Healthy Pregnancies Project: Cluster Randomized Controlled Trial of a Community Intervention to Reduce Tobacco Use among Alaska Native Women

被引:6
作者
Patten, Christi A. [1 ,3 ]
Lando, Harry A. [2 ]
Desnoyers, Chris A. [3 ]
Bock, Martha J. [1 ]
Alexie, Lucinda [3 ]
Decker, Paul A. [4 ]
Hughes, Christine A. [1 ]
Resnicow, Kenneth [5 ]
Burhansstipanov, Linda [6 ]
Boyer, Rahnia [3 ]
Klejka, Joseph [3 ]
机构
[1] Mayo Clin, Dept Psychiat & Psychol, 200 First St SW, Rochester, MN 55905 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, 1300 2nd St,Ste 200, Minneapolis, MN 55454 USA
[3] Yukon Kuskokwim Hlth Corp, 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 USA
[4] Mayo Clin, Dept Hlth Sci Res, Harwick 7,200 First St SW, Rochester, MN 55905 USA
[5] Univ Michigan, Sch Publ Hlth, 109 S Observ,3867 SPH1, Ann Arbor, MI 48109 USA
[6] Native Amer Canc Initiat Inc, 3022 South Nova Rd, Pine, CO 80470 USA
关键词
tobacco; pregnancy; community; Alaska Native; women; intervention; SMOKING-CESSATION; INDIGENOUS WOMEN; EXPOSURE; FEASIBILITY; IMPLEMENTATION; EDUCATION; PROGRAM; SUPPORT;
D O I
10.3390/ijerph17249302
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Substantial gaps remain in the evidence base for prenatal tobacco use interventions among Indigenous women. Using a cluster randomized controlled trial (RCT), the Healthy Pregnancies Project evaluated a community-level intervention for Alaska Native (AN) women in rural western Alaska. Sixteen villages were randomly assigned to usual care (control, n = 8 villages) or usual care plus a community-level intervention delivered by local AN "Native Sisters" (n = 8 villages). Outcomes were tobacco use rate at delivery and at 2 and 6 months postpartum, with biochemical confirmation obtained at 6 months. The program had high reach, enrolling 73% of all eligible women screened. Of the 352 participants, 67% used tobacco at baseline. No significant differences emerged between study groups on follow-up in tobacco use rates. More intervention than control participants made a quit attempt at 2 months postpartum (70% vs. 51%, respectively, p = 0.012). Participants in both study groups reported the program helped to raise awareness of healthy pregnancies in the study villages. This trial supports the reach of a community-level intervention, but not its efficacy for reducing tobacco use during pregnancy or postpartum. Efforts to sustain early quit attempts appear warranted. The community involvement, and reported impact on raising awareness of the importance of healthy pregnancies, supports the value of the research program in this community.
引用
收藏
页码:1 / 14
页数:14
相关论文
共 38 条
[1]  
Alaska Department of Health and Social Services, SECT CHRON DIS PREV
[2]  
[Anonymous], 2015, BEST PRACT COMPR TOB
[3]   Biochemical Verification of Tobacco Use and Abstinence: 2019 Update [J].
Benowitz, Neal L. ;
Bernert, John T. ;
Foulds, Jonathan ;
Hecht, Stephen S. ;
Jacob, Peyton, III ;
Jarvis, Martin J. ;
Joseph, Anne ;
Oncken, Cheryl ;
Piper, Megan E. .
NICOTINE & TOBACCO RESEARCH, 2020, 22 (07) :1086-1097
[4]   Success of smoking cessation interventions during pregnancy [J].
Berard, Anick ;
Zhao, Jin-Ping ;
Sheehy, Odile .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2016, 215 (05) :611.e1-611.e8
[5]   Findings from the Native Navigators and The Cancer Continuum (NNACC) Study [J].
Burhansstipanov, Linda ;
Krebs, Linda U. ;
Dignan, Mark B. ;
Jones, Kate ;
Harjo, Lisa D. ;
Watanabe-Galloway, Shinobu ;
Petereit, Daniel G. ;
Pingatore, Noel L. ;
Isham, Debra .
JOURNAL OF CANCER EDUCATION, 2014, 29 (03) :420-427
[6]   Breast Screening Navigator Programs within Three Settings that Assist Underserved Women [J].
Burhansstipanov, Linda ;
Dignan, Mark B. ;
Schumacher, Ann ;
Krebs, Linda U. ;
Alfonsi, Grace ;
Apodaca, CeCilia Ceci .
JOURNAL OF CANCER EDUCATION, 2010, 25 (02) :247-252
[7]   Psychosocial interventions for supporting women to stop smoking in pregnancy [J].
Chamberlain, Catherine ;
O'Mara-Eves, Alison ;
Porter, Jessie ;
Coleman, Tim ;
Perlen, Susan M. ;
Thomas, James ;
McKenzie, Joanne E. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (02)
[8]   Diagnostic accuracy of NicAlert cotinine test strips in saliva for verifying smoking status [J].
Cooke, Fiona ;
Bullen, Chris ;
Whittaker, Robyn ;
McRobbie, Hayden ;
Chen, Mei-Hua ;
Walker, Natalie .
NICOTINE & TOBACCO RESEARCH, 2008, 10 (04) :607-612
[9]   An intensive smoking intervention for pregnant Aboriginal and Torres Strait Islander women: a randomised controlled trial [J].
Eades, Sandra J. ;
Sanson-Fisher, Rob W. ;
Wenitong, Mark ;
Panaretto, Katie ;
D'Este, Catherine ;
Gilligan, Conor ;
Stewart, Jessica .
MEDICAL JOURNAL OF AUSTRALIA, 2012, 197 (01) :42-46
[10]   Sources and Frequency of Secondhand Smoke Exposure During Pregnancy [J].
Eiden, Rina D. ;
Molnar, Danielle S. ;
Leonard, Kenneth E. ;
Colder, Craig R. ;
Homish, Gregory G. ;
Maiorana, Nicole ;
Schuetze, Pamela ;
Connors, Gerard J. .
NICOTINE & TOBACCO RESEARCH, 2011, 13 (08) :653-660