The Effect of Motivational Interviewing and Digital Game-Supported Counseling on Postpartum Relapse

Lokman Hekim University

Status: Enrolling

Conditions: Postpartum Period; Smoking Relapse Behavior

Treatments: Behavioral: Routine Antenatal Care; Behavioral: Motivational Interviewing and Digital Game-Supported Counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT07271953

LokmanHekimU-Hem-NO-02

Details and patient eligibility

About

This randomized controlled trial aims to determine the effect of motivational interviewing-based, digital game-supported counseling on postpartum smoking relapse among pregnant women who quit smoking spontaneously during pregnancy. Women who smoked at least one cigarette per day before pregnancy and quit smoking during pregnancy will be included. Participants will be randomly assigned to two groups: in the intervention group, online motivational interviewing sessions will be delivered once each during the third and fourth prenatal follow-ups by the researcher, and a digital game assignment will be provided after each session; the control group will receive routine health counseling delivered during prenatal follow-ups. The primary outcome measure is the rate of smoking relapse at three months postpartum. Secondary outcome measures include the postpartum slip rate, craving to smoke, and motivation to remain abstinent.

Enrollment: 72 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Intervention Group

Experimental group

Description:

Participants will receive counseling supported by motivational interviewing and a digital game.

Treatment:

Behavioral: Motivational Interviewing and Digital Game-Supported Counseling

Control Group

Active Comparator group

Description:

Participants receive routine antenatal care

Treatment:

Behavioral: Routine Antenatal Care