Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care

Felix Naughton; Sue Cooper; Katharine Bowker; Katarzyna Campbell; Stephen Sutton; Jo Leonardi-Bee; Melanie Sloan; Tim Coleman

doi:10.1136/bmjopen-2015-008871

Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care

Felix Naughton, Sue Cooper, Katharine Bowker, Katarzyna Campbell, Stephen Sutton, Jo Leonardi-Bee, Melanie Sloan, Tim Coleman

Research output: Contribution to journal › Article › peer-review

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Abstract

Objectives: To adapt a tailored short message service (SMS) text message smoking cessation intervention (MiQuit) for use without active health professional endorsement in routine antenatal care settings, to estimate ‘real-world’ uptake and test the feasibility of its use.

Design: Single-site service evaluation.

Setting: A Nottinghamshire (UK) antenatal clinic.

Participants: Pregnant women accessing the antenatal clinic (N=1750) over 6 months.

Intervention: A single-sheet A5 leaflet provided in the women's maternity notes folder describing the MiQuit text service. Similar materials were left on clinic desks and noticeboards.

Outcome measures: MiQuit activation requests and system interactions were logged for two time frames: 6 months (strict) and 8 months (extended). Local hospital data were used to estimate the denominator of pregnant smokers exposed to the materials.

Results: During the strict and extended time frames, 13 and 25 activation requests were received, representing 3% (95% CI 2% to 5%) and 4% (95% CI 3% to 6%) of estimated smokers, respectively. Only 11 (44%) of the 25 requesting activation sent a correctly formatted initiation text. Of those activating MiQuit, and invited to complete tailoring questions (used to tailor support), 6 (67%) completed all 12 questions by text or website and 5 (56%) texted a quit date to the system. Of the 11 activating MiQuit, 5 (45%, 95% CI 21% to 72%) stopped the programme prematurely.

Conclusions: A low-intensity, cheap cessation intervention promoted at very low cost, resulted in a small but potentially impactful uptake rate by pregnant smokers.

Original language	English
Article number	e008871
Journal	BMJ Open
Volume	5
Issue number	10
DOIs	https://doi.org/10.1136/bmjopen-2015-008871
Publication status	Published - 22 Oct 2015

Keywords

England
Female
Health Promotion
Humans
Outcome Assessment (Health Care)
Pregnancy
Prenatal Care
Smoking Cessation
Text Messaging

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10.1136/bmjopen-2015-008871

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This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
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Cite this

@article{2b6a91dea6ca428e85b28489efd6a52f,

title = "Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care",

abstract = "Objectives: To adapt a tailored short message service (SMS) text message smoking cessation intervention (MiQuit) for use without active health professional endorsement in routine antenatal care settings, to estimate {\textquoteleft}real-world{\textquoteright} uptake and test the feasibility of its use. Design: Single-site service evaluation. Setting: A Nottinghamshire (UK) antenatal clinic. Participants: Pregnant women accessing the antenatal clinic (N=1750) over 6 months. Intervention: A single-sheet A5 leaflet provided in the women's maternity notes folder describing the MiQuit text service. Similar materials were left on clinic desks and noticeboards. Outcome measures: MiQuit activation requests and system interactions were logged for two time frames: 6 months (strict) and 8 months (extended). Local hospital data were used to estimate the denominator of pregnant smokers exposed to the materials. Results: During the strict and extended time frames, 13 and 25 activation requests were received, representing 3% (95% CI 2% to 5%) and 4% (95% CI 3% to 6%) of estimated smokers, respectively. Only 11 (44%) of the 25 requesting activation sent a correctly formatted initiation text. Of those activating MiQuit, and invited to complete tailoring questions (used to tailor support), 6 (67%) completed all 12 questions by text or website and 5 (56%) texted a quit date to the system. Of the 11 activating MiQuit, 5 (45%, 95% CI 21% to 72%) stopped the programme prematurely. Conclusions: A low-intensity, cheap cessation intervention promoted at very low cost, resulted in a small but potentially impactful uptake rate by pregnant smokers.",

keywords = "England, Female, Health Promotion, Humans, Outcome Assessment (Health Care), Pregnancy, Prenatal Care, Smoking Cessation, Text Messaging",

author = "Felix Naughton and Sue Cooper and Katharine Bowker and Katarzyna Campbell and Stephen Sutton and Jo Leonardi-Bee and Melanie Sloan and Tim Coleman",

note = " This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/",

year = "2015",

month = oct,

day = "22",

doi = "10.1136/bmjopen-2015-008871",

language = "English",

volume = "5",

journal = "BMJ Open",

issn = "2044-6055",

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TY - JOUR

T1 - Adaptation and uptake evaluation of an SMS text message smoking cessation programme (MiQuit) for use in antenatal care

