A pilot study testing SMS text delivered scheduled gradual reduction to pregnant smokers.
A pilot study testing SMS text delivered scheduled gradual reduction to pregnant smokers.
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一项测试短信的试点研究向怀孕吸烟者提供了逐步减少吸烟的计划。
DOI：
10.1093/ntr/ntt045
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Fish,LauraJ
中科院分区：
文献类型：
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作者：
Pollak,KathrynI;Lyna,Pauline;Bilheimer,Alicia;Farrell,David;Gao,Xiaomei;Swamy,GeetaK;Fish,LauraJ
孕期吸烟会导致多种围产期并发症，但孕妇的吸烟率一直相对停滞不前。大多数帮助怀孕吸烟者戒烟或减少吸烟的干预措施都不容易传播。需要创新和可传播的干预措施。方法我们从产前诊所招募了31名怀孕中期的吸烟者。我们在双臂设计中评估了基于短信文本的干预的可行性、可接受性和初步疗效。我们将短信传递的支持信息与提供支持信息加计划逐步减少吸烟(SGR)的干预进行了比较，以帮助女性减少吸烟超过3周。我们有时会向SGR手臂中的女性发送“警报短信”，指示她们吸烟。我们要求女性不要吸烟，除非她们收到一条提醒短信。结果大多数女性(86%)报告阅读了大部分或全部短信。双臂中的女性对该计划的评价是有帮助的(M=6，SD=1对M=5，SD=2，SGR与仅支持)。SGR组的妇女在怀孕结束时生化验证的7天点患病率较高，分别为13.4%和7.5%。在那些仍在吸烟的人中，女性大幅减少了吸烟，SGR臂的吸烟减少更多(SGR臂：M=16，SD=11与仅支持消息：M=12，SD=7)。结论我们开发了一种易于掩饰的干预措施，可能会促进具有短信能力的孕妇戒烟和减少吸烟。在这项试点中，女性对该项目充满热情，特别是SGR部门的女性。这项计划还需要进一步研究。
INTRODUCTIONSmoking during pregnancy causes multiple perinatal complications; yet, the smoking rate among pregnant women has remained relatively stagnant. Most interventions to help pregnant smokers quit or reduce their smoking are not easily disseminable. Innovative and disseminable interventions are needed.METHODSWe recruited 31 pregnant smokers in their second trimester from prenatal clinics. We assessed feasibility, acceptability, and preliminary efficacy of an SMS text-based intervention in a 2-arm design. We compared SMS-delivered support messages to an intervention that provided support messages plus a scheduled gradual reduction (SGR) to help women reduce their smoking more than 3 weeks. We sent women in the SGR arm “alert texts” at times to instruct them to smoke. We asked women not to smoke unless they received an alert text.RESULTSMost women (86%) reported reading most or all of the texts. Women in both arms rated the program as helpful (M= 6,SD= 1 vs.M= 5,SD= 2, SGR vs. support only, respectively). Women in the SGR arm had a higher rate of biochemically validated 7-day point prevalence at the end of pregnancy 13.4% versus 7.5%. Of those still smoking, women reduced their smoking substantially with more reduction in the SGR arm (SGR arm:M= 16,SD= 11 vs. support messages only:M= 12,SD= 7).CONCLUSIONSWe developed an easily disseminable intervention that could possibly promote cessation and reduction among pregnant women with SMS texting ability. Women in this pilot were enthusiastic about the program, particularly those in the SGR arm. This program needs further examination.