Healthy Pregnancies Project: Cluster Randomized Controlled Trial of a Community Intervention to Reduce Tobacco Use among Alaska Native Women Article Swipe
Christi A. Patten
,
Harry A. Lando
,
Chris A. Desnoyers
,
Martha J. Bock
,
Lucinda Alexie
,
Paul A. Decker
,
Christine A. Hughes
,
Ken Resnicow
,
Linda Burhansstipanov
,
Rahnia Boyer
,
Joseph Klejka
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph17249302
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph17249302
Substantial gaps remain in the evidence base for prenatal tobacco use interventions among Indigenous women. Using a cluster randomized controlled trial (RCT), the Healthy Pregnancies Project evaluated a community-level intervention for Alaska Native (AN) women in rural western Alaska. Sixteen villages were randomly assigned to usual care (control, n = 8 villages) or usual care plus a community-level intervention delivered by local AN “Native Sisters” (n = 8 villages). Outcomes were tobacco use rate at delivery and at 2 and 6 months postpartum, with biochemical confirmation obtained at 6 months. The program had high reach, enrolling 73% of all eligible women screened. Of the 352 participants, 67% used tobacco at baseline. No significant differences emerged between study groups on follow-up in tobacco use rates. More intervention than control participants made a quit attempt at 2 months postpartum (70% vs. 51%, respectively, p = 0.012). Participants in both study groups reported the program helped to raise awareness of healthy pregnancies in the study villages. This trial supports the reach of a community-level intervention, but not its efficacy for reducing tobacco use during pregnancy or postpartum. Efforts to sustain early quit attempts appear warranted. The community involvement, and reported impact on raising awareness of the importance of healthy pregnancies, supports the value of the research program in this community.
Related Topics
Concepts
Randomized controlled trial
Medicine
Psychological intervention
Intervention (counseling)
Indigenous
Pregnancy
Cluster randomised controlled trial
Tobacco control
Cluster (spacecraft)
Environmental health
Demography
Public health
Nursing
Surgery
Genetics
Computer science
Sociology
Programming language
Ecology
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijerph17249302
- https://www.mdpi.com/1660-4601/17/24/9302/pdf?version=1607760569
- OA Status
- gold
- Cited By
- 7
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3110877435
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3110877435Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijerph17249302Digital Object Identifier
- Title
-
Healthy Pregnancies Project: Cluster Randomized Controlled Trial of a Community Intervention to Reduce Tobacco Use among Alaska Native WomenWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-12Full publication date if available
- Authors
-
Christi A. Patten, Harry A. Lando, Chris A. Desnoyers, Martha J. Bock, Lucinda Alexie, Paul A. Decker, Christine A. Hughes, Ken Resnicow, Linda Burhansstipanov, Rahnia Boyer, Joseph KlejkaList of authors in order
- Landing page
-
https://doi.org/10.3390/ijerph17249302Publisher landing page
- PDF URL
-
https://www.mdpi.com/1660-4601/17/24/9302/pdf?version=1607760569Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/1660-4601/17/24/9302/pdf?version=1607760569Direct OA link when available
- Concepts
-
Randomized controlled trial, Medicine, Psychological intervention, Intervention (counseling), Indigenous, Pregnancy, Cluster randomised controlled trial, Tobacco control, Cluster (spacecraft), Environmental health, Demography, Public health, Nursing, Surgery, Genetics, Computer science, Sociology, Programming language, Ecology, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 1, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
- References (count)
-
37Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.women | 34, 100 |
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| abstract_inverted_index.Native | 32 |
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| abstract_inverted_index.impact | 197 |
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| corresponding_author_ids | https://openalex.org/A5062114840 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I1330342723 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8899999856948853 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.79623901 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |