<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-17T01:27:02Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/11027" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/11027</identifier><datestamp>2025-12-19T20:47:28Z</datestamp><setSpec>com_2072_378068</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378090</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_11351-11027" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:11351/11027">
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                  <mods:namePart>Agràs-Guàrdia, Maria</mods:namePart>
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                  <mods:namePart>Martínez-Torres, Sara</mods:namePart>
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                  <mods:namePart>Granado-Font, Esther</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Villalobos, Felipe</mods:namePart>
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                  <mods:namePart>PATRICIO, DEMETRIA</mods:namePart>
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                  <mods:namePart>Ruiz Díez, Francisca</mods:namePart>
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                  <mods:namePart>Marin-Gomez, Francesc X</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Duch, Jordi</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Rey-Reñones, Cristina</mods:namePart>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Pallejà, Meritxell</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Martín Luján, Francisco M</mods:namePart>
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               <mods:originInfo>
                  <mods:dateIssued encoding="iso8601">2024-02-13T10:31:07Z2024-02-13T10:31:07Z2022-12-13</mods:dateIssued>
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               <mods:abstract>Gamification; Pregnancy; Primary health care; Smoking cessation; TelemedicineGamificació; Embaràs; Atenció primària; Deixar de fumar; TelemedicinaGamificación; Embarazo; Atención primaria; Dejar de fumar; TelemedicinaBackground: Tobacco consumption during pregnancy is one of the most modifiable causes of morbidity and mortality for both pregnant smokers and their foetus. Even though pregnant smokers are conscious about the negative effects of tobacco consumption, they also had barriers for smoking cessation and most of them continue smoking, being a major public health problem. The aim of this study is to determine the effectiveness of an application (App) for mobile devices, designed with a gamification strategy, in order to help pregnant smokers to quit smoking during pregnancy and in the long term.&#xd;
&#xd;
Methods: This study is a multicentre randomized community intervention trial. It will recruit pregnant smokers (200 participants/group), aged more than 18 years, with sporadically or daily smoking habit in the last 30 days and who follow-up their pregnancy in the Sexual and Reproductive Health Care Services of the Camp de Tarragona and Central Catalonia Primary Care Departments. All the participants will have the usual clinical practice intervention for smoking cessation, whereas the intervention group will also have access to the App. The outcome measure will be prolonged abstinence at 12 months after the intervention, as confirmed by expired-carbon monoxide and urinary cotinine tests. Results will be analysed based on intention to treat. Prolonged abstinence rates will be compared, and the determining factors will be evaluated using multivariate statistical analysis.&#xd;
&#xd;
Discussion: The results of this study will offer evidence about the effectiveness of an intervention using a mobile App in smoking cessation for pregnant smokers, to decrease comorbidity associated with long-term smoking. If this technology is proven effective, it could be readily incorporated into primary care intervention for all pregnant smokers.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Embarassades - Consum de tabac</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Telemedicina</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Aplicacions mòbils</mods:topic>
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                  <mods:topic>PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Health Behavior::Smoking Cessation</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>NAMED GROUPS::Persons::Women::Pregnant Women</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Telemedicine</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>INFORMATION SCIENCE::Information Science::Computing Methodologies::Software::Mobile Applications</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::conducta sanitaria::cese del uso de tabaco</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DENOMINACIONES DE GRUPOS::personas::mujeres::mujeres embarazadas</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::telemedicina</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>CIENCIA DE LA INFORMACIÓN::Ciencias de la información::metodologías computacionales::soporte lógico (informática)::aplicaciones en aparatos electrónicos portátiles</mods:topic>
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               <mods:titleInfo>
                  <mods:title>Effectiveness of an App for tobacco cessation in pregnant smokers (TOBBGEST): study protocol</mods:title>
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