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评估美国国立癌症研究所针对怀孕吸烟者的无烟妈妈短信项目:试点随机试验。

Assessing the National Cancer Institute's SmokefreeMOM Text-Messaging Program for Pregnant Smokers: Pilot Randomized Trial.

作者信息

Abroms Lorien C, Chiang Shawn, Macherelli Laura, Leavitt Leah, Montgomery Margaret

机构信息

Milken Insitute School of Public Health, George Washington University, Washington, DC, United States.

Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC, United States.

出版信息

J Med Internet Res. 2017 Oct 3;19(10):e333. doi: 10.2196/jmir.8411.

DOI:10.2196/jmir.8411
PMID:28974483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5645639/
Abstract

BACKGROUND

Automated text messages on mobile phones have been found to be effective for smoking cessation in adult smokers.

OBJECTIVE

This study aims to test the acceptability and feasibility of SmokefreeMOM, a national smoking cessation text-messaging program for pregnant smokers.

METHODS

Participants were recruited from prenatal care and randomized to receive SmokefreeMOM (n=55), an automated smoking cessation text-messaging program, or a control text message quitline referral (n=44). Participants were surveyed by phone at baseline and at 1 month and 3 months after enrollment.

RESULTS

Results indicate that the SmokefreeMOM program was highly rated overall and rated more favorably than the control condition in its helpfulness at 3-month follow-up (P<.01) and in its frequency of messaging at both 1-month and 3-month follow-ups (P<.001, P<.01, respectively). Despite the presence of technical problems, the vast majority of intervention participants read all program messages, and few participants unsubscribed from the program. There were no significant differences between groups on the use of extra treatment resources or on smoking-related outcomes. However, at the 3-month follow-up, some outcomes favored the intervention group.

CONCLUSIONS

SmokefreeMOM is acceptable for pregnant smokers. It is recommended that SmokefreeMOM be further refined and evaluated.

TRIAL REGISTRATION

Clinicaltrials.gov NCT02412956; https://clinicaltrials.gov/ct2/show/NCT02412956 (Archived by WebCite at http://www.webcitation.org/6tcmeRnbC).

摘要

背景

研究发现,手机自动发送的短信对成年吸烟者戒烟有效。

目的

本研究旨在测试“无烟妈妈”(SmokefreeMOM)的可接受性和可行性,这是一项针对怀孕吸烟者的全国性戒烟短信计划。

方法

从产前护理机构招募参与者,并随机分为两组,一组接受“无烟妈妈”自动戒烟短信计划(n = 55),另一组接受对照短信戒烟热线转介(n = 44)。在基线以及入组后1个月和3个月通过电话对参与者进行调查。

结果

结果表明,“无烟妈妈”计划总体评分很高,在3个月随访时其帮助程度方面(P <.01)以及在1个月和3个月随访时短信发送频率方面(分别为P <.001,P <.01),其评分均优于对照条件。尽管存在技术问题,但绝大多数干预组参与者阅读了所有计划短信,很少有参与者取消订阅该计划。两组在使用额外治疗资源或吸烟相关结果方面没有显著差异。然而,在3个月随访时,一些结果有利于干预组。

结论

“无烟妈妈”计划为怀孕吸烟者所接受。建议对“无烟妈妈”计划进一步完善并进行评估。

试验注册

Clinicaltrials.gov NCT02412956;https://clinicaltrials.gov/ct2/show/NCT02412956(由WebCite存档于http://www.webcitation.org/6tcmeRnbC)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/571f/5645639/5a841a3e9468/jmir_v19i10e333_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/571f/5645639/5a841a3e9468/jmir_v19i10e333_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/571f/5645639/5a841a3e9468/jmir_v19i10e333_fig1.jpg

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