Preliminary Effectiveness of Enhanced Text Message + Incentives
Purpose
This study is a preliminary evaluation of a smoking cessation intervention designed for pregnant women that combines text message support and financial incentives. The aims of this study are to determine the preliminary feasibility and acceptability of text message + incentives (intervention) vs. text message only (control).
Conditions
- Smoking Cessation
- Pregnancy
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Pregnant women aged: 18+, Enrolled in the Special Supplemental Nutrition Program for women, Infants, and Children (WIC) or Medicaid (or applied/applying), Self-reported current daily smokers, Able to communicate in English, Access to a mobile phone capable of receiving text messages
Exclusion Criteria
Not at all interested in quitting, Smoke less than 24 days in the past month, Greater than 30 weeks gestation
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Text Messaging + Incentives |
Participants in this arm will receive a combination of text messages designed to support smoking cessation and escalating financial incentives contingent on biochemically-verified smoking abstinence (exhaled carbon monoxide). |
|
|
Active Comparator Text Messaging Only |
Participants in this arm will receive the same text messaging program as in Arm 1, but without the financial incentives contingent on abstinence. |
|
Recruiting Locations
Kansas City 4273837, Kansas 4273857 66160
More Details
- Status
- Recruiting
- Sponsor
- University of Kansas Medical Center
Study Contact
Detailed Description
Pregnant women who smoke and their babies are exposed to known carcinogens and smoking is associated with adverse maternal and birth outcomes. Low-income pregnant women are particularly at risk because they have higher smoking rates and are less likely to quit. Despite continued smoking, most pregnant smokers do not receive smoking cessation counseling and only one in 10 receive referrals to cessation services or follow-up care. Incentives for smoking cessation yield the highest effect sizes of any intervention for pregnant women. Most prior studies evaluating incentives for smoking cessation in this population have used time and resource-intensive in-person visits to verify abstinence for contingent reinforcement. The long-term goal of this research is to reduce the burden of tobacco use by developing and evaluating a highly scalable, effective intervention to support smoking cessation during pregnancy.