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Research Findings

As of late 2012, the project has been underway for over four years. At this point, we  have published 8 papers related to our findings in scientific journals. In addition, Dr. Bailey has published six review and/or clinical guidelines papers based on her TIPS work. Finally, we have had 26 different presentations at scientific conferences based on TIPS findings. These are all summarized below. We encourage you to check back often for updates to this page as the program progresses.

The following Research Papers, based on our work to date, have been published in scientific journals:

  1. Bailey BA, Jones Cole L. Rurality and birth outcomes: Findings from Southern Appalachia and the potential role of pregnancy smoking. Journal of Rural Health, 25(2), 141-149, 2009. Paper
  2. Bailey BA, Wright HN. Assessment of pregnancy cigarette smoking and factors that predict denial. American Journal of Health Behavior, 34 (2), 166-176, 2010. Paper
  3. Bailey BA, Jones Cole L. Are obstetricians following best-practice guidelines for addressing pregnancy smoking? Results from Northeast Tennessee. Southern Medical Journal, 102(9), 894-899, 2009. Paper

  4. Clements A, Bailey BA. The relationship between temperament and anxiety: Phase I in the development of a risk screening model to predict stress-related health problems. Journal of Health Psychology, 15(4): 515-525, 2010.  Paper

  5. Bailey BA, Wright HN. Breastfeeding initiation in a rural sample: Predictive factors and the role of smoking. Journal of Human Lactation, 27(1): 33-40, 2011. Paper
  6. Carlosh, K, Allen S, Dalton WT, Bailey BA. Weight concern, body image, and compensatory behaviors in rural pregnant smokers: A preliminary investigation. Journal of Rural Mental Health, 35, 17-22, 2011.  Paper
  7. Bailey BA, McCook JG, Hodge A, McGrady L. Infant birth outcomes among substance using women: Why quitting smoking during pregnancy is just as important as quitting harder drugs. Maternal Child Health Journal, 21 Mar 2011. Paper

  8. Clements AD, Ermakova AV. Surrender to God and stress: A possible link between religiosity and health. Psychology of Religion and Spirituality, 4;93-107, 2012. Paper 

 


So far, the following presentations have been, or are scheduled to be, given: 

Presented at the Fourth Annual Primary Care research Day at East Tennessee State University, September 2007: Implementing a Pregnancy Smoking Cessations Program: Challenges and Recommendations from the First Six Months of TIPS.   BA Bailey, LK Jones Cole.                                                                                                                         
                                               Abstract                     Poster
 
2. Presented at the Appalachian Student Research Forum at East Tennessee State University, April 2008: Access to Obstetric Care in Rural Northeast Tennessee: Association with Birth Outcomes. HN Wright, BA Bailey, LK Jones Cole.
                                               Abstract                     Poster
 
3. Presented at the Third Annual Mountain States Health Alliance Research Conference, June, 2008; Also presented at Primary Care Research Day, Johnson City, TN September, 2008; Also presented at the Women's Health Across the Life Cycle Conference, Johnson City, TN, September, 2008 (our presentation was the first place poster winner):  The Link Between Pregnancy Smoking and Poor Birth Outcomes in Northeast Tennessee.    BA Bailey, LK Jones Cole, K Rice.
                                             Abstract                     Poster
 
4. Presented at the Third Annual Mountain States Health Alliance Research Conference, June, 2008; Community Conditions and Birth Outcomes: The Issue of Rurality and Economic Status, and the Potential Role of Pregnancy Smoking. BA Bailey, LK Jones Cole, K Rice.
                                              Abstract                   Presentation
 
5. Presented at the Tennessee Public Health Association Annual Meeting, September, 2008; Also presented at the Society for Research on Nicotine and Tobacco annual meeting, Dublin, Ireland, April, 2009: Are Obstetricians Following Best-Practice Guidelines for Addressing Pregnancy Smoking: Results from Northeast Tennessee.  BA Bailey, LK Jones Cole.
                                                   Abstract                     Poster
 
6. Presented at the Tennessee Public Health Association Annual Meeting, September, 2008: Rurality and Birth Outcomes: Findings from Southern Appalachia and the Potential Role of Pregnancy Smoking.  BA Bailey, LK Jones Cole.
                                                    Abstract                    Poster

7. Presented at Primary Care Research Day, Johnson City, TN, September, 2008: Intention to Breastfeed in a Rural Appalachian Sample: The Roles of Smoking and Sociodemographics. HN Wright, BA Bailey.
                                                    Abstract                    Poster

8. Presented at the Society for research on Nicotine and Tobacco annual meeting, Dublin, Ireland, April, 2009: Assessment of Cigarette Smoking During Pregnancy: The use of Behavioral Observation and Factors that Predict Denial. BA Bailey, HN Wright. 
                                                    Abstract                  Poster

