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Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial.

Publication ,  Journal Article
Pollak, KI; Lyna, P; Gao, X; Noonan, D; Bejarano Hernandez, S; Subudhi, S; Swamy, GK; Fish, LJ
Published in: Nicotine Tob Res
June 12, 2020

INTRODUCTION: Smoking during pregnancy poses serious risks to baby and mother. Few disseminable programs exist to help pregnant women quit or reduce their smoking. We hypothesized that an SMS text-delivered scheduled gradual reduction (SGR) program plus support texts would outperform SMS support messages alone. METHODS: We recruited 314 pregnant women from 14 prenatal clinics. Half of the women received theory-based support messages throughout their pregnancy to promote cessation and prevent relapse. The other half received the support messages plus alert texts that gradually reduced their smoking more than 3-5 weeks. We conducted surveys at baseline, end of pregnancy, and 3 months postpartum. Our primary outcome was biochemically validated 7-day point prevalence abstinence at late pregnancy. Our secondary outcome was reduction in cigarettes per day. RESULTS: Adherence to the SGR was adequate with 70% responding to alert texts to smoke within 60 minutes. Women in both arms quit smoking at the same rate (9%-12%). Women also significantly reduced their smoking from baseline to the end of pregnancy from nine cigarettes to four; we found no arm differences in reduction. CONCLUSIONS: Support text messages alone produced significant quit rates above naturally occurring quitting. SGR did not add significantly to helping women quit or reduce. Sending support messages can reach many women and is low-cost. More obstetric providers might consider having patients who smoke sign up for free texting programs to help them quit. IMPLICATIONS: A disseminable texting program helped some pregnant women quit smoking.Clinical Trial Registration number: NCT01995097.

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Published In

Nicotine Tob Res

DOI

EISSN

1469-994X

Publication Date

June 12, 2020

Volume

22

Issue

7

Start / End Page

1187 / 1194

Location

England

Related Subject Headings

  • Text Messaging
  • Surveys and Questionnaires
  • Smoking Cessation
  • Smoking
  • Smokers
  • Public Health
  • Pregnancy
  • Humans
  • Health Behavior
  • Female
 

Citation

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Pollak, K. I., Lyna, P., Gao, X., Noonan, D., Bejarano Hernandez, S., Subudhi, S., … Fish, L. J. (2020). Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial. Nicotine Tob Res, 22(7), 1187–1194. https://doi.org/10.1093/ntr/ntz174
Pollak, Kathryn I., Pauline Lyna, Xiaomei Gao, Devon Noonan, Santiago Bejarano Hernandez, Sonia Subudhi, Geeta K. Swamy, and Laura J. Fish. “Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial.Nicotine Tob Res 22, no. 7 (June 12, 2020): 1187–94. https://doi.org/10.1093/ntr/ntz174.
Pollak KI, Lyna P, Gao X, Noonan D, Bejarano Hernandez S, Subudhi S, et al. Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial. Nicotine Tob Res. 2020 Jun 12;22(7):1187–94.
Pollak, Kathryn I., et al. “Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial.Nicotine Tob Res, vol. 22, no. 7, June 2020, pp. 1187–94. Pubmed, doi:10.1093/ntr/ntz174.
Pollak KI, Lyna P, Gao X, Noonan D, Bejarano Hernandez S, Subudhi S, Swamy GK, Fish LJ. Efficacy of a Texting Program to Promote Cessation Among Pregnant Smokers: A Randomized Control Trial. Nicotine Tob Res. 2020 Jun 12;22(7):1187–1194.
Journal cover image

Published In

Nicotine Tob Res

DOI

EISSN

1469-994X

Publication Date

June 12, 2020

Volume

22

Issue

7

Start / End Page

1187 / 1194

Location

England

Related Subject Headings

  • Text Messaging
  • Surveys and Questionnaires
  • Smoking Cessation
  • Smoking
  • Smokers
  • Public Health
  • Pregnancy
  • Humans
  • Health Behavior
  • Female