Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care

Naughton, Felix; Cooper, Sue; Bowker, Katharine; Campbell, Katarzyna; Sutton, Stephen; Leonardi‐Bee, Jo; Sloan, Melanie; Coleman, Tim

doi:10.1136/bmjopen-2015-008871

Cited by 18 publications

(19 citation statements)

References 21 publications

(30 reference statements)

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“…[57][58][59] These projects are on the following topics: financial incentives for smoking cessation in pregnancy, 93 self-help interventions using digital media 94,95 (building on a previous systematic review by the authors 96 ) and a scoping study on social network approaches to smoking cessation in pregnancy. Together, these data sources inform the concluding chapters of this report and have been synthesised with findings from interviews to highlight opportunities for future interventions and new research on this important topic.…”

Section: Methodsmentioning

confidence: 99%

“…The results from this trial will then be combined with two previous trials in a pooled analysis to estimate the intervention effect on abstinence compared with a standard cessation leaflet comparison group. 94 For the uptake evaluation stream, we have assessed or are currently assessing smoking cessation in the following settings: (1) when promoted via a leaflet in maternity booking notes (without HP input), 95 (2) when promoted by HPs via a leaflet in antenatal care, (3) when promoted on pregnancy test kits in 10 ASDA supermarkets 180 (ASDA Stores Ltd, Leeds, UK) and (4) when promoted via paid for and free online advertising/links. Formative work is soon to start to inform the design and development of a NRT adherence intervention for pregnant smokers provided with or using NRT, as part of a National Institute for Health Research (NIHR) Health Technology Assessment (HTA)-funded programme.…”

Section: Self-help Interventionsmentioning

confidence: 99%

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Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

Bauld

Graham

Sinclair

et al. 2017

Health Technol Assess

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111

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Background: Although many women stop smoking in pregnancy, others continue, causing harm to maternal and child health. Smoking behaviour is influenced by many factors, including the role of women's significant others (SOs) and support from health-care professionals (HPs). Objectives: To enhance understanding of the barriers to, and facilitators of, smoking cessation and the feasibility and acceptability of interventions to reach and support pregnant women to stop smoking. Design: Four parts: (1) a description of interventions in the UK for smoking cessation in pregnancy; (2) three systematic reviews (syntheses) of qualitative research of women's, SOs' and HPs' views of smoking in pregnancy using meta-ethnography (interpretative approach for combining findings); (3) semistructured interviews with pregnant women, SOs and HPs, guided by the social-ecological framework (conceptualises behaviour as an outcome of individuals' interactions with environment); and (4) identification of new/ improved interventions for future testing. Setting: Studies in reviews conducted in high-income countries. Qualitative research was conducted from October 2013 to December 2014 in two mixed urban/rural study sites: area A (Scotland) and area B (England). Participants: Thirty-eight studies (1100 pregnant women) in 42 papers, nine studies (150 partners) in 14 papers and eight studies described in nine papers (190 HPs) included in reviews. Forty-one interviews with pregnant women, 32 interviews with pregnant women's SOs and 28 individual/group interviews with 48 HPs were conducted. Main outcome measures: The perceived barriers to, and facilitators of, smoking cessation in pregnancy and the identification of potential new/modified interventions. Results: Syntheses identified smoking-related perceptions and experiences for pregnant women and SOs that were fluid and context dependent with the capacity to help or hinder smoking cessation. Themes were analysed in accordance with the social-ecological framework levels. From the analysis of the interviews, the themes that were central to cessation in pregnancy at an individual level, and that reflected the findings from the reviews, were perception of risk to baby, self-efficacy, influence of close relationships and smoking as a way of coping with stress. Overall, pregnant smokers were faced with more barriers than facilitators. At an interpersonal level, partners' emotional and practical support, willingness to change smoking behaviour and role of smoking within relationships were important. Across the review and interviews of HPs, education to enhance knowledge and confidence in delivering information about smoking in pregnancy and the centrality of the client relationship, protection of which could be a factor in downplaying risks, were important. HPs acknowledged that they could best assist by providing support and understanding, and access to effective interventions, including an opt-out referral pathway to Stop Smoking Services, routine carbon monoxide screening, behavioural s...

