Perinatal Navigator Approach to Smoking Cessation for Women With Prevalent Opioid Dependence

Amanda Fallin-Bennett, Kathy Rademacher, Holly Dye, Alex Elswick, Kristin Ashford, Amie Goodin

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Women who smoke during pregnancy face psychosocial barriers to cessation, and women with opioid use disorder (OUD) face amplified barriers. We pilot tested a Perinatal Wellness Navigator (PWN) program for a group of high-risk perinatal women (N = 50; n = 42 with OUD) that consisted of (a) one-on-one tobacco treatment, (b) comprehensive assessment of cessation barriers, and (c) linkage to clinical/social services. Outcome measures were assessed at baseline and postintervention. Participants smoked 10 fewer cigarettes per day (p =.05) at postintervention and were less dependent on nicotine (p <.01). Mean postnatal depression scores (p =.03) and perceived stress (p =.03) decreased postintervention. Participants received at least one referral at baseline (n = 106 total), and 10 participants received an additional 18 referrals at postintervention to address cessation barriers. The PWN program was minimally effective in promoting total tobacco abstinence in a high-risk group of perinatal women, but participants experienced reductions in cigarettes smoked per day, nicotine dependence, stress, and depression.

Original languageEnglish
Pages (from-to)1103-1120
Number of pages18
JournalWestern Journal of Nursing Research
Volume41
Issue number8
DOIs
StatePublished - Aug 1 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2019.

Keywords

  • health behavior/symptom focus
  • parenting/families
  • perinatal
  • population focus
  • smoking

ASJC Scopus subject areas

  • General Nursing

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