Integrating Community Health Workers into Prenatal Care for Smoking Cessation

This study is testing a new approach to help pregnant women in San Bernardino County stop smoking. It compares standard care, which offers referrals to smoking cessation resources, with a program called "HCP-CHW Integration into Prenatal Care for Smoking Cessation." This program adds home visits (up to 8) from Community Health Workers (CHWs) who provide support and materials to help you quit smoking before, during, and after a quit date. You may be able to join if you are a woman over 18, less than 24 weeks pregnant, currently smoke, are willing to quit, and are enrolled in prenatal care. Success for this study means participants report they have stopped smoking between baseline and one month after giving birth. The current recruitment status is unclear.

Study design
This is an interventional study with a planned enrollment of 105 participants. It is a pilot randomized controlled trial, meaning participants will be randomly assigned to one of the two groups.
What's involved
If you join, you would either receive standard care or up to eight home visits from a Community Health Worker. These visits will include watching a video and reviewing self-help materials.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed to measure self-reported tobacco abstinence between baseline and one month postpartum, typically ten months.

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NCT06438549

Integrating CHWs Into Prenatal Care for Maternal Smoking Cessation

Recruiting
NAAges 18+InterventionalTreatment
Loma Linda University
~105 participants
Updated 2026-06-08 on ClinicalTrials.gov
What's tested:HCP-CHW Integration into Prenatal Care for Smoking CessationControl Arm

At a glance

Recruiting sites
1 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Self-Report Tobacco Abstinence
Measured over Change between baseline enrollment and 1 month postpartum visit, typically ten months
Tobacco Use
Tobacco Use Cessation
Tobacco Use in Childbirth
2 sites across 1 states
California2
  • Anne Berit Petersen, PhD · PRINCIPAL_INVESTIGATOR · Loma Linda University

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Eligibility criteria

Inclusion

\< 24 weeks pregnant
age \> 18 years,
current smokers (100 cigarettes in their lifetime and \>3 cigarettes per day in the last 7 days; including poly-tobacco use, combining cigarettes with non-combustible products) confirmed by expired carbon monoxide (CO)
willing to quit smoking and set a quit date in the next 2 weeks upon enrolling
enrolled in prenatal care at Loma Linda University Health (LLUH) or Riverside University Health System (RUHS)

Exclusion

severe mental health problems that prevent informed consent and/or CHW intervention
women who were on Nicotine Replacement Therapy (NRT) or enrolled in a cessation program within 30 days
unwillingness to participate in audio-recorded key informant interviews or focus groups
  • Self-Report Tobacco AbstinenceChange between baseline enrollment and 1 month postpartum visit, typically ten months

    The 7 Day Point Prevalence Abstinence (PPA) questionnaire will be administered to subjects to assess the following: Tobacco use within past seven days