Motivational interviewing plus a digital game to prevent smoking relapse after childbirth
The Effect of Motivational Interviewing and Digital Game-Supported Counseling on Postpartum Relapse in Pregnant Women Who Quit Smoking: A Randomized Controlled Trial
This will test whether two online motivational interviewing sessions plus a digital game can help women who quit smoking during pregnancy stay smoke-free after having their baby.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 72 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Lokman Hekim University Government |
| Locations | 1 site (Ankara, Ankara) |
| Trial ID | NCT07271953 on ClinicalTrials.gov |
What this trial studies
This randomized controlled trial enrolls pregnant women who smoked before pregnancy but quit during the first trimester and randomizes them to an intervention or routine care. The intervention group receives one online motivational interviewing session during each of the third and fourth prenatal follow-ups with a digital game assignment after each session, while the control group receives routine antenatal counseling. The primary outcome is the rate of smoking relapse three months after delivery, with secondary outcomes including postpartum slips, craving, and motivation to remain abstinent. Participants must have internet access and a device capable of running the digital game and be able to attend follow-ups at the study site.
Who should consider this trial
Good fit: Pregnant women aged 18 or older in their second trimester who smoked at least one cigarette per day before pregnancy, quit during the first trimester, are native Turkish speakers, and have internet access and a device to run the digital game are ideal candidates.
Not a fit: Women with diagnosed psychiatric disorders, high-risk pregnancies, those already using other pharmacologic or behavioral cessation methods, those without internet/device access, or those who resume smoking during pregnancy are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, this approach could reduce postpartum smoking relapse and help more women remain abstinent after childbirth.
How similar studies have performed: Motivational interviewing and digital interventions have shown modest success separately in preventing smoking relapse, but combining MI with a game-based assignment for postpartum relapse is a relatively novel approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged ≥18 years * Being in the second trimester of pregnancy * Smoked at least one cigarette per day before pregnancy and quit smoking during the first trimester of pregnancy * Have internet access * Own a device capable of playing the digital game (e.g., smart phone, tablet, or computer) * Native Turkish speakers Exclusion Criteria: * Having a diagnosis of any psychiatric disorder * Currently using another pharmacological or behavioral smoking cessation method * Having a high-risk pregnancy Withdrawal Criteria: * Experience pregnancy termination for any reason * Do not participate in any stage of the counseling sessions * Are diagnosed with postpartum depression during the postpartum period * Resume smoking during pregnancy
Where this trial is running
Ankara, Ankara
- Lokman Hekim Universty — Ankara, Ankara, Turkey (Türkiye) (Recruiting)
Study contacts
- Study coordinator: Nurbanu ODACI
- Email: nur_banu_odaci@hotmail.com
- Phone: +905444083222
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.