title: A pilot study of home-based smoking cessation programs for rural, appalachian, pregnant smokers.
abstract: OBJECTIVE
  To evaluate a web-based contingency management program (CM) and a phone-delivered cessation counseling program (Smoking Cessation for Healthy Births [SCHB]) with pregnant smokers in rural Appalachia who were ≤12 weeks gestation at enrollment.
  
  
  METHODS
  Two group randomized design.
  
  
  METHODS
  Home-based cessation programs in rural Appalachia Ohio and Kentucky.
  
  
  METHODS
  A community sample of pregnant smokers (N = 17).
  
  
  METHODS
  Participants completed demographic and smoking-related questionnaires and were assigned to CM (n = 7) or SCHB (n = 10) conditions. Smoking status was assessed monthly using breath carbon monoxide and urinary cotinine.
  
  
  RESULTS
  For CM, two of seven (28.57%) of the participants achieved abstinence, and three of 10 (30%) of those enrolled in SCHB were abstinent by late in pregnancy. Participants in CM attained abstinence more rapidly than those in SCHB. However, those in SCHB experienced less relapse to smoking, and a greater percentage of these participants reduced their smoking by at least 50%.
  
  
  CONCLUSIONS
  Based on this initial evaluation, the web-based CM and SCHB programs appeared to be feasible for use with rural pregnant smokers with acceptable program adherence for both approaches. Future researchers could explore combining these programs to capitalize on the strengths of each, for example, rapid smoking cessation based on CM incentives and better sustained cessation or reductions in smoking facilitated by the counseling support of SCHB.
authors: Millie
authors: M
authors: Harris
authors: Brady
authors: B
authors: Reynolds
mesh_terms: D000328:Adult; D001061:Appalachian Region / Q000208:ethnology; D001521:Behavior Therapy / Q000379:methods*; D003376:Counseling; D005260:Female; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D007629:Kentucky; D010865:Pilot Projects; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D015397:Program Evaluation; D018570:Risk Assessment; D012424:Rural Population; D016540:Smoking Cessation / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
keywords: pregnant smokers; rural; smoking cessation