Striving to Quit: First Breath
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Smoking Cessation, Tobacco Consumers |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | September 2012 |
| End Date: | December 2016 |
Striving to Quit: First Breath Tobacco Cessation Research
This study is designed to test the hypotheses that incentives can increase both
participation in smoking cessation treatment and resulting cessation rates, when they are
offered to Medicaid BadgerCare Plus pregnant smokers.
participation in smoking cessation treatment and resulting cessation rates, when they are
offered to Medicaid BadgerCare Plus pregnant smokers.
Aim 1: To determine the extent to which contingent financial "treatment incentives" (i.e.,
incentives for biochemical verification visits, treatment engagement, and abstinence) versus
"attendance incentives" (i.e., incentives for only attending the biochemical verification
visits), increase rates of prenatal and postnatal smoking abstinence. Participants will be
BadgerCare Plus members who are recruited into the First Breath program while pregnant.
Aim 2: To determine the extent to which treatment incentives, versus attendance incentives,
increase rates of engagement in First Breath smoking cessation intervention when offered to
pregnant and postpartum BadgerCare Plus members.
Aim 3: To determine the cost‐effectiveness and reach of the First Breath intervention
delivered to pregnant and postpartum smokers when it is paired with treatment incentives and
when paired with only attendance incentives.
Aim 4: To determine if the First Breath intervention with treatment incentives, in
comparison to that intervention with only attendance incentives, produces significantly
greater benefits in pregnant and postpartum women with regards to nonsmoking health
outcomes: i.e., reduced depression, increased levels of breast feeding, and greater
perceived support.
Aim 5: To identify moderating and mediating effects of treatment incentives when offered in
the context of the First Breath intervention delivered to pregnant and postpartum women.
incentives for biochemical verification visits, treatment engagement, and abstinence) versus
"attendance incentives" (i.e., incentives for only attending the biochemical verification
visits), increase rates of prenatal and postnatal smoking abstinence. Participants will be
BadgerCare Plus members who are recruited into the First Breath program while pregnant.
Aim 2: To determine the extent to which treatment incentives, versus attendance incentives,
increase rates of engagement in First Breath smoking cessation intervention when offered to
pregnant and postpartum BadgerCare Plus members.
Aim 3: To determine the cost‐effectiveness and reach of the First Breath intervention
delivered to pregnant and postpartum smokers when it is paired with treatment incentives and
when paired with only attendance incentives.
Aim 4: To determine if the First Breath intervention with treatment incentives, in
comparison to that intervention with only attendance incentives, produces significantly
greater benefits in pregnant and postpartum women with regards to nonsmoking health
outcomes: i.e., reduced depression, increased levels of breast feeding, and greater
perceived support.
Aim 5: To identify moderating and mediating effects of treatment incentives when offered in
the context of the First Breath intervention delivered to pregnant and postpartum women.
Inclusion Criteria:
- pregnant women
- enrollment in Wisconsin Medicaid (BadgerCare Plus or Medicaid SSI)
- resides in study area
- member of participating Medicaid HMOs
- not involved in any other stop smoking research studies
- 18 or older
- English speaking
- smoked daily (at least one cigarette each day for at least one week) at some time
within the last 6 months
- willingness to quit smoking, cut down, or stay quit
- willing to complete study visits and phone calls
- willing to provide updates in contact information
Exclusion Criteria:
- not enrolled in Wisconsin Medicaid (BadgerCare Plus or Medicaid SSI)
- not enrolled in study area
- not a member of participating Medicaid HMOs
- not pregnant or enrolled in First Breath
- less than 18 years of age
- non-English speaking
- does not smoke daily (at least one cigarette each day for at least one week) at least
some time within the last 6 months
- not willing to complete study procedures and assessments or provide updated contact
information
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