AU - Naughton, Felix

AU - Cooper, Sue

AU - Bowker, Katharine

AU - Campbell, Katarzyna

AU - Sutton, Stephen

AU - Leonardi-Bee, Jo

AU - Sloan, Melanie

AU - Coleman, Tim

N1 - This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

PY - 2015/10/22

Y1 - 2015/10/22

N2 - Objectives: To adapt a tailored short message service (SMS) text message smoking cessation intervention (MiQuit) for use without active health professional endorsement in routine antenatal care settings, to estimate ‘real-world’ uptake and test the feasibility of its use. Design: Single-site service evaluation. Setting: A Nottinghamshire (UK) antenatal clinic. Participants: Pregnant women accessing the antenatal clinic (N=1750) over 6 months. Intervention: A single-sheet A5 leaflet provided in the women's maternity notes folder describing the MiQuit text service. Similar materials were left on clinic desks and noticeboards. Outcome measures: MiQuit activation requests and system interactions were logged for two time frames: 6 months (strict) and 8 months (extended). Local hospital data were used to estimate the denominator of pregnant smokers exposed to the materials. Results: During the strict and extended time frames, 13 and 25 activation requests were received, representing 3% (95% CI 2% to 5%) and 4% (95% CI 3% to 6%) of estimated smokers, respectively. Only 11 (44%) of the 25 requesting activation sent a correctly formatted initiation text. Of those activating MiQuit, and invited to complete tailoring questions (used to tailor support), 6 (67%) completed all 12 questions by text or website and 5 (56%) texted a quit date to the system. Of the 11 activating MiQuit, 5 (45%, 95% CI 21% to 72%) stopped the programme prematurely. Conclusions: A low-intensity, cheap cessation intervention promoted at very low cost, resulted in a small but potentially impactful uptake rate by pregnant smokers.

AB - Objectives: To adapt a tailored short message service (SMS) text message smoking cessation intervention (MiQuit) for use without active health professional endorsement in routine antenatal care settings, to estimate ‘real-world’ uptake and test the feasibility of its use. Design: Single-site service evaluation. Setting: A Nottinghamshire (UK) antenatal clinic. Participants: Pregnant women accessing the antenatal clinic (N=1750) over 6 months. Intervention: A single-sheet A5 leaflet provided in the women's maternity notes folder describing the MiQuit text service. Similar materials were left on clinic desks and noticeboards. Outcome measures: MiQuit activation requests and system interactions were logged for two time frames: 6 months (strict) and 8 months (extended). Local hospital data were used to estimate the denominator of pregnant smokers exposed to the materials. Results: During the strict and extended time frames, 13 and 25 activation requests were received, representing 3% (95% CI 2% to 5%) and 4% (95% CI 3% to 6%) of estimated smokers, respectively. Only 11 (44%) of the 25 requesting activation sent a correctly formatted initiation text. Of those activating MiQuit, and invited to complete tailoring questions (used to tailor support), 6 (67%) completed all 12 questions by text or website and 5 (56%) texted a quit date to the system. Of the 11 activating MiQuit, 5 (45%, 95% CI 21% to 72%) stopped the programme prematurely. Conclusions: A low-intensity, cheap cessation intervention promoted at very low cost, resulted in a small but potentially impactful uptake rate by pregnant smokers.

KW - England

KW - Female

KW - Health Promotion

KW - Humans

KW - Outcome Assessment (Health Care)

KW - Pregnancy

KW - Prenatal Care

KW - Smoking Cessation

KW - Text Messaging

U2 - 10.1136/bmjopen-2015-008871

DO - 10.1136/bmjopen-2015-008871

M3 - Article

C2 - 26493459

VL - 5

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 10

M1 - e008871

ER -