Quit4Baby: Reaching Pregnant Smokers with Health Information via Text Messaging

Quit4Baby：通过短信向怀孕吸烟者提供健康信息

• 批准号: 8436007
• 负责人: LORIEN C ABROMS
• 金额: $ 38.01万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8436007
• 关键词: Adult; Age; Build-it; Car Phone; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Child; Clinical Practice Guideline; Cognitive; Communication; Communities; Complement; Counseling; Development; Disclosure; Enrollment; Evaluation; Feedback; Female of child bearing age; Funding; Future; Goals; Guidelines; Health; Health Benefit; Healthy People 2020; Indium; Interview; Meta-Analysis; Methods; Mission; Modality; Mothers; Native Americans; Outcome; Ownership; Participant; Persons; Population; Pregnancy; Pregnant Women; Preventive; Protocols documentation; Public Health; Randomized; Reporting; Research; Research Proposals; Risk; Self Efficacy; Services; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Social support; Technology; Testing; Text; Time; Tobacco; United States National Institutes of Health; United States Public Health Service; base; behavior change; design; fetal tobacco exposure; innovation; knowledge base; novel; novel strategies; perinatal health; portability; programs; prototype; public health relevance; randomized trial; satisfaction; smoking cessation; tool; treatment program

DESCRIPTION (provided by applicant): The application describes a pilot test of a text-messaging smoking cessation intervention for pregnant women. Despite the great health benefits associated with smoking cessation in pregnancy to both mother and baby, few studies to date have examined the applications of text messaging or other communication technologies for smoking cessation in this population. This research application will explore how a state-of-the-art, interactive and intensive, text messaging program, Quit4Baby, can promote smoking cessation in pregnant smokers. The study Aims are: 1) To elicit qualitative feedback from pregnant smokers (n=20) about the concept of Quit4Baby, the proposed message protocols in Quit4Baby, and the proposed messages in Quit4Baby; 2) To develop a prototype of Quit4Baby which is consistent with Clinical Practice Guidelines (DHHS 2008), and 3) To conduct a formative evaluation of Quit4Baby 1.0 with pregnant smokers (n=120). Smokers will be randomized to Text4Baby or Text4Baby enhanced with Quit4Baby 1.0. It is hypothesized that Text4Baby enhanced with Quit4Baby 1.0 will be acceptable to pregnant smokers. Furthermore, it is hypothesized that Text4Baby enhanced with Quit4Baby 1.0 will result in greater improvements in the cognitive determinants of quitting and more favorable quitting outcomes. Participants will be interviewed at baseline, 1 and 3 months after enrollment. This study is important because currently a majority of pregnant smokers do not receive smoking cessation counseling and new treatment modalities are needed. The proposed research is innovative because (1) it builds a new bridge between established programs in text messaging for smoking cessation, pregnancy smoking cessation, and educational text messaging to pregnant women; (2) it has the potential to increase the reach of smoking cessation programs that are specifically targeted to pregnant smokers; and (3) it provides a new approach in the design and delivery of pregnancy smoking cessation programs. This study is consistent with the stated mission of the NIH and the NCI to build a knowledge base around effective methods for pregnancy smoking cessation and is consistent with the goals of Healthy People 2020 to increase rates of smoking cessation among pregnant women. If found to be promising, additional funding will be sought for the further development and rigorous testing of Quit4Baby among a larger population of pregnant smokers.

描述（由申请人提供）：该申请描述了对孕妇进行短信戒烟干预的试点试验。尽管在怀孕期间戒烟对母亲和婴儿都有很大的健康益处，但迄今为止很少有研究调查短信或其他通信技术在这一人群中戒烟的应用。本研究申请将探讨一个最先进的，互动和密集的，短信程序，Quit4Baby，如何促进怀孕吸烟者戒烟。本研究的目的是：1)从怀孕吸烟者（n=20）中获得关于Quit4Baby的概念、建议的消息协议和建议的消息的定性反馈；2)开发符合临床实践指南（DHHS 2008）的Quit4Baby原型；3)对怀孕吸烟者（n=120）进行Quit4Baby 1.0的形成性评估。吸烟者将被随机分配到Text4Baby或Quit4Baby 1.0增强版Text4Baby。假设怀孕吸烟者可以接受Quit4Baby 1.0增强的Text4Baby。此外，假设使用Quit4Baby 1.0增强的Text4Baby将导致戒烟认知决定因素的更大改善和更有利的戒烟结果。参与者将在入组后的基线、1个月和3个月接受访谈。这项研究很重要，因为目前大多数怀孕吸烟者没有接受戒烟咨询，需要新的治疗方式。拟议的研究具有创新性，因为(1)它在已建立的戒烟短信、怀孕戒烟短信和向孕妇发送教育短信之间建立了一座新的桥梁；(2)有可能扩大专门针对怀孕吸烟者的戒烟计划的覆盖面；(3)它提供了一种设计和实施怀孕戒烟计划的新方法。本研究符合美国国立卫生研究院和美国国家癌症研究所的既定使命，即围绕有效的怀孕戒烟方法建立知识库，并符合“健康人2020”提高孕妇戒烟率的目标。如果发现有希望，将寻求额外的资金来进一步开发Quit4Baby，并在更多的怀孕吸烟者中进行严格的测试。