Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women - a systematic review and intervention appraisal.
Behaviour change interventions to reduce second-hand smoke exposure at home in pregnant women - a systematic review and intervention appraisal.
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DOI：
10.1186/s12884-017-1562-7
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发表时间：
2017-11-14
影响因子：
3.1
通讯作者：
Siddiqi K
中科院分区：
文献类型：
--
作者：
Dherani M;Zehra SN;Jackson C;Satyanaryana V;Huque R;Chandra P;Rahman A;Siddiqi K
孕期接触二手烟(SHS)与不良的妊娠和胎儿结局有关。基于理论的行为改变干预(BCI)已经成功地用于改变与吸烟相关的行为，并提供了减少孕妇暴露于SHS的可能性。到目前为止进行的系统审查没有评估干预措施的普遍性和可扩展性。这项审查的目的是(1)报告BCI以减少孕妇家庭暴露于SHS；以及(2)批判性地评估干预--报告所采用的BCI的报告、概括性、可行性和可扩展性。遵循Prisma指南的标准方法被采用。用英文检索2000-2015年间的8个数据库。这些研究包括对孕妇使用的BCI，以通过瞄准丈夫/伴侣来减少她们在家庭中的SHS暴露。干预发展和评估研究工作组(WIDER)指南用于评估干预报告。根据Bonell和Milat描述的标准对通用性、可行性和可扩展性进行了评估。在确定的3479篇论文中，有6项研究符合纳入标准。这些研究发现，BCI增加了对SHS危害的了解，减少或丈夫戒烟，并增加了易感性，并改变了在家中减少SHS的行动水平。两项研究报告了客观的暴露措施，一项报告了客观的健康结果。这些研究部分遵循了更广泛的报告指南，没有一项符合所有的概括性、可行性和可扩展性标准。这方面的文献很少，综述的研究质量也是中等到低的。BCI在减少SHS方面似乎是有效的，然而，薄弱的研究方法(自我报告暴露、缺乏客观结果评估、短期随访、缺乏对照组)排除了确定的结论。BCI报告遵循了更广泛的清单的一些组成部分，但没有说明研究的可扩展性和可行性。需要在不同的研究环境中使用生化和临床措施对暴露和健康结果进行更严格的研究。研究应使用更广泛的清单详细报告干预措施，并评估其概括性、可行性和可扩展性。CRD40125026666。
Second-hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and foetal outcomes. Theory-based behaviour change interventions (BCI) have been used successfully to change smoking related behaviours and offer the potential to reduce exposure of SHS in pregnant women. Systematic reviews conducted so far do not evaluate the generalisability and scalability of interventions. The objectives of this review were to (1) report the BCIs for reduction in home exposure to SHS for pregnant women; and (2) critically appraise intervention-reporting, generalisability, feasibility and scalability of the BCIs employed. Standard methods following PRISMA guidelines were employed. Eight databases were searched from 2000 to 2015 in English. The studies included used BCIs on pregnant women to reduce their home SHS exposure by targeting husbands/partners. The Workgroup for Intervention Development and Evaluation Research (WIDER) guidelines were used to assess intervention reporting. Generalisability, feasibility and scalability were assessed against criteria described by Bonell and Milat. Of 3479 papers identified, six studies met the inclusion criteria. These studies found that BCIs led to increased knowledge about SHS harms, reduction or husbands quitting smoking, and increased susceptibility and change in level of actions to reduce SHS at home. Two studies reported objective exposure measures, and one reported objective health outcomes. The studies partially followed WIDER guidelines for reporting, and none met all generalisability, feasibility and scalability criteria. There is a dearth of literature in this area and the quality of studies reviewed was moderate to low. The BCIs appear effective in reducing SHS, however, weak study methodology (self-reported exposure, lack of objective outcome assessment, short follow-up, absence of control group) preclude firm conclusion. Some components of the WIDER checklist were followed for BCI reporting, scalability and feasibility of the studies were not described. More rigorous studies using biochemical and clinical measures for exposures and health outcomes in varied study settings are required. Studies should report interventions in detail using WIDER checklist and assess them for generalisability, feasibility and scalability. CRD40125026666.
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影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
影响因子：
3.5
作者：
Lee, Anita H.
通讯作者：
Lee, Anita H.
DOI：
10.2471/blt.07.044529
发表时间：
2008-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Dherani, Mukesh;Pope, Daniel;Bruce, Nigel
通讯作者：
Bruce, Nigel
DOI：
10.1186/1748-5908-8-52
发表时间：
2013-05-16
期刊：
Implementation science : IS
影响因子：
--
作者：
Albrecht L;Archibald M;Arseneau D;Scott SD
通讯作者：
Scott SD
影响因子：
--
作者：
Safdar, Nauman;Zahid, Raana;Siddiqi, Kamran
通讯作者：
Siddiqi, Kamran