Increasing Access to Smoking Cessation and Smoke Free Home Services for Low-Income Pregnant Women in Northeast Texas

NCT ID: NCT05051345

Last Updated: 2025-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

54158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-18

Study Completion Date

2027-02-02

Brief Summary

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This trial seeks to increase access to smoking cessation services to low-income pregnant women. Smoking is associated with an increased risk of developing cancer. Smoking during pregnancy smoking is associated with an increased risk of low birth weight, a condition that is associated with neonatal, perinatal, and infant morbidity and mortality. The overall goal of this trial is to help patients make healthy choices and provide support during pregnancy and in the first few months after the birth of the baby.

Detailed Description

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PRIMARY OBJECTIVES:

I. Establish proactive referral to services. II. Provide access to evidence-based counseling and app-based smoking cessation, relapse prevention services, and counseling to household members of pregnant women who smoke III. Provide access to smoke free homes intervention. IV. Provide access to evidence-based counseling for non-pregnant smokers and access to smoke free homes intervention for non-pregnant individuals who have smoking in the home.

OUTLINE:

GOAL 1: Participants download and use the Wellness app onto their smartphones. Participants also receive information on the services provided for pregnant women and smoking cessation.

GOAL 2: Participants receive telephone counseling sessions over 30-45 minutes for a minimum of 6 sessions in the prenatal period and about 4-6 postpartum period. Participants who start counseling after birth, may receive 6-8 sessions up to 4 months postpartum. Participants may also use the Pregnancy and Wellness smartphone app that provides wellness messages, smoking cessation information, relapse prevention tips, and tips to create a smoke-free home. Participants also receive tobacco cessation self-help materials including National Partnership for Smoke Free Families and Forever Free Baby and Me.

GOAL 3: Participants receive the Smoke-Free Homes kit providing guidance for how to talk with household members and visitors about not smoking inside the home. Participants may also receive 3 separate Smoke-Free Homes mailings over 6 weeks, and a coaching call from a Baby Steps for Health counselor to help follow the steps described in the mailed materials in order to set up a smoke-free home.

GOAL 4: Non-pregnant participants receive telephone counseling sessions over 30 minutes for 6-8 sessions over a 3 month period.

Conditions

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Cigarette Smoking-Related Carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Goal 1 (Wellness app)

Participants download and use the Wellness app onto their smartphones. Participants also receive information on the services provided for pregnant women and smoking cessation.

Group Type EXPERIMENTAL

Informational Intervention

Intervention Type OTHER

Receive information on the services provided for pregnant women and smoking cessation

Media Intervention

Intervention Type OTHER

Download and use the Wellness app

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Survey Administration

Intervention Type OTHER

Ancillary studies

Goal 2 (counseling, Wellness app, self-help)

Participants receive telephone counseling sessions over 30-45 minutes for a minimum of 6 sessions in the prenatal period and about 4-6 postpartum period. Participants who start counseling after birth, may receive 6-8 sessions up to 4 months postpartum. Participants may also use the Pregnancy and Wellness smartphone app that provides wellness messages, smoking cessation information, relapse prevention tips, and tips to create a smoke-free home. Participants also receive tobacco cessation self-help materials including National Partnership for Smoke Free Families and Forever Free Baby and Me.

Group Type EXPERIMENTAL

Informational Intervention

Intervention Type OTHER

Receive tobacco cessation self-help materials

Media Intervention

Intervention Type OTHER

Download and use the Wellness app

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Survey Administration

Intervention Type OTHER

Ancillary studies

Telephone-Based Intervention

Intervention Type BEHAVIORAL

Receive telephone counseling sessions

Tobacco Cessation Counseling

Intervention Type OTHER

Receive telephone counseling sessions

Goal 3 (Smoke-free Homes)

Participants receive the Smoke-Free Homes kit providing guidance for how to talk with household members and visitors about not smoking inside the home. Participants may also receive 3 separate Smoke-Free Homes mailings over 6 weeks, and a coaching call from a Baby Steps for Health counselor to help follow the steps described in the mailed materials in order to set up a smoke-free home.

Group Type EXPERIMENTAL

Informational Intervention

Intervention Type OTHER

Receive Smoke-Free Homes mailings

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Smoking Cessation Intervention

Intervention Type BEHAVIORAL

Receive Smoke-Free Homes kit

Survey Administration

Intervention Type OTHER

Ancillary studies

Telephone-Based Intervention

Intervention Type BEHAVIORAL

Receive a coaching call from a Baby Steps for Health counselor

Goal 4 (counseling)

Non-pregnant participants receive telephone counseling sessions over 30 minutes for 6-8 sessions over a 3 month period.

