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 and Coleman, Tim (2015) Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care. BMJ Open, 5 (10). ISSN 2044-6055

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Objectives: To adapt a tailored short message service (SMS) text message smoking cessation intervention (MiQuit) for use without active health professional endorsement in routine antenatal care settings, to estimate ‘real-world’ uptake and test the feasibility of its use.  Design: Single-site service evaluation.  Setting: A Nottinghamshire (UK) antenatal clinic.  Participants: Pregnant women accessing the antenatal clinic (N=1750) over 6 months.  Intervention: A single-sheet A5 leaflet provided in the women's maternity notes folder describing the MiQuit text service. Similar materials were left on clinic desks and noticeboards.  Outcome measures: MiQuit activation requests and system interactions were logged for two time frames: 6 months (strict) and 8 months (extended). Local hospital data were used to estimate the denominator of pregnant smokers exposed to the materials.  Results: During the strict and extended time frames, 13 and 25 activation requests were received, representing 3% (95% CI 2% to 5%) and 4% (95% CI 3% to 6%) of estimated smokers, respectively. Only 11 (44%) of the 25 requesting activation sent a correctly formatted initiation text. Of those activating MiQuit, and invited to complete tailoring questions (used to tailor support), 6 (67%) completed all 12 questions by text or website and 5 (56%) texted a quit date to the system. Of the 11 activating MiQuit, 5 (45%, 95% CI 21% to 72%) stopped the programme prematurely.  Conclusions: A low-intensity, cheap cessation intervention promoted at very low cost, resulted in a small but potentially impactful uptake rate by pregnant smokers.

Item Type: Article
Additional Information: This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See:
Uncontrolled Keywords: england,female,health promotion,humans,outcome assessment (health care),pregnancy,prenatal care,smoking cessation,text messaging
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User: Pure Connector
Date Deposited: 06 Jan 2017 00:02
Last Modified: 19 Oct 2023 01:53
DOI: 10.1136/bmjopen-2015-008871

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