Cancer Control and Population Sciences, Duke Cancer Institute, Durham, NC, 27710, USA.
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27710, USA.
Matern Child Health J. 2020 Apr;24(4):419-422. doi: 10.1007/s10995-020-02893-8.
Most pregnant women know that smoking poses serious risks to baby and mother, yet many still smoke. We conducted a large randomized controlled trial and found that an SMS text-delivered program helped about 10% of these women quit smoking. In this paper, we describe the feasibility of disseminating a text-based intervention to pregnant women who smoke.
We tested dissemination in two ways from prenatal clinics and compared recruitment rates to those found in our large randomized controlled trial. The first method involved "direct texting" where study staff identified women who smoked and sent them a text asking them to text back if they wanted to receive texts to help them quit. The second involved "nurse screening" where clinic staff from county health departments screened women for smoking and asked them to send a text to the system if they wanted to learn more about the program. Our primary outcome was feasibility assessed by the number of women who texted back their baby's due date, which served as "enrolling" in the texting program, which we compared to the recruitment rate we found in our large trial.
Over 4 months, we texted 91 women from the academic health system. Of those, 17 texted back and were counted as "enrolled." In the health departments, across the 4 months, 12 women texted the system initially. Of those, 10 were enrolled. This rate was similar to the rate enrolled in the randomized controlled trial.
Two different methods connected pregnant women who smoke to a texting program. One of these methods can be automated further and have the potential of helping many women quit smoking with minimal effort. Clinical Trial # NCT01995097.
大多数孕妇都知道吸烟对母婴都有严重的风险，但仍有许多孕妇吸烟。我们进行了一项大型随机对照试验，发现短信发送的程序可以帮助约 10%的这些女性戒烟。在本文中，我们描述了向吸烟孕妇传播基于短信的干预措施的可行性。
我们通过产前诊所以两种方式测试了传播，并将招募率与我们的大型随机对照试验中的招募率进行了比较。第一种方法是“直接短信”，研究人员识别出吸烟的女性并向她们发送短信，询问她们是否希望收到帮助她们戒烟的短信。第二种方法是“护士筛查”，县卫生部门的诊所工作人员筛查吸烟的女性，并要求她们向系统发送短信，以了解该项目的更多信息。我们的主要结果是通过回复短信的孕妇数量来评估可行性，这些孕妇回复了她们的婴儿预产期，这被视为“注册”短信程序，我们将其与我们在大型试验中发现的招募率进行了比较。
在 4 个月的时间里，我们向学术医疗系统中的 91 名女性发送了短信。其中 17 人回复了短信，并被算作“注册”。在卫生部门，在 4 个月的时间里，有 12 名女性最初向系统发送了短信。其中 10 人被录取。这一比率与随机对照试验中的注册率相似。
两种不同的方法将吸烟的孕妇与短信程序联系起来。其中一种方法可以进一步自动化，并有可能通过最小的努力帮助许多女性戒烟。临床试验 #NCT01995097。
