Pregnancy Related, Tobacco Use Cessation
Conditions
Keywords
mHealth, smoking, postpartum
Brief summary
This project aims to develop an adapted and enhanced mHealth couple intervention to prevent post-partum smoking relapse.
Detailed description
The main goal of this project is to develop, implement, and disseminate effective and sustainable interventions to prevent and reduce smoking in families over their reproductive life span. So, the purpose of this project is to adapt, enhance, and test the implementation feasibility and efficacy of an evidence-based pregnancy and postnatal smoking relapse pilot mHealth intervention. The scientific relevance of this research project is given by: 1) testing a cultural-adapted version of the iCoach mobile application for the prevention of smoking uptake after birth. 2) The cultural adaptation will be obtained based on the existing literature regarding the adaptation of preventive interventions for substance use. 3) The iCoach app intervention is enhanced with SMS-delivered content addressing the dyadic efficacy for smoking cessation aiming to improve both partners' skills to work together as a team to prevent smoking uptake after birth.
Interventions
BEHAVIORALxSmoker app
xSmoker - mHealth intervention consisted of using the app xSmoker
BEHAVIORALSMS
Text messages with content based on the Motivation and Problem Solving approach and informed by our prior work.
OTHERUsual Care
Usual postnatal care
Sponsors
Babes-Bolyai University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* older than 18 years * gave up smoking 6 months before or during pregnancy * owns a smartphone * has a stable partner/husband * offers the partner's contact data * signs the informed consent * CO level (ppm) below 4
Exclusion criteria
* younger than 18 years * smoker * does not own a smartphone * does not have a stable partner/husband * refuses to offer the partner's contact data * refuses to sign the informed consent * refuses the CO level measurement or the CO level (ppm) is above 4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Seven-day point prevalence abstinence (PPA) | At 3 months post-birth | PPA, participants who reported 'no smoking, not even a puff' in the previous 7 days are mailed a saliva cotinine test and asked to send at least one photo of the completed test. Those with a salivary cotinine \<10 ng/mL, were considered confirmed nonsmokers. |
| Prolonged abstinence (PA) | At 3 months post-birth | PA was defined based on the question Have you smoked tobacco cigarettes over the past 6 months, with PA failure determined by the answers Yes, I smoked, but never a whole cigarette, Yes, I smoked cigarettes, but only occasionally, or Yes, I smoked cigarettes daily for a period (or periods) of time. |
Countries
Romania
Outcome results
None listed