A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh: a theory and evidence-based approach to development.
A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh: a theory and evidence-based approach to development.
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DOI：
10.1186/s40814-021-00811-5
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发表时间：
2021-03-19
影响因子：
1.7
通讯作者：
Rahman A
中科院分区：
文献类型：
--
作者：
Satyanarayana VA;Jackson C;Siddiqi K;Chandra PS;Huque R;Dherani M;Nasreen S;Murthy P;Rahman A
在印度和孟加拉国等低收入和中等收入国家的孕妇中，家庭暴露于二手烟（SHS）非常普遍。关于行为改变干预措施减少怀孕期间家庭暴露于SHS的有效性的文献很少。我们采用一种理论和基于证据的方法来开发一种干预措施，利用孕妇作为改变其丈夫在家吸烟行为的代理人。通过对SHS行为改变干预措施的系统回顾，我们将重点放在开发多组分干预措施和行为改变技术（bct）的知情选择上，以便在修改后的德尔菲调查中进行回顾。修正的德尔菲调查提供了专家共识的最有效的BCTs在减少家庭暴露于SHS。最后，一项定性访谈研究提供了关于SHS的知识、态度和实践的背景和详细了解。这种见解为建议的干预组件的内容和交付提供了信息。最后的干预包括四个组成部分：一份关于孕妇唾液可替宁水平的报告，一本包含SHS及其对健康影响的信息的图片小册子，以及谈判无烟家庭的策略，未来婴儿给其父亲的一封信，鼓励他提供无烟家庭，以及通过手机向丈夫发送自动语音提醒和激励信息。干预交付是在一个单独的面对面会议上进行的，研究助理解释了可替宁报告，讨论了确保家庭无烟环境的关键策略，并与孕妇练习如何与丈夫和支持她们的家庭成员分享小册子和信件。一种理论和基于证据的方法为多组分行为改变干预的发展提供了信息。该干预措施的可接受性和可行性随后在印度和孟加拉国的试点随机对照试验中进行了测试，稍后将发表。在线版本包含补充材料，可在10.1186/s40814-021-00811-5获得。
Home exposure to secondhand smoke (SHS) is highly prevalent amongst pregnant women in low- and middle-income countries like India and Bangladesh. The literature on the efficacy of behaviour change interventions to reduce home exposure to SHS in pregnancy is scarce. We employed a theory and evidence-based approach to develop an intervention using pregnant women as agents of change for their husband’s smoking behaviours at home. A systematic review of SHS behaviour change interventions led us to focus on developing a multicomponent intervention and informed selection of behaviour change techniques (BCTs) for review in a modified Delphi survey. The modified Delphi survey provided expert consensus on the most effective BCTs in reducing home exposure to SHS. Finally, a qualitative interview study provided context and detailed understanding of knowledge, attitudes and practices around SHS. This insight informed the content and delivery of the proposed intervention components. The final intervention consisted of four components: a report on saliva cotinine levels of the pregnant woman, a picture booklet containing information about SHS and its impact on health as well strategies to negotiate a smoke-free home, a letter from the future baby to their father encouraging him to provide a smoke-free home, and automated voice reminder and motivational messages delivered to husbands on their mobile phone. Intervention delivery was in a single face-to-face session with a research assistant who explained the cotinine report, discussed key strategies for ensuring a smoke-free environment at home and practised with pregnant women how they would share the booklet and letter with their husband and supportive family members. A theory and evidence-based approach informed the development of a multicomponent behaviour change intervention, described here. The acceptability and feasibility of the intervention which was subsequently tested in a pilot RCT in India and Bangladesh will be published later. The online version contains supplementary material available at 10.1186/s40814-021-00811-5.
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影响因子：
5.4
作者：
Gupta, PC;Subramoney, S
通讯作者：
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影响因子：
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作者：
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DOI：
10.1186/1748-5908-8-52
发表时间：
2013-05-16
期刊：
Implementation science : IS
影响因子：
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通讯作者：
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影响因子：
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作者：
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