Implementation and Outcomes of a Maternal Smoking Cessation Program for a Multi-ethnic Cohort in California, USA, 2012–2019

Petersen, Anne Berit; Ogunrinu, Temidayo; Wallace, Shane; Yun, Jane; Belliard, Juan Carlos; Singh, Pramil N.

doi:10.1007/s10900-021-01042-8

Cited by 6 publications

(13 citation statements)

References 37 publications

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“…The results of this study—combined with those of the Cochrane review and more recent studies—provide compelling evidence that incentives effectively promote smoking cessation during pregnancy 4678. Although the effect of incentives on birth outcomes is less clear overall,9 epidemiological evidence clearly indicates that smoking cessation during pregnancy is associated with a reduction in most adverse perinatal health risks 2.…”

mentioning

confidence: 71%

“…Incentives seem most effective when provided as an adjunct to psychosocial counselling, and as such could be integrated into existing services to support cessation 14. Successful examples are available,6 and the Royal College of Physicians and Royal College of Midwives have already argued that financial incentives should routinely be offered to promote smoking cessation during pregnancy 1516. This is supported in forthcoming guidance from the National Institute for Health and Care Excellence in the UK 17…”

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confidence: 99%

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Incentives for smoking cessation in pregnancy

Breunis

Bauld

Been

2021

BMJ

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confidence: 71%

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confidence: 99%

Incentives for smoking cessation in pregnancy

Breunis

Bauld

Been

2021

BMJ

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“…The Comprehensive Tobacco Treatment Program (CTTP) is a state-funded (First5CA.gov), multicomponent (i.e., incentives, biomarker testing, feedback, and motivational interviewing) behavioral smoking cessation program that was designed and implemented by Loma Linda University Health (LLUH) from 2012 to 2019 to reduce smoking-related morbidity and mortality among pregnant smokers and their children in San Bernardino County, California. As part of the program evaluation of CTTP, the data from all CTTP enrollees were analyzed as a retrospective cohort study that has been previously described (Petersen et al, 2021). The objectives of this retrospective cohort study based on the CTTP data are (1) to determine the real-world effectiveness of a multicomponent cessation program on smoking during pregnancy and on follow-up, (2) to determine what maternal demographic predictors influence continued smoking during pregnancy and self-reported smoking six months after program participation.…”

Section: Significancementioning

confidence: 99%

“…The CTTP cohort has been comprehensively described in a cohort profile report by Petersen et al (2021). The cohort consists of 1,402 women in San Bernardino County who smoked during pregnancy and enrolled in the CTTP between 2012 and 2019.…”

Section: Cttp Cohortmentioning

confidence: 99%

“…The intervention components were extensively described in a cohort profile report (Petersen et al, (2021). Briefly, the intervention consisted of an individual intake appointment to work with trained health educators to develop an individualized quit plan that involved setting a quit date and completing the following components:…”

Section: Cttp Multicomponent Behavioral Interventionmentioning

confidence: 99%

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Racial/Ethnic Disparities Impact the Real-World Effectiveness of a Multicomponent Maternal Smoking Cessation Program: Findings from the CTTP Cohort

Wiles,

Lee,

Nelson

et al. 2023

Preprint

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Introduction: Smoking during pregnancy adversely affects perinatal outcomes for both women and infants. We conducted a retrospective cohort study of the state-funded Comprehensive Tobacco Treatment Program (CTTP) - the largest maternal tobacco cessation program in San Bernardino County, California - to determine the real-world program effectiveness and to identify variables that can potentially improve effectiveness. Methods: During 2012-2019, women who smoked during pregnancy were enrolled in CTTP's multicomponent behavioral smoking cessation program that implemented components of known efficacy (i.e., incentives, biomarker testing, feedback, and motivational interviewing). Results: We found that 40.1% achieved prolonged abstinence by achieving weekly, cotinine-verified, 7-day abstinence during 6 to 8 weeks of enrollment. Using intention-to-treat analyses, we computed that the self-reported point prevalence abstinence rate (PPA) at the six-month telephone follow-up was 36.7%. Cohort members achieving prolonged abstinence during the CTTP were five times more likely to achieve PPA six months after CTTP. Several non-Hispanic ethnicities (Black, Native American, White, or More than one ethnicity) in the cohort were two-fold less likely (relative to Hispanics) to achieve prolonged abstinence during CTTP or PPA at six months after CTTP. This disparity was further investigated in mediation analysis. Variables such as quitting during the first trimester and smoking fewer cigarettes at enrollment were also associated with achieving PPA at six months. Discussion: Racial/ethnic health disparities that have long been linked to a higher rate of maternal smoking persist even when the pregnant smoker enrolls in a smoking cessation program.

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Racial/Ethnic Disparities Impact the Real-World Effectiveness of a Multicomponent Maternal Smoking Cessation Program: Findings from the CTTP Cohort

Wiles,

Lee,

Nelson

et al. 2023

Matern Child Health J

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Introduction Smoking during pregnancy adversely affects perinatal outcomes for both women and infants. We conducted a retrospective cohort study of the state-funded Comprehensive Tobacco Treatment Program (CTTP) – the largest maternal tobacco cessation program in San Bernardino County, California – to determine the real-world program effectiveness and to identify variables that can potentially improve effectiveness. Methods During 2012–2019, women who smoked during pregnancy were enrolled in CTTP’s multicomponent behavioral smoking cessation program that implemented components of known efficacy (i.e., incentives, biomarker testing, feedback, and motivational interviewing). Results We found that 40.1% achieved prolonged abstinence by achieving weekly, cotinine-verified, 7-day abstinence during 6 to 8 weeks of enrollment. Using intention-to-treat analyses, we computed that the self-reported point prevalence abstinence rate (PPA) at the six-month telephone follow-up was 36.7%. Cohort members achieving prolonged abstinence during the CTTP were five times more likely to achieve PPA six months after CTTP. Several non-Hispanic ethnicities (Black, Native American, White, or More than one ethnicity) in the cohort were two-fold less likely (relative to Hispanics) to achieve prolonged abstinence during CTTP or PPA at six months after CTTP. This disparity was further investigated in mediation analysis. Variables such as quitting during the first trimester and smoking fewer cigarettes at enrollment were also associated with achieving PPA at six months. Discussion Racial/ethnic health disparities that have long been linked to a higher rate of maternal smoking persist even when the pregnant smoker enrolls in a smoking cessation program.

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Implementation and Outcomes of a Maternal Smoking Cessation Program for a Multi-ethnic Cohort in California, USA, 2012–2019

Cited by 6 publications

References 37 publications

Incentives for smoking cessation in pregnancy

Incentives for smoking cessation in pregnancy

Racial/Ethnic Disparities Impact the Real-World Effectiveness of a Multicomponent Maternal Smoking Cessation Program: Findings from the CTTP Cohort

Racial/Ethnic Disparities Impact the Real-World Effectiveness of a Multicomponent Maternal Smoking Cessation Program: Findings from the CTTP Cohort

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