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

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.

NCT Number	NCT07271953
Lead Sponsor	Lokman Hekim University
Conditions	Postpartum Period, Smoking Relapse Behavior
Enrollment	72 participants
Start Date	2025-10-01
Primary Completion	2026-06-30 (estimated)
Study Completion	2026-07-12 (estimated)
Updated on ClinicalTrials.gov	2025-12-09