Multilevel Intervention for Low-Income Maternal Smokers in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Bibliographic Data

ID11022851
AuthorsBradley N Collins (0000-0003-3703-9630, Bradley N. Collins and Stephen J. Lepore are with the Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA. Brian L. Egleston is with the Biostatistics and Bioinformatics Facility, Fox Chase Cancer Center, Philadelphia, PA.), Stephen J Lepore (0000-0001-7370-6280, Bradley N. Collins and Stephen J. Lepore are with the Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA. Brian L. Egleston is with the Biostatistics and Bioinformatics Facility, Fox Chase Cancer Center, Philadelphia, PA.), Brian L Egleston (0000-0002-1633-799X, Bradley N. Collins and Stephen J. Lepore are with the Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA. Brian L. Egleston is with the Biostatistics and Bioinformatics Facility, Fox Chase Cancer Center, Philadelphia, PA.)
Year2022
Volume112
Issue3
Pages472-481
Publication date2022-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2021.306601
PMID35196033
OpenAlexW4213436776
LanguageEN
Citations received2
References cited19

Objectives. To test the efficacy of Babies Living Safe and Smokefree (BLiSS), a multilevel intervention initiated in a citywide safety net health system to improve low-income maternal smokers’ abstinence and reduce child tobacco smoke exposure. Methods. This randomized controlled trial in Philadelphia, Pennsylvania (2015–2020), recruited low-income maternal smokers who received a brief smoking intervention (Ask, Advise, Refer [AAR]) from nutrition professionals in the Special Supplemental Nutrition Program for Women, Infants, and Children before randomization to (1) a multilevel intervention (AAR + multimodal behavioral intervention [MBI]; n = 199) or (2) an attention control intervention (AAR + control; n = 197). Results. AAR + MBI mothers had significantly higher 12-month bioverified abstinence rates than did AAR + control mothers (odds ratio [OR] = 9.55; 95% confidence interval [CI] = 1.54, 59.30; P = .015). There were significant effects of time (b = −0.15; SE = 0.04; P Conclusions. The multilevel BLiSS intervention was acceptable and efficacious in a population that experiences elevated challenges with cessation. Public Health Implications. BLiSS is a translatable intervention model that can successfully improve efforts to address the persistent tobacco-related burdens in low-income communities. Trial Registration. Clinical Trials.gov identifier: NCT02602288. (Am J Public Health. 2022;112(3):472–481. https://doi.org/10.2105/AJPH.2021.306601 )

Abstinence · Confidence interval · Intervention (counseling) · Multilevel model · Population · Public health · Randomized controlled trial · Breastfeeding Practices and Influences · Prenatal Substance Exposure Effects · Smoking Behavior and Cessation

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