9. Presented at the first annual Community Conference on Breastfeeding, Johnson City, TN, April 2009: Predictors of Breastfeeding: Data from Northeast Tennessee. BA Bailey .
                                                     Presentation

10. Presented at the Behavioral Science Forum's annual meeting, Chicago, IL, September 2009: Are prenatal care providers following best-practice guidelines for addressing pregnancy smoking? Results from Northeast Tennessee. BA Bailey, LK Jones Cole. 
                                                    Abstract                   Poster

11. Presented at Primary Care Research Day, Johnson City, TN, September 2009: Pregnancy smoking intervention in Northeast Tennessee: Effectiveness data from the first two years of the TIPS program. BA Bailey. 
                                                    Abstract                   Presentation

12. Presented at the Society for Research on Nicotine and Tobacco, Baltimore, MD February 2010: Pregnancy smoking, ETS exposure, and birth outcomes: Relative risk and timing of exposure. BA Bailey.
                                                    Abstract                    Poster

13. Presented at the Conference on Human Development, New York, NY, April 2010: How do you deal with stress? Pregnant women’s methods of coping. AD Clements, BA Bailey, HN Wright.
                                                     Abstract                  Poster

14. Presented at the Conference on Human Development, New York, NY, April 2010: Prenatal stress coping strategies predict breastfeeding initiation. AD Clements, BA Bailey, HN Wright.
                                                    Abstract                   Poster

15. Presented at the Appalachian Student Research Forum and the Boland Undergraduate Research Symposium, Johnson City, TN, April 2010: Weight Concerns and body image related to compensatory behavior among rural pregnant smokers. Carlosh K, Allen S, Dalton WT, and Bailey B.
                                                    Presentation             Poster

16. Presented at the Society for Spirituality, Theology, and Health annual meeting, Durham, NC, June 2010:   Prayer/Religiosity as primary stress coping strategy predicts health-related pregnancy and birth factors in a rural Appalachian sample. AD Clements, BA Bailey, HN Wright, A Ermakova.
                                                     Abstract                    Poster 
 
17. Presented at the Society for the Scientific Study of Religion, Baltimore, MD, October 2010: Screening for religious commitment: Prediction of surrender to God from a single-item. AD Clements, A Ermakova, BA Bailey.                                                                                                        
                                                    Presentation 
 
18. Presented at the Association of Behavioral and Cognitive Therapies annual meeting, San Francisco, CA, November 2010: Weight concerns and body image as related to compensatory behaviors among rural pregnant smokers. K Carlosh, S Allen, WT Dalton, BA Bailey.
                                                     Abstract                     Poster

19. Presented at the Society for Research in Child Development annual meeting, Montreal, QE, CAN, March 2011; Also presented at Primary Care Research Day, Johnson City, TN, February 2011: Prenatal smoke exposure and language outcomes at 15 months: Social aspects of communication vs expressive and expressive language. BA Bailey, AD Clements, JL Scott, LU McGrady.
                                                   Abstract                        Poster

20. Presented at Primary Care Research Day, Johnson City, TN, February 2011: Infant birth outcomes among substance using women: Why quitting smoking is just as important as quitting harder drugs. BA Bailey, JG McCook, AL Hodge, LU McGrady.
                                                   Abstract                       Presentation

21. Presented at the Society for Research in Child Development annual meeting, Montreal, QE, CAN, March 2011: Measuring religiosity and risk in a prenatal population: Attendance, prayer, influence or surrender to predict developmental risk? AD Clements, BA Bailey, A Ermakova.
                                                  Abstract                         Poster

22. Presented at the Association of Women's Health, Obstetric, and Neonatal Nursing annual meeting, Denver, CO, June 2011; Also presented at Primary Care Research Day, Johnson City, TN February 2011: Quitting smoking during pregnancy and birth outcomes: Evidence of gains following cessation by third trimester. BA Bailey, AD Clements, JG McCook, LU McGrady .
                                                  Abstract                         Poster

23. Presented at the Appalachian Student Research Forum, Johnson City, TN, March 2011: Psychosocial risk factors for smoking in pregnant women in rural Appalachia. JH Turner, JA Correll, K Carlosh, BA Bailey, WT Dalton.
                                                  Abstract                        Poster

24. Presented at the Tennessee Public Health Association annual meeting, September 2011, Franklin, TN; Also presented at the Women's Health Across the Lifespan conference, Johnson City, TN, October 2011: Postnatal depression predicts new mothers' smoking in Tennessee. LU McGrady, A Ermakova, BA Bailey.
                                                  Abstract                       Poster

25. Presented at the March of Dimes Prematurity Prevention Symposium, January 2012, Washington, DC. Effectiveness of Rural Pregnancy Smoking Intervention: Lessons Learned from the First Three Years of Tennessee Intervention for Pregnant Smokers (TIPS) program. BA Bailey, L McGrady.
                                                 Abstract                       Poster

