Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit)
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. P...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017
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| Online Access: | https://eprints.nottingham.ac.uk/41557/ |
| _version_ | 1848796302151778304 |
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| author | 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 Coleman, Tim |
| author_facet | 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 Coleman, Tim |
| author_sort | Naughton, Felix |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T19:45:49Z |
| format | Article |
| id | nottingham-41557 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T19:45:49Z |
| publishDate | 2017 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-415572020-05-08T09:45:26Z https://eprints.nottingham.ac.uk/41557/ 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 Coleman, Tim 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. Wiley 2017-02-26 Article PeerReviewed application/pdf en cc_by https://eprints.nottingham.ac.uk/41557/1/Naughton%20et%20al%20%282017%29%20accepted%20version%20MiQuit%20large%20pilot.pdf 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 http://onlinelibrary.wiley.com/doi/10.1111/add.13802/abstract doi:10.1111/add.13802 doi:10.1111/add.13802 |
| spellingShingle | 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 Coleman, Tim Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title | Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title_full | Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title_fullStr | Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title_full_unstemmed | Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title_short | Large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit) |
| title_sort | large multicentre pilot randomised controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (miquit) |
| url | https://eprints.nottingham.ac.uk/41557/ https://eprints.nottingham.ac.uk/41557/ https://eprints.nottingham.ac.uk/41557/ |