Group Type EXPERIMENTAL

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Survey Administration

Intervention Type OTHER

Ancillary studies

Telephone-Based Intervention

Intervention Type BEHAVIORAL

Receive telephone counseling sessions

Tobacco Cessation Counseling

Intervention Type OTHER

Receive telephone counseling sessions

Interventions

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Informational Intervention

Receive information on the services provided for pregnant women and smoking cessation

Intervention Type OTHER

Informational Intervention

Receive tobacco cessation self-help materials

Intervention Type OTHER

Informational Intervention

Receive Smoke-Free Homes mailings

Intervention Type OTHER

Media Intervention

Download and use the Wellness app

Intervention Type OTHER

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Smoking Cessation Intervention

Receive Smoke-Free Homes kit

Intervention Type BEHAVIORAL

Survey Administration

Ancillary studies

Intervention Type OTHER

Telephone-Based Intervention

Receive telephone counseling sessions

Intervention Type BEHAVIORAL

Telephone-Based Intervention

Receive a coaching call from a Baby Steps for Health counselor

Intervention Type BEHAVIORAL

Tobacco Cessation Counseling

Receive telephone counseling sessions

Intervention Type OTHER

Other Intervention Names

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Smoking and Tobacco Use Cessation Interventions

Eligibility Criteria

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Inclusion Criteria

* PRE-TEST SURVEY FOR PREGNANT WOMEN: Currently pregnant
* PRE-TEST SURVEY FOR PREGNANT WOMEN: Currently receiving services at one of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or Federally Qualified Health Centers (FQHC) clinics listed in the protocol
* PRE-TEST SURVEY FOR PREGNANT WOMEN: Self-report being a current smoker, having quit for the pregnancy or allowing smoking in the home
* PRE-TEST SURVEY FOR PREGNANT WOMEN: Reside in Texas
* PRE-TEST SURVEY FOR PREGNANT WOMEN: Consent to take surveys
* PRE-TEST SURVEY FOR PREGNANT WOMEN: English or Spanish speaking
* SERVICES OFFERED TO PREGNANT WOMEN: Currently pregnant or within the first 4 months of postpartum period
* SERVICES OFFERED TO PREGNANT WOMEN: Self-report that they are currently receiving services at one of the WIC or FQHC clinics listed in the protocol
* SERVICES OFFERED TO PREGNANT WOMEN: Self-report being a current smoker, having quit for the pregnancy or allowing smoking in the home
* SERVICES OFFERED TO PREGNANT WOMEN: Reside in Texas
* SERVICES OFFERED TO PREGNANT WOMEN: Willing to provide address, telephone contact or download app onto their smartphones
* SERVICES OFFERED TO PREGNANT WOMEN: English or Spanish speaking
* HOUSEHOLD MEMBERS OF PREGNANT WOMEN: Self-report that he/she currently smokes and lives in the household with the pregnant woman who is receiving services
* HOUSEHOLD MEMBERS OF PREGNANT WOMEN: Reside in Texas
* HOUSEHOLD MEMBERS OF PREGNANT WOMEN: English or Spanish speaking
* SERVICES OFFERED TO NON-PREGNANT INDIVIDUALS: Currently receiving services at one of the WIC or FQHC clinics listed in the protocol
* SERVICES OFFERED TO NON-PREGNANT INDIVIDUALS: Self-report being a current smoker or allowing smoking in the home
* SERVICES OFFERED TO NON-PREGNANT INDIVIDUALS: Reside in Texas
* SERVICES OFFERED TO NON-PREGNANT INDIVIDUALS: English or Spanish speaking
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jan Blalock

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jan Blalock

Role: CONTACT

713-745-1728

Facility Contacts

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Jan Blalock

Role: primary

713-745-1728

Related Links

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http://www.mdanderson.org

University of Texas MD Anderson Cancer Center Website

Other Identifiers

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NCI-2020-07338

Identifier Type: REGISTRY

Identifier Source: secondary_id

2018-0901

Identifier Type: OTHER

Identifier Source: secondary_id

2018-0901

Identifier Type: -

Identifier Source: org_study_id

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