258967 Effectiveness Evaluation of the WV RFTS-SCRIPT Dissemination Program: A Science to Practice Partnership

Monday, October 29, 2012

Richard Windsor, PhD, MS , School of Public Health and Health Services, George Washington University, Washington, DC
The WV Right From The Start (RFTS) Program provides home-based targeted case management to Medicaid-eligible clients state-wide. Designated Care Coordinators, registered nurses and licensed social workers, provide multiple services, including tobacco treatment. RFTS has reported a smoking rate of > 40% since 2000. In response, the Smoking Cessation and Reduction In Pregnancy Treatment (SCRIPT) Project became the evidence-based tobacco treatment for dissemination and adoption by RFTS in 2006. The purpose of this study was to assess the effectiveness and behavioral impact of the RFTS–SCRIPT Dissemination Project. We implemented a quasi-experimental, Non-Randomized, Historical Comparison (C) Group design, to evaluate behavioral impact. The RFTS-SCRIPT Experimental E Group (N= 259) were all clients in 2009-2010 who provided a CO at screening, wanted to quit, received the SCRIPT visit and had > 1 follow-up. The RFTS Historical Comparison (C) Group (N= 259) was derived from clients in 2006-2007 and a stratification-matching process with E Group clients based on baseline CO in 10 strata. A statistically significant increase in CO-confirmed cessation rate (+ 9.3%) and a significant increase in clients reporting MD advice to quit (+ 9.0%) were documented for the E vs C groups. While many implementation issues were faced, 28% of the RFTS smokers accepted SCRIPT and an additional 9.3% of smokers quit. These results are new for a home-based tobacco treatment program, providing valid evidence that an additional proportion of women can change their smoking behavior late in pregnancy.

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

Learning Objectives:
1. Define the Procedures in the evidence-based tobacco treatment program, SCRIPT. 2. Describe how to disseminate the evidenced-based tobacco treatment program, SCRIPT, in a prenatal system of care.

Keywords: Tobacco, Pregnancy Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of this effectiveness evaluation of the SCRIPT evidence-based program disseminated throughout the state of West Virginia in collaboration with the W.V. DHHS. This Project expands on my previous work in promoting smoking cessation among pregnant women, involves training public health nurses/social workers in the 5 A’s consistent with American College of Obstetricians and Gynecologists (ACOG) guidelines.
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.