226318 GIFTS (Giving Infants and Families Tobacco-free Starts): A Bundled Approach to Help Pregnant Mothers Quit Smoking

Monday, November 8, 2010 : 4:30 PM - 4:50 PM

Joyce Robl, MS, CGC , Division of Maternal and Child Health, Kentucky Department for Public Health, Frankfort, KY
Kristin Beth Ashford, PhD , College of Nursing, University of Kentucky, Lexington, KY
Irene Centers, BA , Tobacco Prevention and Cessation, Kentucky Department for Public Health, Frankfort, KY
Andrea McCubbin, BS , College of Nursing, University of Kentukcy, Lexington, KY
Ruth Ann Shepherd, MD, FAAP, CPHQ , Division of Maternal and Child Health, Kentucky Department for Public Health, Frankfort, KY
Introduction: Nationally, Kentucky ranks second highest in prevalence of women who smoke during pregnancy (26.7% vs. 13.2%). Adverse pregnancy complications including low birth weight infants, preterm birth and SIDS is associated with prenatal smoking and SHS exposure. The goal of the GIFTS pilot is to reduce prenatal smoking in 9 rural counties of eastern Kentucky.

Method(s): Collaboration between the University of Kentucky and Kentucky Department for Public Health initiated GIFTS. Trained employees offered an innovative bundling of research-based interventions while incorporating incentives at three time points. Interventionists trained in motivational interviewing and 5 A's counseling also screen for social support, depression, domestic violence and SHS exposure. Biomarker validation of smoking status (Carbon Monoxide levels) and all program elements are recorded in a comprehensive database.

Results: In a 23 month period, 1519 pregnant women that smoke were identified; 52% enrolled; 48.6% set quit dates; and 22.4% quit smoking. 918 women had a positive screen for depression, domestic violence, social support or secondhand smoke exposure. Nearly half (42%) of GIFTS participants consented to a fax referral to KY QuitLine. Characteristics of QuitLine participants will be contrasted with those declining this service using demographic, smoking status and social support variables.

Discussion: Clearly the GIFTS program is increasing quit attempts, quit rates and referrals to the KY Tobacco Quit line. Intervention bundling, individualized support, biomarker validation and incentives may be a necessary component of smoking cessation programs in high-risk populations and regions.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning
Public health or related nursing

Learning Objectives:
1) Define five key evidence-based interventions of the GIFTS (Giving Infants and Families Tobacco-free Starts) program. 2) Describe the process and purpose of biomarker validation with the GIFTS program. 3) Identify three psychosocial and behavioral barriers that impact smoking cessation for pregnant women 4)Describe the characteristics of rural Kentucky women who complete the fax referral process to the Kentucky Tobacco Quit Line

Keywords: Prenatal Interventions, Smoking Cessation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am the Administrator of the KY GIFTS (Giving Infants and Families Tobacoo-free Starts) program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.