Schedule of assessments for pregnant women participating in Indigenous Counselling And Nicotine (ICAN) QUIT in Pregnancy Pilot Study
| Assessment | Performed by | Day 0 | Any additional follow-up* |
4 weeks (+/−3 days) |
12 weeks (+/−7 days) | End of study |
| _ _/_ _/_ _ _ _ (dd/mm/yyyy) | _ _/_ _/_ _ _ _ (dd/mm/yyyy) | _ _/_ _/_ _ _ _ (dd/mm/yyyy) | _ _/_ _/_ _ _ _ (dd/mm/yyyy) | _ _/_ _/_ _ _ _ (dd/mm/yyyy) | ||
| Review eligibility for study | Health professional and/or research facilitator | X | ||||
| Informed consent | Research facilitator | X | ||||
| Smoking characteristics survey | Research facilitator | X | X | X | ||
| Growth and Empowerment survey | Research facilitator | X | X | X | ||
| Critical Success Measures survey | Research facilitator | X | ||||
| Breath carbon monoxide test | Research facilitator | X | X | X | ||
| Patient checklist | Research facilitator | X | X | X | X | |
| Audio recording of smoking consultation (optional) | Health professional | X | X | X | ||
| Interview | Research team | X |
*Any additional follow-up (not part of designated study visits) including all of her visits to the service for usual care.