Feasibility of a tobacco cessation intervention for pregnant Alaska Native women

Christi A. Patten, Richard A. Windsor, Caroline C. Renner, Carrie Enoch, Angela Hochreiter, Caroline Nevak, Christina A. Smith, Paul A. Decker, Sarah Bonnema, Christine A. Hughes, Tabetha Brockman

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Background: Among Alaska Native women residing in the Yukon-Kuskokwim (Y-K) Delta region of Western Alaska, about 79% smoke cigarettes or use smokeless tobacco during pregnancy. Treatment methods developed and evaluated among Alaska Native pregnant tobacco users do not exist. This pilot study used a randomized two-group design to assess the feasibility and acceptability of a targeted cessation intervention for Alaska Native pregnant women. Methods: Recruitment occurred over an 8-month period. Enrolled participants were randomly assigned to the control group (n = 18; brief face-to-face counseling at the first visit and written materials) or to the intervention group (n = 17) consisting of face-to-face counseling at the first visit, four telephone calls, a video highlighting personal stories, and a cessation guide. Interview-based assessments were conducted at baseline and follow-up during pregnancy (≥60 days postrandomization). Feasibility was determined by the recruitment and retention rates. Results: The participation rate was very low with only 12% of eligible women (35/293) enrolled. Among enrolled participants, the study retention rates were high in both the intervention (71%) and control (94%) groups. The biochemically confirmed abstinence rates at follow-up were 0% and 6% for the intervention and control groups, respectively. Discussion: The low enrollment rate suggests that the program was not feasible or acceptable. Alternative approaches are needed to improve the reach and efficacy of cessation interventions for Alaska Native women.

Original languageEnglish (US)
Article numberntp180
Pages (from-to)79-87
Number of pages9
JournalNicotine and Tobacco Research
Issue number2
StatePublished - Feb 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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