26. Presented at the Society for Research in Nicotine and Tobacco annual meeting, Houston, TX, March 2012; Also presented at the Women's Health Across the Lifespan conference, Johnson City, TN, October 2011: Secondhand smoke exposure during pregnancy: The role of intimate partner violence. BA Bailey.
                                                 Abstract                        Poster
 
27. Presented at Primary Care Research Day, Johnson City, TN, February 2011: Quitting Smoking During Pregnancy and Birth Outcomes: Evidence of Gains Following Cessation by Third Trimester. BA Bailey, AD Clements AD, JG McCook JG, L McGrady.                                 
                                                 Abstract                        Poster
 
28. Poster presented at the Appalachian Student Research Forum, Johnson City, TN, March 2011: Looking up: Surrender and church attendance across racial groups in Southern Appalachia. J Caldwell, AD Clements.
                                                                                      Poster
 
29. Presented at the Annual Meeting of the Society for Behavioral Medicine, Washington, DC, April 2011: Religious attendance versus religious surrender as a measure of prenatal stress. AD Clements, AV Ermakova.
                                              Abstract                          Poster 
 
30. Paper presented at the East Tennessee State 8th Annual Primary Care and Prevention Research Day, Johnson City, TN, February 2012: Religious commitment predicts lower incidence of preterm birth in rural Appalachian women. AD Clements, AV Ermakova.      
                                                Abstract                           Presentation
 
31. Presented at the 33rd Annual Meeting of the Society of Behavioral Medicine, New Orleans, LA, April 2012: Religious commitment predicts lower incidence of preterm birth in rural Appalachian women. AD Clements, AV Ermakova, BA Bailey.
                                               Abstract                          Poster
 
32. Presented at the 33rd Annual Meeting of the Society of Behavioral Medicine, New Orleans, LA, April 2012: Prenatal substance use is substantially lower in religiously committed, married, and cohabiting women. AD Clements, AV Ermakova, BA Bailey.
                                                                                  Poster
 
33. Presented at the 33rd Annual Meeting of the Society of Behavioral Medicine, New Orleans, LA, April, 2012: Religious Commitment as a predictor of decreased blood pressure in high-risk pregnancies of Southern Appalachia. AV Ermakova, AD Clements , BA Bailey.  
                                                Abstract                             Poster    
 
34. Poster presentation at the Society for Behavioral Medicine Annual Meeting, New Orleans, LA, April 2012: Stress, Self-esteem, and Smoking during Pregnancy. TR Fletcher, AD Clements, B Bailey, L McGrady.  
                                                Abstract                    Poster
 
35. Oral presentation at the Appalachian Student Research-Second place in doctoral student oral presentation category- Johnson City, TN, April 2012: Stress, Self-esteem, and Smoking during Pregnancy. TR Fletcher, AD Clements, B Bailey, L McGrady.
                                                                                Presentation
 
36. Poster presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2012: Religious Surrender and Attendance Scale Predicts Prenatal Depression. TR Fletcher, AD Clements, B Bailey, L McGrady.  
                                               Abstract                         Poster
 
37. Poster presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2012: Perceptions of smoking health risks during pregnancy: Comparison of smokers and non-smokers. KH John, TR Fletcher, AD Clements, B Bailey, L McGrady.
                                                Abstract                          Poster
 
38. Poster presentation at Tennessee Public Health Association, Franklin, TN, September 2012: Prevalence and risk factors of intimate partner violence during pregnancy in rural Appalachia. TR Fletcher, B Bailey, L McGrady.
                                                 Abstract                      Poster
 
39. Presented at 34th annual Society of Southeastern Social Psychologists meeting, Gainesville, FL, October 2012: Is the Abuse Assessment Screen a Valid Measurement of Intimate Partner Violence in Rural Pregnant Women? TR Fletcher, S Rasnick, L McGrady, B Bailey.  
                                               Abstract                        Presentation
 
40. Poster presentation at the Society for Behavioral Medicine Annual Meeting, San Francisco, CA, March 2013: Religious Commitment and Depression during Pregnancy. TR Fletcher, AD Clements, L McGrady, B Bailey.   
                                               Abstract                         Poster
 
41. Oral presentation at the Society for Behavioral Medicine Annual Meeting, San Francisco, CA, March 2013: Marital Status and Religious Commitment Predict Prenatal Tobacco, Alcohol, and Illicit Substance Use in Southern Appalachia. AD Clements, TR Fletcher, L McGrady, B Bailey. 
                                                Abstract
 
42. Poster Presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2013: Maternal Effortful Control on Breastfeeding Continuation. RG Bastian, TR Fletcher, AD Clements, B Bailey.
                                               Abstract                        Poster
 
