Quit4baby: results from a pilot test of a mobile smoking cessation program for pregnant women

Lorien C Abroms, Pamela R Johnson, Christina L Heminger, Judith M Van Alstyne, Leah E Leavitt, Jennifer M Schindler-Ruwisch, Jessica A Bushar, Lorien C Abroms, Pamela R Johnson, Christina L Heminger, Judith M Van Alstyne, Leah E Leavitt, Jennifer M Schindler-Ruwisch, Jessica A Bushar

Abstract

Background: Text messaging (short message service, SMS) programs have been shown to be effective in helping adult smokers quit smoking. This study describes the results of a pilot test of Quit4baby, a smoking cessation text messaging program for pregnant smokers that was adapted from Text2quit.

Objective: The study aimed to demonstrate the feasibility and acceptability of Quit4baby for women currently enrolled in Text4baby, a perinatal health text messaging program.

Methods: Pregnant women enrolled in Text4baby and who were current smokers or had quit within the last 4 weeks (n=20) were enrolled in Quit4baby. Those under the age of 18, not pregnant, not current smokers, those using nicotine replacement therapy, and those not interested in participating were ineligible. Participants were surveyed at baseline and at 2 and 4 weeks postenrollment.

Results: Most participants responded to the program favorably. Highly rated aspects included the content of the program, skills taught within the program, and encouragement and social support provided by the program. Participants reported that the program was helpful in quitting, that the program gave good ideas on quitting, and that they would recommend the program to a friend. Suggestions for improvement included increasing the message dose and making the quitpal more interactive.

Conclusions: This pilot test provides support for the feasibility and acceptability of Quit4baby. Future studies are needed to assess whether Quit4baby is effective for smoking cessation during pregnancy.

Keywords: mobile health; pregnancy; text messaging; tobacco cessation.

Conflict of interest statement

Conflicts of Interest: Pamela Johnson is the Chief Health Officer and a stockholder and member of the board of Voxiva, Inc. The George Washington University has licensed the Quit4baby program to Voxiva, Inc.

Figures

Figure 1
Figure 1
Quit4Baby screenshot.

