Kathryn I Pollak1,2,3, Pauline Lyna4,5, Xiaomei Gao4,5, Devon Noonan4,6,5, Santiago Bejarano Hernandez4,5, Sonia Subudhi7,5, Danielle Kennedy4,5, David Farrell8,5, Geeta K Swamy9,5, Laura J Fish4,5. 1. Cancer Control and Population Sciences, Duke Cancer Institute, Durham, NC, 27710, USA. kathryn.pollak@duke.edu. 2. Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, 27710, USA. kathryn.pollak@duke.edu. 3. Department of Community and Family Medicine, Duke University School of Medicine, 2424 Erwin Road, Suite 602, Durham, NC, 27710, 27705, USA. kathryn.pollak@duke.edu. 4. Cancer Control and Population Sciences, Duke Cancer Institute, Durham, NC, 27710, USA. 5. Department of Community and Family Medicine, Duke University School of Medicine, 2424 Erwin Road, Suite 602, Durham, NC, 27710, 27705, USA. 6. School of Nursing, Duke University, Durham, USA. 7. Doctor of Medicine Program, Eastern Virginia Medical School, Norfolk, VA, 23507, USA. 8. People Designs, Inc, Durham, NC, USA. 9. Department of Obstetrics and Gynecology, Duke University School of Medicine, DUMC 3083, Durham, NC, 27710, USA.
Abstract
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
RCT Entities:
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: 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.
Authors: Kathryn I Pollak; Pauline Lyna; Xiaomei Gao; Devon Noonan; Santiago Bejarano Hernandez; Sonia Subudhi; Geeta K Swamy; Laura J Fish Journal: Nicotine Tob Res Date: 2020-06-12 Impact factor: 4.244
Authors: Van T Tong; Patricia M Dietz; Brian Morrow; Denise V D'Angelo; Sherry L Farr; Karilynn M Rockhill; Lucinda J England Journal: MMWR Surveill Summ Date: 2013-11-08
Authors: Mariana Caricati Kataoka; Ana Paula Pinho Carvalheira; Anna Paula Ferrari; Maíra Barreto Malta; Maria Antonieta de Barros Leite Carvalhaes; Cristina Maria Garcia de Lima Parada Journal: BMC Pregnancy Childbirth Date: 2018-03-12 Impact factor: 3.007
Authors: Felix Naughton; Sue Cooper; Katharine Bowker; Katarzyna Campbell; Stephen Sutton; Jo Leonardi-Bee; Melanie Sloan; Tim Coleman Journal: BMJ Open Date: 2015-10-22 Impact factor: 2.692