%0 Journal Article
%T Perinatal Navigator Approach to Smoking Cessation for Women With Prevalent Opioid Dependence
%A Alex Elswick
%A Amanda Fallin-Bennett
%A Amie Goodin
%A Holly Dye
%A Kathy Rademacher
%A Kristin Ashford
%J Western Journal of Nursing Research
%@ 1552-8456
%D 2019
%R 10.1177/0193945918825381
%X Women who smoke during pregnancy face psychosocial barriers to cessation, and women with opioid use disorder (OUD) face amplified barriers. We pilot tested a Perinatal Wellness Navigator (PWN) program for a group of high-risk perinatal women (N = 50; n = 42 with OUD) that consisted of (a) one-on-one tobacco treatment, (b) comprehensive assessment of cessation barriers, and (c) linkage to clinical/social services. Outcome measures were assessed at baseline and postintervention. Participants smoked 10 fewer cigarettes per day (p = .05) at postintervention and were less dependent on nicotine (p < .01). Mean postnatal depression scores (p = .03) and perceived stress (p = .03) decreased postintervention. Participants received at least one referral at baseline (n = 106 total), and 10 participants received an additional 18 referrals at postintervention to address cessation barriers. The PWN program was minimally effective in promoting total tobacco abstinence in a high-risk group of perinatal women, but participants experienced reductions in cigarettes smoked per day, nicotine dependence, stress, and depression
%K smoking
%K health behavior/symptom focus
%K perinatal
%K population focus
%K parenting/families
%U https://journals.sagepub.com/doi/full/10.1177/0193945918825381