References

    1. Office of the Surgeon General (US), Office on Smoking and Health (US) The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention (US); 2004.
    1. US Department of Health and Human Services. Rockville, MD: Public Health Service; 2008. May, [2014-08-30]. Treating tobacco use and dependence: 2008 update .
    1. Centers for Disease Control and Prevention (CDC) Vital signs: current cigarette smoking among adults aged ≥ 18 years, United States, 2009. MMWR. 2010 Sep 10;59(35):1135–1140.
    1. Halpin HA, Bellows NM, McMenamin SB. Medicaid coverage for tobacco-dependence treatments. Health Aff (Millwood) 2006 Mar;25(2):550–556. doi: 10.1377/hlthaff.25.2.550.
    1. Centers for Medicare and Medicaid Services. [2015-01-13]. Medicaid .
    1. Centers for Disease Control and Prevention (CDC) Women and smoking: a report of the surgeon general. MMWR. 2002 Aug 30;51(RR12):1–30.
    1. Ingall G, Cropley M. Exploring the barriers of quitting smoking during pregnancy: a systematic review of qualitative studies. Women Birth. 2010 Jun;23(2):45–52. doi: 10.1016/j.wombi.2009.09.004.
    1. Windsor R, Clark J, Cleary S, Davis A, Thorn S, Abroms L, Wedeles J. Effectiveness of the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) dissemination project: a science to prenatal care practice partnership. Matern Child Health J. 2014 Jan;18(1):180–190. doi: 10.1007/s10995-013-1252-7.
    1. Zickuhr K Pew Internet & American Life Project. 2011. Feb 03, [2014-08-30]. Generations and their gadgets
    1. Lenhart, A Pew Internet & American Life Project. 2010. Sep 02, [2015-01-13]. Cell phones and American adults
    1. Health Research Institute . PricewaterhouseCoopers’ Entertainment and Media Outlook. PricewaterhouseCoopers; 2010. Sep, [2014-08-30]. Healthcare unwired: new business models delivering care anywhere .
    1. Free C, Knight R, Robertson S, Whittaker R, Edwards P, Zhou W, Rodgers A, Cairns J, Kenward MG, Roberts I. Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial. Lancet. 2011 Jul 2;378(9785):49–55. doi: 10.1016/S0140-6736(11)60701-0.
    1. Abroms LC, Boal AL, Simmens SJ, Mendel JA, Windsor RA. A randomized trial of Text2Quit: a text messaging program for smoking cessation. Am J Prev Med. 2014 Sep;47(3):242–250. doi: 10.1016/j.amepre.2014.04.010.
    1. Whittaker R, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2012 Nov 14;11:CD006611. doi: 10.1002/14651858.CD006611.pub3.
    1. Naughton F, Jamison J, Sutton S. Attitudes towards SMS text message smoking cessation support: a qualitative study of pregnant smokers. Health Educ Res. 2013 Oct;28(5):911–922. doi: 10.1093/her/cyt057.
    1. Pollak KI, Lyna P, Bilheimer A, Farrell D, Gao X, Swamy GK, Fish LJ. A pilot study testing SMS text delivered scheduled gradual reduction to pregnant smokers. Nicotine Tob Res. 2013 Oct;15(10):1773–1776. doi: 10.1093/ntr/ntt045.
    1. Naughton F, Prevost AT, Gilbert H, Sutton S. Randomized controlled trial evaluation of a tailored leaflet and SMS text message self-help intervention for pregnant smokers (MiQuit) Nicotine Tob Res. 2012 May;14(5):569–577. doi: 10.1093/ntr/ntr254.
    1. Abroms LC, Ahuja M, Kodl Y, Thaweethai L, Sims J, Winickoff JP, Windsor RA. Text2Quit: results from a pilot test of a personalized, interactive mobile health smoking cessation program. J Health Commun. 2012 May;17 Suppl 1:44–53. doi: 10.1080/10810730.2011.649159.
    1. Text4baby. [2014-08-30]. Text4baby enrollment data, July 2014 .
    1. Evans WD, Wallace Bihm J, Szekely D, Nielsen P, Murray E, Abroms L, Snider J. Initial outcomes from a 4-week follow-up study of the Text4baby program in the military women's population: randomized controlled trial. J Med Internet Res. 2014 May;16(5):e131. doi: 10.2196/jmir.3297.
    1. Remick AP, Kendrick JS. Breaking new ground: the text4baby program. Am J Health Promot. 2013 Jan;27(3 Suppl):S4–S6. doi: 10.4278/ajhp.27.3.c2.
    1. Tong V, Jones JR, Dietz PM, D'Angelo D, Bombard JM. Trends in smoking before, during, and after pregnancy: Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 31 Sites, 2000-2005. MMWR. 2009 May 29;58(SS04):1–29.
    1. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.
    1. Ayers JW, Althouse BM, Johnson M, Cohen JE. Circaseptan (weekly) rhythms in smoking cessation considerations. JAMA Intern Med. 2014 Jan;174(1):146–148. doi: 10.1001/jamainternmed.2013.11933.
    1. Heatherton T, Kozlowski L, Frecker R, Fagerstrom K. The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. Brit J Addict. 1991;86(9):1119–1127. doi: 10.1111/j.1360-0443.1991.tb01879.x.
    1. de Vries H, Dijkstra M, Kuhlman P. Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavioural intentions. Health Educ Res. 1988;3(3):273–282. doi: 10.1093/her/3.3.273.
    1. Kok G, de Vries H, Mudde AN, Strecher VJ. Planned health education and the role of self-efficacy: Dutch research. Health Educ Res. 1991;6(2):231–238. doi: 10.1093/her/6.2.231.
    1. van Assema P, Pieterse M, Kok G, Eriksen M, de Vries H. The determinants of four cancer-related risk behaviours. Health Educ Res. 1993 Dec;8(4):461–472. doi: 10.1093/her/8.4.461.
    1. DiClemente CC, Marinilli AS, Singh M, Bellino LE. The role of feedback in the process of health behavior change. Am J Health Behav. 2001;25(3):217–227.
    1. Gazmararian J, Elon L, Yang B, Graham M, Parker R. Text4baby program: an opportunity to reach underserved pregnant and postpartum women? Matern Child Health J. 2014 Jan;18(1):223–232. doi: 10.1007/s10995-013-1258-1.

Source: PubMed

3
購読する