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Faculty have requested this content not be shared on social media
CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
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Poster Session 1

(127) Provider Perspectives About Smoking Cessation Programming For Patients With Substance Use Disorder: Mixed Methods Approach

Thursday, January 30, 2025
10:30 AM – 12:30 PM  

    Submitting Author and Presenting Author(s)

  • Andrew Storm, MD

    MFM Fellow
    Saint Louis University School of Medicine
    St. Louis, Missouri, United States

    • Coauthor(s)

  • LB

    Lauren Borato, MS

    St. Louis University Dept. of Psychology – SLU College of Arts & Science
    St. Louis, Missouri, United States

  • Katherine L. Chen, MD (she/her/hers)

    Maternal Fetal Medicine Fellow
    Saint Louis University School of Medicine
    St. Louis, Missouri, United States

  • MR

    Miriam Rivkin, BS

    Medical Student
    St. Louis University
    Saint Louis University School of Medicine/ St. Louis, Missouri, United States

  • JW

    Jeremiah Weinstock, PhD

    St Louis University Dept. of Psychology – SLU College of Arts & Science
    Saint Louis, Missouri, United States

  • Niraj R. Chavan, MD, MPH, MS (he/him/his)

    Associate Professor, Program Director - Maternal Fetal Medicine Fellowship
    Saint Louis University School of Medicine
    St. Louis, Missouri, United States

Objective: To examine provider-centric determinants of smoking cessation counseling among patients with perinatal substance use disorder (SUD). 

Study Design: We undertook a convergent parallel mixed methods study that included semi-structured key informant interviews and a systematic survey administered to providers caring for pregnant women with SUD. Survey elements contained Likert scale, open and closed ended questions focused on provider knowledge, attitudes and practices around smoking cessation counseling specifically while managing perinatal SUD. Interview questions were guided by the Consolidated Framework for Implementation Research (CFIR) and focused on provider-level barriers and facilitators to smoking cessation counseling, provider perceptions about patient-level barriers and motivators as well as role of the provider-patient relationship in achieving cessation during pregnancy. Interviews were audio recorded, transcribed and analyzed using deductive and inductive content analysis. 

Results: 25 prenatal care providers including physicians in obstetrics & gynecology (n=20), family medicine (n=1), addiction medicine (n=1) and nurse practitioners (n=3) completed the in-depth interviews and surveys. The majority of respondents had not received formal training in smoking cessation counseling (n=21, 84%). Major interview themes identified were: 1) Provider-level barriers and facilitators to cessation counseling 2) Provider perceptions about p</span>atient-level barriers and motivators for cessation 3) Role of the provider-patient relationship and 4) Smoking cessation as a means to achieve healthy pregnancy outcomes. Participants also provided valuable insights into the design and implementation of interventions to address provider, hospital and system-level barriers to enhance smoking cessation among patients with SUD.  

Conclusion: Our mixed methods approach grounded in an implementation science framework has identified several actionable provider-level determinants of tobacco cessation for patients with perinatal SUD, laying the groundwork for designing multi-level interventions in future endeavors.