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


METHODS
Single-site service evaluation.


METHODS
A Nottinghamshire (UK) antenatal clinic.


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


METHODS
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.


METHODS
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.
Behavioural Science Group, Institute of Public Health, University of Cambridge, Cambridge, UK.
Felix
F
Naughton
Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK.
Sue
http://orcid.org/0000-0002-1994-6395
S
Cooper
Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK.
Katharine
K
Bowker
Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK.
Katarzyna
K
Campbell
Behavioural Science Group, Institute of Public Health, University of Cambridge, Cambridge, UK.
Stephen
S
Sutton
Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK.
Jo
J
Leonardi-Bee
Behavioural Science Group, Institute of Public Health, University of Cambridge, Cambridge, UK.
Melanie
M
Sloan
Division of Primary Care, U.K. Centre for Tobacco and Alcohol Studies and National Institute for Health Research School for Primary Care Research, University of Nottingham, Nottingham, UK.
Tim
T
Coleman
D004739:England; D005260:Female; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011295:Prenatal Care; D016540:Smoking Cessation / Q000379:methods*; D060145:Text Messaging / Q000191:economics / Q000592:standards*
pregnancy; service evaluation; smoking cessation; text message