Persistent Poverty Counties Pregnant Women With Medicaid

Enrolling by invitation · Not applicable

Conditions studied: Tobacco Cessation, Tobacco Use, Tobacco Smoking, Smoking Cessation Financial Incentives, Socioeconomic Status, Contingency Management, Pregnancy

In brief

Although many women initially quit smoking during pregnancy, most will return to smoking by the end of pregnancy or during the first 6 months postpartum. The proposed pilot project is designed to evaluate the feasibility and potential efficacy of offering small financial incentives for the completion of smoking cessation coaching and biochemically-verified smoking abstinence at follow-up among pregnant women with Medicaid insurance who contact the Oklahoma Tobacco Helpline (OTH). The study will enroll 100 pregnant women who will be randomly assigned to OTH care or OTH plus escalating incentives (OTH+I) for completing up to 5 coaching calls over the first 8 weeks after enrolling (prepartum) and for biochemically-verified smoking abstinence at 9 weeks post-enrollment (assessed remotely via smartphone). In addition, participants will be incentivized for completing a postpartum coaching call by 8 weeks postpartum. Feasibility outcomes for the incentives based intervention will focus on coaching call completion, rates of prepartum and postpartum follow-up, biochemically-verified smoking cessation, and perceptions of the intervention. Potential effectiveness will be evaluated by comparing biochemically-verified smoking abstinence rates in OTH+I relative to OTH alone at 12 weeks post-enrollment (prepartum) and 12 weeks postpartum.

Key facts

Study ID

NCT05415371

Run by

University of Oklahoma

People needed

100

Starts

2022-09-30

Expected to finish

2025-12-31

Last updated by the study team

2024-10-02

Who can join

Age: 18 and older, up to 105. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• contact the Oklahoma Tobacco Helpline seeking smoking cessation treatment, and enroll in the multiple call program
• are a female ≤ 25 weeks pregnant
• report smoking ≥ 5 cigarettes per day
• are ≥ 18 years of age
• are able to provide a copy/photo of their ID/driver's license or other documentation of identity
• are able to read, speak, and understand English

You may not qualify if…

• participants will be excluded if they do not meet the inclusion criteria

Where it is running

• TSET Health Promotion Research Center — Oklahoma City, Oklahoma, United States

Full record on ClinicalTrials.gov

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