Sloan Melanie, Hopewell Sarah, Coleman Tim, Cooper Sue, Naughton Felix
Behavioural Science Group, Institute of Public Health, University of Cambridge, Cambridge, UK.
Division of Primary Care, University of Nottingham, Nottingham, UK.
Nicotine Tob Res. 2017 May 1;19(5):572-577. doi: 10.1093/ntr/ntw241.
SMS text messaging is increasingly used for delivering smoking cessation support and pilot studies suggest this may also be useful in pregnancy. This study explores the views of women who received a tailored text messaging cessation intervention (MiQuit) during pregnancy, focusing on acceptability, perceived impact, and suggestions for improvements.
Semi-structured interviews were undertaken with 15 purposively sampled women who had received the MiQuit intervention during pregnancy as part of a randomized controlled trial. Data were analyzed thematically.
Three main themes were identified: "impact", "approach," and "optimization." Participants described an immediate, yet often short-lived, impact from the texts that distracted and delayed them from smoking and they perceived that texts focusing on the development of and risk to the baby generated more enduring emotional impacts. Most women found receiving support by text preferable to face-to-face cessation support, with participants citing the greater regularity, convenience, and non-judgmental style as particular advantages. Participants would have preferred a longer support program with increased tailoring, greater customization of text timings and consideration of cutting down as an alternative/precursor to quitting.
Pregnancy-specific cessation support by text message was well received and participants considered the support increased their motivation to stop smoking. The focus on the developing baby, the regularity of contact and the provision of gentle, encouraging messages were highlighted as particularly important elements of the program.
This study adds further evidence to the acceptability and perceived positive impact of text-messaging programs in aiding smoking cessation in pregnancy. The findings indicate that for some women, this type of support is preferable to face-to-face methods and could be utilized by health professionals, either in addition to current methods or as an alternative. This study is also relevant to researchers developing health-related text programs to consider participants' desire for greater tailoring. Further research is required into adapting and continuing text support for women postpartum.
短信越来越多地被用于提供戒烟支持，试点研究表明这在孕期可能也有用。本研究探讨了孕期接受量身定制的短信戒烟干预措施（MiQuit）的女性的看法，重点关注可接受性、感知到的影响以及改进建议。
对15名作为随机对照试验一部分在孕期接受MiQuit干预的女性进行了有目的抽样的半结构化访谈。对数据进行了主题分析。
确定了三个主要主题：“影响”、“方法”和“优化”。参与者描述了短信带来的即时但往往短暂的影响，这些影响分散了他们的注意力并使他们推迟吸烟，他们认为关注胎儿发育和风险的短信产生了更持久的情感影响。大多数女性发现通过短信获得支持比面对面戒烟支持更可取，参与者提到更高的频率、便利性和无评判的方式是特别的优势。参与者更希望有一个更长的支持计划，增加量身定制的程度，更灵活地安排短信发送时间，并考虑将减少吸烟作为戒烟的替代方法/前奏。
针对孕期的短信戒烟支持受到好评，参与者认为这种支持增强了他们戒烟的动力。对发育中胎儿的关注、定期联系以及提供温和、鼓励性的信息被强调为该计划特别重要的要素。
本研究进一步证明了短信计划在帮助孕期戒烟方面的可接受性和感知到的积极影响。研究结果表明，对于一些女性来说，这种支持方式比面对面方式更可取，健康专业人员可以在现有方法之外或作为替代方法加以利用。本研究也与开发与健康相关短信计划的研究人员相关，促使他们考虑参与者对更大程度量身定制的需求。需要进一步研究如何为产后女性调整和持续提供短信支持。
