Self-Monitoring of Carbon Monoxide to Enhance Reproductive Outcomes in Women



Status:Completed
Conditions:Smoking Cessation, Smoking Cessation, Women's Studies
Therapuetic Areas:Pulmonary / Respiratory Diseases, Reproductive
Healthy:No
Age Range:18 - 40
Updated:7/11/2015
Start Date:September 2014
End Date:June 2015
Contact:Patricia Rawa, B.S.
Email:prawa@hmc.psu.edu
Phone:7175313692

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Our goal is to study self-monitoring of smoking as a means to reduce smoking in pregnant
women. Investigators hypothesize that more regular self-monitoring, text messages and
feedback as provided by home carbon monoxide monitoring device combined with medical
feedback on results will reduce smoking during pregnancy compared to only receiving text
message and no self-monitoring by home monitoring device and no feedback by home carbon
monoxide monitoring device . The periconceptual period is a life period, where given the
immediacy of the fetus and future child, a pregnant woman is willing to try and modify
potentially harmful behaviors.

Altering unhealthy behaviors, such as tobacco smoking, that increase cardiovascular disease
and cancer risk, has proven remarkably difficult in traditional medical practice settings,
and successful medical trials have been costly and labor intensive. This proposal aims to
utilize a self-monitoring device, i.e., carbon monoxide monitor to foster smoking cessation
among pregnant women who smoke. Investigators hypothesize that women who have access to a
self-monitoring device more frequently (i.e., at home) and receive feedback about their
carbon monoxide level will have greater reductions in smoking as determined by declining
serum cotinine levels over the course of the study compared to women who do not have access
to a self-monitoring device and do not receive feedback about their carbon monoxide level,
but only receive text messages.

Inclusion Criteria:

- Pregnant women 18-40 years old

- Participants will be pregnant women estimated to be between 6 and 20 weeks into their
pregnancy

- Pregnant women have smoked at least at least one cigarette in the prior 7 days

- Own a smartphone capable of delivering and receiving text messages

Exclusion Criteria:

- Project materials and text messages are in English, potential participants will be
excluded if they cannot read English and if there are concerns about the ability to
comprehend or comply with study procedures
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