43. Poster Presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2013: Religious Commitment and Prenatal Depression. M Henry, TR Fletcher, AD Clements, B Bailey.  
                                                Abstract                       Poster
 
44. Poster Presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2013: Religious Commitment Predicts Substance Use In Pregnant Women. RA Montgomery TR Fletcher, AD Clements, B Bailey.
                                               Abstract                         Poster
 
45. Poster Presentation at the Appalachian Student Research Forum, Johnson City, TN, April 2013: Perceptions of Smoking Cessation Barriers during Pregnancy. TR Fletcher, L McGrady, AD Clements, B Bailey.
                                              Abstract                         Poster 
 
46. Poster presentation at the Midwestern Psychological Association Annual Meeting, Chicago, IL, May 2013: Perceived Barriers and Facilitators in Smoking Cessation during Pregnancy in Rural Appalachia. TR Fletcher, J Scott, L McGrady, B Bailey.  
                                              Abstract                          Poster
 
47. Poster presentation at the Midwestern Psychological Association Annual Meeting, Chicago, IL, May 2013: Intimate Partner Violence Screens for Rural Pregnant Women: Validation of the Abuse Assessment Screen and Women Abuse Screening. TR Fletcher, AD Clements, L McGrady, B Bailey. 
                                             Abstract                         Poster
 
48. Oral presentation at the Appalachian Student Research Forum, Johnson City, TN, May 2013: Intimate Partner Violence Screens for Rural Pregnant Women: Validation of the Abuse Assessment Screen and Women Abuse Screening. TR Fletcher, AD Clements, L McGrady, B Bailey.
                                     Abstract                       Presentation
 

Recently Published Review or Clinical Guidelines Papers Relating to TIPS

  1. Bailey B, Sokol RJ. Is prematurity a part of the Fetal Alcohol Spectrum Disorders? Expert Review of Obstetrics and Gynecology, 3(2), 245-255, 2008.
                     Expert Review of Obstetrics and Gynecology Review Paper

  2. Bailey B, Sokol RJ. Pregnancy and alcohol use: Evidence and recommendations for prenatal care. In: Clinical Obstetrics and Gynecology, 51(2): 436-444, 2008.
                     Clinical Obstetrics and Gynecology Review Paper

  3. Bailey B, Sokol RJ. Fetal Alcohol Syndrome. Encyclopedia of Drugs, Alcohol, and Addictive Behaviors (3rd ed). Macmillan, 2009.
                      Encyclopedia of Drugs, Alcohol, and Addictive Behaviors Review Paper

  4. Bailey B. Partner violence during pregnancy: Prevalence, effects, screening and management. International Journal of Women's Health, 2010:2: 183-197, 2010. 
                     International Journal of Women's Health Review Paper

  5. Bailey BA, Sokol RJ. Prenatal alcohol exposure and miscarriage, stillbirth, preterm delivery, and Sudden Infant Death Syndrome. Alcohol Research and Health, 34, 86-91, 2011.
                   Alcohol Research and Health Paper

  6. Bailey BA, Sokol RJ. Tobacco and alcohol use during pregnancy. Clinical Maternal-Fetal Medicine (2nd ed). H. Winn, F. Chervanak & R. Romero, eds. Informa Healthcare, 2011.
                    Clinical Maternal-Fetal Medicine Chapter

Recent Review Presentations Related to TIPS  

1. Presented as a Grand Rounds Talk, Department of Pediatrics, East Tennessee State University, January 2012. Pregnancy Smoking and Child Outcomes from Birth to 15 Months: Findings from Northeast Tennessee. BA Bailey

 Review Presentation

2. Presented as a Grand Rounds Talk, Joint GR for the Departments of Obstetrics & Gynecology and Pediatrics, East Tennessee State University, March 2012. Breastfeeding in Northeast Tennessee. BA Bailey

Review Presentation

3. Presented as a Grand Rounds Talk, Department of Psychiatry, East Tennessee State University, September 2012. The Effects of Pregnancy Smoking in Northeast Tennessee: Findings and Potential Solutions. BA Bailey

Review Presentation

4. Presented at the Tennessee Infant Mortality Summit, Nashville, TN, September 2012. Substance Use During Pregnancy: Known Effects and How to Assist. BA Bailey

Review Presentation          

 

 

Summary of Baseline and Ongoing Data Collection

Data have now been collected on regional deliveries through the end of 2009 from several area hospitals in our six county service area. Some of the highlights are summarized below. We have also developed the following reports:

Regional Smoking and Birth Outcomes: Rates and Trends (2006 to 2009)
                               Table                               Graph

Changes in Pregnancy Smoking Rates by Site
                              Table

Changes in Pregnancy Smoking Rates by Service
                              Table

Usefulness of Smoking Cessation Advice
                              Table

Smoke Exposure Status and Birth Outcomes
                              Table

Regional Birth Outcomes Associated with Smoking
                               Flyer