Interactive Videos on Smoking Cessation for Pregnant Women and Their Families

The purpose of this project is to develop and test a stage-based, interactive, multimedia software program designed to involve pregnant women in learning about the harmful effects of smoking, encourage them to quit smoking, assist them to progress through the stages of change, and help them avoid a return to smoking after delivery. The investigators will design videos and accompanying scripts using information collected from: (1) a telephone survey of pregnant WIC clients to determine their knowledge and attitudes about smoking and pregnancy; (2) focus groups with WIC clinic clients to gauge the acceptability and effectiveness of the video modules; and (3) focus groups with WIC clinic staff to obtain input on how best to integrate the program into the WIC system. The intervention would then be pilot-tested on a group of WIC clients. The coordinated, interactive software modules will use a "soap opera" format to engage participating women in scenarios in which they play the role of advisors for pregnant women and through which they receive personalized guidance on quitting methods. An additional take-home video will emphasize information relevant to the end of pregnancy (e.g., about the harmful effects of passive smoking, relapse prevention methods, and advice on how to keep the home smoke-free). In order to estimate the effect of the intervention on quit rates, the investigators will collect data on a comparison group of pregnant WIC clinic clients receiving "usual care" smoking cessation advice. The actual cost of implementing the intervention will also be documented to determine whether the intervention, if proven effective, could be reproduced at low cost. Study findings will be disseminated to local agencies, to the State of Nebraska Health Department officials, and to WIC program directors in other states. Findings will also be presented at national meetings, and through journal articles. It is expected that, if found to be feasible and acceptable, the intervention has the potential to help pregnant smokers quit smoking permanently, and to give health care providers a low-cost alternative to face-to-face counseling that could be easily disseminated and readily integrated into the prenatal care setting.

Grant Details

Amount Awarded $182,399.00

Awarded on: 1/29/1996

Time frame: 2/1/1996 - 12/31/1997

Grant Number: 28495


Creighton University School of Medicine

2500 California Plaza
Omaha, 68178-0001

Walter J. Scott
Project Director