Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis

Griffiths, Sarah; Parsons, Joanne; Naughton, Felix; Fulton, Emily; Tombor, Ildikó; Brown, Katherine

doi:10.1080/17437199.2018.1488602

Cited by 68 publications

(71 citation statements)

References 59 publications

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“…For smoking cessation in pregnancy, self-help interventions, including those delivered digitally (by computer or as text messages), have been found to be effective. ( Griffiths et al, 2018 ; Naughton, Prevost, & Sutton, 2008 ). Self-help provided as written or electronic support, or as part of counselling, may be favourable modes of delivery for BCTs and worthy of further research.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum

Brown

Hardeman

Bauld

et al. 2019

Addictive Behaviors

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Introduction There is no routine support to prevent postpartum smoking relapse, due to lack of effective interventions. Previous reviews have identified behaviour change techniques (BCTs) within pregnancy cessation trials to specify which components might be incorporated into more effective interventions, but no reviews have identified BCTs for prevention of smoking relapse postpartum. We reviewed BCTs and potential delivery modes, to inform future interventions. Methods We searched Medline and EMBASE from January 2015–May 2017; and identified trials published before 2015 by handsearching systematic reviews. We included RCTs where: i) ≥1 intervention component aimed to maintain smoking abstinence versus a less intensive intervention; ii) participants included pregnant or postpartum smoking quitters; iii) smoking status was reported in the postpartum period. We extracted trial characteristics and used the Behaviour Change Technique Taxonomy v1 to extract BCTs. We aimed to identify ‘promising’ BCTs i.e. those frequently occurring and present in ≥2 trials that demonstrated long-term effectiveness (≥6 months postpartum). Data synthesis was narrative. Results We included 32 trials, six of which demonstrated long-term effectiveness. These six trials used self-help, mainly in conjunction with counselling, and were largely delivered remotely. We identified six BCTs as promising: ‘problem solving’, ‘information about health consequences’, ‘information about social and environmental consequences’, ‘social support’, ‘reduce negative emotions’ and ‘instruction on how to perform a behaviour’. Conclusions Future interventions to prevent postpartum smoking relapse might include these six BCTs to maximise effectiveness. Tailored self-help approaches, with/without counselling, may be favourable modes of delivery of BCTs. Registration: PROSPERO CRD42018075677.

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Section: Discussionmentioning

confidence: 99%

A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum

Brown

Hardeman

Bauld

et al. 2019

Addictive Behaviors

Self Cite

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“…personal life information or substance abuse), as well as the integration of simple applications in midwives' everyday practice, including digital applications or conventional tools like printed screening questionnaires, decision trees, and checklists. These would enable midwives to conduct the smoking and alcohol use screening more efficiently and to set quitting goals and behavior change interventions in a more structured way [29][30][31].…”

Section: Discussionmentioning

confidence: 99%

Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018

Lemola

Gkiouleka

Urfer-Maurer

et al. 2020

BMC Pregnancy Childbirth

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Background: Evidence suggests that cigarette smoking and alcohol consumption during pregnancy negatively impacts fetal health. Health agencies across countries have developed specific guidelines for health professionals in perinatal care to strengthen their role in smoking and alcohol use prevention. One such example is the "Guideline on Screening and Counselling for prevention of cigarette smoking and alcohol consumption before, during, and after pregnancy" introduced by the Swiss Midwives Association in 2011. The current study assesses the changes in midwives' engagement in smoking and alcohol use prevention before (2008) and after the introduction of the Guideline (2018). Further, the current study examines differences across regions (German vs. French speaking regions), graduation years (before and after the introduction of the Guideline) and different work settings (hospital vs. self-employed). Methods: Survey data were collected in 2008 (n = 366) and in 2018 (n = 459). Differences in how midwives engaged in smoking and alcohol use prevention between 2008 and 2018 were assessed with chi-square tests, as were differences across German and French speaking regions, graduation years (before and after the introduction of the Guideline) and across different work settings (working in hospitals or as self-employed). Results: An increase in midwives' awareness of the risks of consuming even small quantities of cigarettes and alcohol for the unborn child between 2008 and 2018 is evident. Explaining the risks to pregnant women who smoke or use alcohol remained the most frequently reported prevention strategy. However, engagement with more extensive smoking and alcohol use preventive strategies across the whole course of pregnancy, such as assisting women in the elaboration of a plan to stop smoking/alcohol use, remained limited. Conclusions: Seven years after its introduction, the effectiveness of the Guideline in increasing midwives' engagement in smoking and alcohol use prevention appears limited despite midwives' increased awareness.

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“…Social media and mobile apps can be a useful tool allowing to effectively disseminate health competencies to a wide audience. Similarly to internet-based interventions, mobile apps are also suitable for smoking cessation during pregnancy; they are flexible, remote and non-judgmental [4]. However, although such intervention are seem attractive and offer wide reach, at least in theory, there exists only very limited research about their effectiveness for real behaviour [3,4,24].…”

Section: Mobile and Internet Opportunities For Effective Interventionsmentioning

confidence: 99%

“…Importantly, in most countries there is limited availability of evidence-based cessation support, and this includes services dedicated to women who are pregnant and smoking. Digital behaviour change intervention (DBCI) such as websites or smartphone apps could provide behavioural support to pregnant smokers wanting to quit, especially if they cannot or do not want to access traditional face-to-face support, although research on the topic remains limited [2][3][4][5]. To date, no smartphone-based intervention supporting quitting smoking has been developed to support women in Poland to quit.…”

Section: Introductionmentioning

confidence: 99%

Give it up! – a new mobile app and campaign supporting women to quit smoking in Poland – project rationale and app description

Stelmach¹,

Janik-Koncewicz²,

Herbeć³

et al. 2018

jhi

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Smoking during pregnancy is one of the most dangerous health behaviours. Historically, smoking during pregnancy in European countries was common. At the end of 20 th century in many European countries, including Poland, around 20-40% of children were born after 9 month exposure to toxic factors of tobacco smoke. In the last decades prevalence of smoking among women has declined substantially. In 2015, the overall smoking prevalence among women in the WHO European region was 19.1%, while among pregnant women it was 5.9%. Female smoking rates in Asia contrast sharply with Europe. In the WHO Western Pacific region only 1.1% of women, and only 0.9% of pregnant women, are smokers. In 2017 in Poland around 23 thousand children were born to mothers smoking during pregnancy. Therefore, the Health Promotion Foundation, in collaboration with MSD Foundation for Women's Health, undertook the initiative to help Polish women quit smoking using new technologies. A mobile app called "Give it up!" has been created. This Polish-language app is designed for young women, especially those who are expecting a baby or thinking about motherhood. This publication presents the programme rationale and app description.

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Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis

Cited by 68 publications

References 59 publications

A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum

A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum

Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018

Give it up! – a new mobile app and campaign supporting women to quit smoking in Poland – project rationale and app description

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