Randomized Controlled Trial Evaluation of a Tailored Leaflet and SMS Text Message Self-help Intervention for Pregnant Smokers (MiQuit)

Naughton, Felix, Prevost, A Toby, Gilbert, Hazel and Sutton, Stephen (2012) Randomized Controlled Trial Evaluation of a Tailored Leaflet and SMS Text Message Self-help Intervention for Pregnant Smokers (MiQuit). Nicotine and Tobacco Research, 14 (5). pp. 569-577. ISSN 1462-2203

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Abstract

Introduction: Study aims were to assess the feasibility and acceptability of a tailored self-help smoking cessation intervention for pregnant smokers (MiQuit). Secondary aims were to assess whether MiQuit affected cognitive determinants of quitting and to provide a range of potential effect sizes of the intervention effect on smoking abstinence.  Methods: A randomized controlled trial was undertaken in which pregnant smokers were allocated to either receive MiQuit, a tailored self-help leaflet followed by an 11-week program of tailored text messages, or to a control group, receiving a nontailored self-help leaflet. Participants were 207 pregnant smokers identified by community midwives across 7 NHS Trusts (United Kingdom). At 3-month follow-up, intervention acceptability, cognitive determinants of quitting, and smoking outcomes (self-reported and cotinine-validated 7-day point prevalence abstinence) were assessed.  Results: Feasibility: 94% (95% CI 89%–99%) of MiQuit participants reported receiving both intervention components. Acceptability: 9% (95% CI 4%–15%) of MiQuit participants opted to discontinue the text messages. Mechanism: compared with controls, MiQuit participants were more likely to set a quit date (p = .049) and reported higher levels of self-efficacy (p = .024), harm beliefs (p = .052), and determination to quit (p = .019). Potential efficacy: self-reported abstinence—MiQuit 22.9%, control 19.6%; odds ratio (OR) = 1.22, 95% CI 0.62–2.41; cotinine-validated abstinence—MiQuit 12.5%, control 7.8%; OR = 1.68, 95% CI 0.66–4.31.  Conclusions: Delivering tailored smoking cessation support to pregnant smokers via leaflet and text message is feasible and acceptable. The positive effects of MiQuit on cognitive determinants and the likelihood of setting a quit date are encouraging. A larger efficacy trial is warranted.

Item Type: Article
Uncontrolled Keywords: feasibility studies,female,humans,outcome and process assessment (health care),pregnancy,pregnancy complications,prevalence,smoking,smoking cessation,text messaging,united kingdom
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: Pure Connector
Date Deposited: 06 Jan 2017 00:03
Last Modified: 22 Apr 2020 02:22
URI: https://ueaeprints.uea.ac.uk/id/eprint/61944
DOI: 10.1093/ntr/ntr254

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