University of Pittsburgh
Using both tobacco and cannabis during pregnancy is more common in minoritized groups and can make quitting smoking in pregnancy and remaining smoke free postpartum difficult. Investigators will test an intervention to address prenatal depressive symptoms to encourage people to quit tobacco and cannabis during pregnancy and stay quit postpartum.
Inclusion Criteria: * Confirmed pregnant * Under 26 weeks gestation * Plan to remain pregnant * English speaking * Use of combustible tobacco at least once a week during pregnancy, or at least once a week in the 3 months before pregnancy if stopped * Use of cannabis at any frequency during pregnancy or in the 3 months before pregnancy if stopped Exclusion Criteria: * Current opioid use or active treatment for Opioid Use Disorder * Unable to provide informed consent in English * Under 18 years old
Participants will meet one-on-one with a study interventionist over the course of 6 prenatal treatment sessions and 3 postpartum maintenance sessions. Sessions will include education and discussion on self-monitoring of targets/ problem identification, psychoeducation, behavioral activation, cognitive restructuring, and mindfulness skills.
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