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Randomised controlled trial of a low-cost intervention to promote self-help smoking cessation in pregnancy
ISRCTN ISRCTN18328134
DOI 10.1186/ISRCTN18328134
ClinicalTrials.gov identifier
EudraCT number
Public title Randomised controlled trial of a low-cost intervention to promote self-help smoking cessation in pregnancy
Scientific title
Acronym N/A
Serial number at source G9711788
Study hypothesis The trial aims to identify the effectiveness of low cost self-help health education materials implemented within routine UK antenatal care in helping pregnant women quit smoking, using validated smoking status at the end of the second trimester of pregnancy (27 weeks) as the primary outcome measure. Secondary aims of the research will be (i) to collect data on birth weight, gestation at delivery and stillbirth and neonatal /infant mortality to contribute to the cumulative meta-analysis of the impact of smoking cessation on these outcomes; (ii) to assess the acceptability of the booklets to the women and (iii) to assess the feasibility and cost of incorporating self-help manuals dispatched by post into routine antenatal care
Lay summary
Ethics approval Added as of 12/09/2007: Three NHS trusts agreed to participate in the study, and approval from relevant local research ethics committees were obtained.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Public health, social medicine
Participants - inclusion criteria Aged 16 years or above at their first appointment with one of 40 participating midwives. Participants will be those who are less than 16 weeks pregnant at that time and who were smokers immediately prior to pregnancy.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/02/1998
Anticipated end date 28/02/2001
Status of trial Completed
Patient information material
Target number of participants 1500
Interventions Low cost self-help health education materials/control.

There will be two experimental groups: (i) participants receiving normal antenatal care only and (ii) participants receiving the programme of self-help booklets in addition to normal antenatal care. 112 participating midwives will be randomly allocated to the two groups: during the period of the trial, each of the midwives will deliver care according to their respective allocation to experimental group to all their patients satisfying the inclusion criteria.
Primary outcome measure(s) Primary end point: smoking cessation rate (validated by urinary cotinine assay) at end of second trimester of pregnancy (27 weeks).
Secondary outcome measure(s) Secondary end points: birth weight and gestation at delivery. The acceptability of the intervention to participants and midwives, aspects of programme content and delivery and programme costs will also be assessed
Sources of funding Medical Research Council (UK)
Trial website
Publications Results on http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12480850
Contact name Dr  Laurence  Moore
  Address Department of Social Medicine
University of Bristol
Canynge Hall
Whiteladies Road
  City/town Bristol
  Zip/Postcode BS8 2PR
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 25/10/2000
Last edited 12/09/2007
Date ISRCTN assigned 25/10/2000
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