Article
Details
Citation
Naughton F, Cooper S, Foster K, Emery J, Leonardi-Bee J, Sutton S, Jones M, Ussher M, Whitemore R, Leighton M, Montgomery A, Parrott S & Coleman T (2017) Large multi-centre pilot randomized controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit). Addiction, 112 (7), pp. 1238-1249. https://doi.org/10.1111/add.13802
Abstract
Aims:
To estimate the effectiveness of pregnancy smoking cessation support delivered by short message service (SMS) text message and key parameters needed to plan a definitive trial.
Design:
Multi-centre, parallel-group, single-blinded, individual randomized controlled trial.
Setting:
Sixteen antenatal clinics in England.
Participants:
Four hundred and seven participants were randomized to the intervention (n = 203) or usual care (n = 204). Eligible women were < 25 weeks gestation, smoked at least one daily cigarette (> 5 pre-pregnancy), were able to receive and understand English SMS texts and were not already using text-based cessation support.
Intervention:
All participants received a smoking cessation leaflet; intervention participants also received a 12-week programme of individually tailored, automated, interactive, self-help smoking cessation text messages (MiQuit).
Outcome measurements:
Seven smoking outcomes, including validated continuous abstinence from 4 weeks post-randomization until 36 weeks gestation, design parameters for a future trial and cost-per-quitter.
Findings:
Using the validated, continuous abstinence outcome, 5.4% (11 of 203) of MiQuit participants were abstinent versus 2.0% (four of 204) of usual care participants [odds ratio (OR) = 2.7, 95% confidence interval (CI) = 0.93–9.35]. The Bayes factor for this outcome was 2.23. Completeness of follow-up at 36 weeks gestation was similar in both groups; provision of self-report smoking data was 64% (MiQuit) and 65% (usual care) and abstinence validation rates were 56% (MiQuit) and 61% (usual care). The incremental cost-per-quitter was £133.53 (95% CI = –£395.78 to 843.62).
Conclusions:
There was some evidence, although not conclusive, that a text-messaging programme may increase cessation rates in pregnant smokers when provided alongside routine NHS cessation care.
Keywords
mHealth; pregnancy; randomized controlled trial; self-help; smoking cessation; SMS text messaging;
Journal
Addiction: Volume 112, Issue 7
Status | Published |
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Publication date | 31/07/2017 |
Publication date online | 26/02/2017 |
Date accepted by journal | 22/02/2017 |
URL | http://hdl.handle.net/1893/26918 |
Publisher | Wiley-Blackwell |
ISSN | 0965-2140 |
eISSN | 1360-0443 |
People (1)
Professor of Behavioural Medicine, Institute for Social Marketing