Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit)
Naughton, Felix, Cooper, Sue, Foster, Katharine, Emery, Joanne, Leonardi-Bee, Jo, Sutton, Stephen, Jones, Matthew, Ussher, Michael, Whitemore, Rachel, Leighton, Matthew, Montgomery, Alan, Parrott, Steve and Coleman, Tim
(2017)
Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit).
Addiction
.
ISSN 0965-2140
Abstract
Aims: To estimate the effectiveness of pregnancy smoking cessation support delivered by SMS text message and key parameters needed to plan a definitive trial.
Design: Multicentre, parallel-group, single-blinded, individual randomised controlled trial
Setting: 16 antenatal clinics in England.
Participants: 407 participants were randomised to the intervention (n=203) or usual care (n=204). Eligible women were <25 weeks gestation, smoked at least 1 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-randomisation until 36 weeks gestation, design parameters for a future trial and cost-per-quitter.
Findings: Using the validated, continuous abstinence outcome, 5.4% (11/203) of MiQuit participants were abstinent versus 2.0% (4/204) of usual care participants (odds ratio [OR] 2.7, 95% confidence interval [CI] 0.93 to 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, though not conclusive, that a text messaging programme may increase cessation rates in pregnant smokers when provided alongside routine NHS cessation care.
| Item Type: |
Article
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| Additional Information: |
This is the peer reviewed version of the following article: 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., and Coleman, T. (2017) Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit). Addiction, doi: 10.1111/add.13802, which has been published in final form at https://doi.org/10.1111/add.13802. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
| Schools/Departments: |
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health |
| Identification Number: |
10.1111/add.13802 |
| Depositing User: |
Eprints, Support
|
| Date Deposited: |
24 Mar 2017 12:03 |
| Last Modified: |
08 May 2020 09:45 |
| URI: |
https://eprints.nottingham.ac.uk/id/eprint/41557 |
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