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

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 ev...

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Main Authors: Felix Naughton, Stephen Sutton, Tim Coleman, Sue Cooper, Jo Leonardi-Bee, Katharine Bowker, Katarzyna Campbell, Melanie Sloan
Format: Article
Language:English
Published: BMJ Publishing Group 2015-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/5/10/e008871.full
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author Felix Naughton
Stephen Sutton
Tim Coleman
Sue Cooper
Jo Leonardi-Bee
Katharine Bowker
Katarzyna Campbell
Melanie Sloan
author_facet Felix Naughton
Stephen Sutton
Tim Coleman
Sue Cooper
Jo Leonardi-Bee
Katharine Bowker
Katarzyna Campbell
Melanie Sloan
author_sort Felix Naughton
collection DOAJ
description 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.
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spelling doaj-art-fd2929565f354daebb08d1e2dc1a92322025-02-09T10:55:09ZengBMJ Publishing GroupBMJ Open2044-60552015-10-0151010.1136/bmjopen-2015-008871Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal careFelix Naughton0Stephen Sutton1Tim Coleman2Sue Cooper3Jo Leonardi-Bee4Katharine Bowker5Katarzyna Campbell6Melanie Sloan73 School of Health Sciences, University of East Anglia, Norwich, UKBehavioural Science Group, Department of Public Health and Primary Care, University of Cambridge, Cambridge, Cambridgeshire, UKDivision of General Practice, University of Nottingham, Nottingham, UKSchool of Medicine, University of Nottingham, Nottingham, UKCentre for Evidence-Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK1 Centre for Academic Primary Care, School of Medicine, University of Nottingham, Nottingham, UK2Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK1Behavioural Science Group, Institute of Public Health, University of Cambridge, Cambridge, UKObjectives 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.https://bmjopen.bmj.com/content/5/10/e008871.full
spellingShingle Felix Naughton
Stephen Sutton
Tim Coleman
Sue Cooper
Jo Leonardi-Bee
Katharine Bowker
Katarzyna Campbell
Melanie Sloan
Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
BMJ Open
title Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
title_full Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
title_fullStr Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
title_full_unstemmed Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
title_short Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care
title_sort adaptation and uptake evaluation of an sms text message smoking cessation programme miquit for use in antenatal care
url https://bmjopen.bmj.com/content/5/10/e008871.full
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