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Section: Methodsmentioning

confidence: 99%

Section: Self-help Interventionsmentioning

confidence: 99%

Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

Bauld

Graham

Sinclair

et al. 2017

Health Technol Assess

Self Cite

111

View full text Add to dashboard Cite

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“…6,9–11 Of existing services targeted to this group, uptake is generally low. 12,13 Less than one third of pregnant smokers accept the offer of in-person counseling after being screened as smokers. 13 In addition, although most state quitlines offer pregnancy specific protocols, only a fraction of calls (<1%) are from pregnant smokers, even in the context of targeted outreach.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Trial of Text Messaging for Smoking Cessation in Pregnant Women

Abroms

Johnson

Leavitt

et al. 2017

American Journal of Preventive Medicine

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Introduction There is a need for innovation in both the enrollment of pregnant smokers in smoking cessation treatment programs and in the type of treatment programs offered. The study tests whether an interactive and intensive text messaging program, Quit4baby, can promote smoking cessation for pregnant women already enrolled in a health text messaging program, Text4baby. Methods Between July 2015 and February 2016, a total of 35,957 recruitment text messages were sent to Text4baby subscribers. Eligible pregnant smokers were enrolled and randomized to receive Text4baby (control) or Text4baby and Quit4baby (intervention; N=497). Participants were surveyed at 1 month, 3 months, and 6 months post-enrollment, and saliva samples were collected at 3 months for biochemical verification of smoking status. Data were collected from 2015 to 2016 and analyzed in 2016. Results Using an Intention-to-Treat analysis, 28.80% of the intervention group and 15.79% of control group reported not smoking in the past 7 days at 1 month (p<0.01), and 35.20% of the intervention group and 22.67% of the control group reported not smoking in the past 7 days at 3 months (p<0.01). Biochemical verification of smoking status at 3 months indicated no significant differences between groups (15.60% in the intervention group and 10.93% in the control group [p=0.13]), although significant differences favoring the intervention were found for older smokers (p<0.05) and for those who enrolled in their second or third trimester of pregnancy (p<0.05). Self-report of late pregnancy 7- and 30-day point prevalence abstinence favored the intervention group (p<0.001, p<0.01). No significant differences were observed at the 6-month follow-up or in the postpartum period. Conclusions Results provide limited support of the efficacy of the Quit4baby text messaging program in the short term and late in pregnancy, but not in the postpartum period.

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“… 11–13 MiQuit provides a 12-week program of text message support (mean of 0.8–1.7 per day) tailored to 13 individual characteristics. 13 A feasibility trial found that MiQuit was acceptable to pregnant smokers, increased the likelihood of setting a quit date and increased determinants of abstinence in pregnancy, including determination to quit and self-efficacy. 11 …”

Section: Introductionmentioning

confidence: 99%

Smoking Cessation Support by Text Message During Pregnancy: A Qualitative Study of Views and Experiences of the MiQuit Intervention

Sloan

Hopewell

Coleman

et al. 2017

Nicotine &Amp; Tobacco Research

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Introduction:SMS text messaging is increasingly used for delivering smoking cessation support and pilot studies suggest this may also be useful in pregnancy. This study explores the views of women who received a tailored text messaging cessation intervention (MiQuit) during pregnancy, focusing on acceptability, perceived impact, and suggestions for improvements.Methods:Semi-structured interviews were undertaken with 15 purposively sampled women who had received the MiQuit intervention during pregnancy as part of a randomized controlled trial. Data were analyzed thematically.Results:Three main themes were identified: “impact”, “approach,” and “optimization.” Participants described an immediate, yet often short-lived, impact from the texts that distracted and delayed them from smoking and they perceived that texts focusing on the development of and risk to the baby generated more enduring emotional impacts. Most women found receiving support by text preferable to face-to-face cessation support, with participants citing the greater regularity, convenience, and non-judgmental style as particular advantages. Participants would have preferred a longer support program with increased tailoring, greater customization of text timings and consideration of cutting down as an alternative/precursor to quitting.Conclusion:Pregnancy-specific cessation support by text message was well received and participants considered the support increased their motivation to stop smoking. The focus on the developing baby, the regularity of contact and the provision of gentle, encouraging messages were highlighted as particularly important elements of the program.Implications:This study adds further evidence to the acceptability and perceived positive impact of text-messaging programs in aiding smoking cessation in pregnancy. The findings indicate that for some women, this type of support is preferable to face-to-face methods and could be utilized by health professionals, either in addition to current methods or as an alternative. This study is also relevant to researchers developing health-related text programs to consider participants’ desire for greater tailoring. Further research is required into adapting and continuing text support for women postpartum.

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Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care

Cited by 18 publications

References 21 publications

Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

A Randomized Trial of Text Messaging for Smoking Cessation in Pregnant Women

Smoking Cessation Support by Text Message During Pregnancy: A Qualitative Study of Views and Experiences of the MiQuit Intervention

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