Implementation and Outcomes of a Maternal Smoking Cessation Program for a Multi-ethnic Cohort in California, USA, 2012–2019.
Smoking during pregnancy remains one of the most significant risk factors for poor birth outcomes. During 2012–2019, the Loma Linda University Health Comprehensive Tobacco Treatment Program (CTTP) used a multicomponent behavioral intervention for tobacco cessation for 1402 pregnant smokers with comp...
| Publicado en: | Journal of Community Health Vol. 47; no. 2; pp. 257 - 266 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Springer Nature
Apr2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=155873052&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 155873052 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Apr2022 vid: 47 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 155873052 10.1007/s10900-021-01042-8 ppf: 257 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 697KB tig: atl: Implementation and Outcomes of a Maternal Smoking Cessation Program for a Multi-ethnic Cohort in California, USA, 2012–2019. aug: au: Petersen, Anne Berit Ogunrinu, Temidayo Wallace, Shane Yun, Jane Belliard, Juan Carlos Singh, Pramil N. affil: Loma Linda University School of Nursing, 11262 Campus Street, 92350, Loma Linda, CA, USA Transdisciplinary Tobacco Research Program, Loma Linda University Cancer Center, 11234 Anderson St, 92354, Loma Linda, CA, USA Center for Health Research, Loma Linda University School of Public Health, 11234 Anderson St, 92354, Loma Linda, CA, USA Loma Linda University Health SACHS Clinic, 250 S G St, 92410, San Bernardino, CA, USA Loma Linda University School of Public Health, 11234 Anderson St, 92354, Loma Linda, CA, USA Institute for Community Partnerships, Loma Linda University, 11234 Anderson St, 92354, Loma Linda, CA, USA su: California United States Evaluation of medical care Mothers Evaluation of human services programs Motivation (Psychology) Age distribution Black people Behavior therapy Community health services Interviewing Human services programs Motherhood Parenting Reward (Psychology) Interprofessional relations Ethnic groups White people African Americans Biomarkers Smoking cessation Neonatal intensive care Third trimester of pregnancy First trimester of pregnancy Neonatal intensive care units Pregnancy outcomes Descriptive statistics Longitudinal method Telemedicine sug: subj: Evaluation of medical care Mothers Evaluation of human services programs Motivation (Psychology) Age distribution Black people Behavior therapy Community health services Interviewing Human services programs Motherhood Parenting Reward (Psychology) Interprofessional relations Ethnic groups White people African Americans California United States Other local, municipal and regional public administration Other Individual and Family Services Residential Mental Health and Substance Abuse Facilities Community health centres All Other Outpatient Care Centers All other ambulatory health care services All Other Miscellaneous Ambulatory Health Care Services Biomarkers Smoking cessation Neonatal intensive care Third trimester of pregnancy First trimester of pregnancy Neonatal intensive care units Pregnancy outcomes Descriptive statistics Longitudinal method Telemedicine keyword: Pregnancy Program evaluation Return to smoking/relapse Pregnancy Program evaluation Return to smoking/relapse ab: Smoking during pregnancy remains one of the most significant risk factors for poor birth outcomes. During 2012–2019, the Loma Linda University Health Comprehensive Tobacco Treatment Program (CTTP) used a multicomponent behavioral intervention for tobacco cessation for 1402 pregnant smokers with components of known efficacy (i.e., incentives, biomarker testing, feedback, and motivational interviewing). The CTTP cohort includes a multi-ethnic sample of pregnant women with a mean age of 27 years referred by collaborating community-based healthcare providers in San Bernardino county. Evaluation of program outcomes from 7 years of follow-up (2012–2019) creates a rich cohort dataset for implementation science research to examine the real-world effectiveness of the program. In this report, we provide a cohort profile, and 8-week prolonged abstinence (8-week PA) and relapse findings from the first year of follow-up (n = 233). We found: (1) 28.4% achieved 8-week PA, (2) At a median of 6.2 months of follow-up after achieving 8-week PA, 23.2% of enrolled subjects reported tobacco cessation, and (3) a high rate of loss to follow-up (44%). In addition, our modeling indicated that the odds of relapse/smoking after enrollment was significantly higher in young mothers, non-Hispanic mothers (White, Black/African-American), mothers in the first and third trimester, and rural mothers. Formative quantitative and qualitative research on the CTTP cohort will consider the effects of a range of implementation science (number of intervention sessions, addition of a mHealth component, distance to care) and individual (partner/household smoking, birth outcomes, NICU) outcome measures for the purpose of scaling up the CTTP model. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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