NCT06438549NARecruiting

Integrating CHWs Into Prenatal Care for Maternal Smoking Cessation

Loma Linda University

Start Date

5/24/2024

Completion Date

8/1/2027

Summary

This develops a novel behavioral tobacco cessation program for pregnant smokers in San Bernardino County.

Detailed Description

This study seeks to address the disparities in the maternal smoking cessation outcomes of previous research by developing an innovative maternal tobacco cessation program that expands the outreach by integrating home visits by community health workers (CHW) into the prenatal healthcare model. The overall aim is to conduct a pilot randomized control trial to test the feasibility, acceptability, and efficacy of a Healthcare Provider-Community Health Worker (HCP-CHW) intervention model that expands outreach by adding eight home visits by CHWs to provide tobacco cessation support services before and after the quit date.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * \< 24 weeks pregnant * age \> 18 years, * current smokers (100 cigarettes in their lifetime and \>3 cigarettes per day in the last 7 days; including poly-tobacco use, combining cigarettes with non-combustible products) confirmed by expired carbon monoxide (CO) * willing to quit smoking and set a quit date in the next 2 weeks upon enrolling * enrolled in prenatal care at Loma Linda University Health (LLUH) or Riverside University Health System (RUHS) Exclusion Criteria: * severe mental health problems that prevent informed consent and/or CHW intervention * women who were on Nicotine Replacement Therapy (NRT) or enrolled in a cessation program within 30 days * unwillingness to participate in audio-recorded key informant interviews or focus groups

Interventions

BEHAVIORAL

HCP-CHW Integration into Prenatal Care for Smoking Cessation

OTHER

Control Arm

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Conditions

Tobacco UseTobacco Use CessationTobacco Use in Childbirth

Locations

Loma Linda University Medical Center

Loma Linda, California 92350

United States

Riverside University Health Systems

Moreno Valley, California 92555

United States