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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Integrating Tobacco Treatment in New and High Risk Mothers' Home Visits

Joyce Swetlick, MPH, Ohio Tobacco Use Prevention and Control Foundation, 300 E. Broad Street, Suite 310, Columbus, OH 43215

Objective: Home visitors for new and high risk mothers have been utilized to address tobacco use and secondhand smoke in many areas throughout Ohio. However; the quality of information, treatment, and delivery has been inconsistent and overall ineffective. Quit rates have ranged between negligible to 14%. Therefore, TUPCF partnered with Cincinnati's Children Hospital, Assuring Smokefree Homes in the development of an integrated tobacco treatment curriculum and training for home visitors. In Ohio, 17.9% of pregnant women are tobacco users.

Methods: •Discussion with home visitors and review of current materials and training. •Creation of curriculum comprised of 5As, Stages of Change Theory, the quitline and self help materials so that treatment can be individualized to the tobacco user's stage of change with a combination of treatment options. •Pilot curriculum for ease and relevance of use of by motivated home visitors from various employers (i.e., hospitals, health departments, etc.) •Revision of curriculum based on pilot •Training of home visitors on curriculum •Implementation and follow-up of curriculum in home settings by various institutions •A control group is working with the high risk and new mothers as before without curricula. •Outcome data from clients and qualitative data from home visitors •Comparison shown between control and intervention groups.

Results: Because of the standardized curriculum and training of home visitors, home visitors feel more comfortable talking about tobacco use and hence more mothers in the intervention group are either quitting or reducing cigarette consumption during pregnancy than the control. Specific data will be available by June 2006.