking relapse-prevention booklets; however, there is a dearth of materials available in Spanish for Hispanic smokers. The goal of the present study was to translate and adapt existing, theoretically based, smoking relapse-prevention materials for pregnant and postpartum Hispanic women. This article describes the transcreation approach used to ensure the Forever Free for Baby and Me booklets were linguistically and culturally relevant for the heterogeneous populations of Hispanic women. The authors conducted multistage formative research to adapt the booklets and modify vignettes and graphics. Compared with previous research conducted with pregnant non-Hispanic women, results revealed the following: (a) a lack of association or concern about smoking and weight gain, (b) the importance of family approval of behavior, and (c) stress related to difficulties surrounding the immigration experience. The authors' qualitative findings confirm and extend past research that has suggested ways to enhance the cultural relevance and acceptability of a health intervention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cultural Characteristics
  • Female
  • Health Education / methods*
  • Hispanic or Latino / education*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Pamphlets*
  • Postpartum Period / ethnology*
  • Pregnancy
  • Qualitative Research
  • Secondary Prevention
  • Smoking / ethnology*
  • Smoking Cessation / ethnology
  • Smoking Prevention
  • Translations