Effectiveness of a brief primary care intervention to reduce passive smoking in babies: a cluster randomised clinical trial

Cuelva, Guadalupe Ortega; Cabezas, Carmen; Ortega, Jesús Almeda; Zafra, Marc Sáez; Moreno, J.L.; Pascual, José A.; Cuesta, Cristina Castellà; Martín-Cantera, Carlos; Cerezuela, Esteve Saltó; Pou, Rosa M Casademont; Alvarez, Estela Díaz; Fernandez, Joan Lozano; Jordán, Concepció Morera; Trillo, Araceli Valverde; Pérez-Ortuño, Raúl; Ponce, Lourdes Rofes; Checa, Mireia Jané

doi:10.1136/jech-2014-204708

Cited by 6 publications

(18 citation statements)

References 27 publications

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“…Electronic and hand searching identified 550 records, with 493 references remaining after the removal of duplicates. Based on title and abstract screening, 103 relevant articles were retrieved for full-text assessment, with the final inclusion of 16 primary controlled trials [ 5 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] (associated with 41 articles, Table S1 ). Twelve of these trials had previously been identified by Behbod and colleagues [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…Full trial characteristics are shown in Table S2 (including population, sample size, details of the intervention and control, outcome measures, and process indicators). Twelve trials [ 5 , 38 , 39 , 41 , 42 , 44 , 45 , 46 , 47 , 48 , 49 , 52 ] were randomised controlled trials (RCTs), three were cluster RCTs [ 40 , 50 , 51 ], and one was a non-randomised controlled trial [ 43 ]. Most trials were conducted in the USA [ 5 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 49 , 51 ], with the remaining trials in China [ 38 , 39 , 41 , 52 ], Germany [ 46 ], and Spain [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Twelve trials [ 5 , 38 , 39 , 41 , 42 , 44 , 45 , 46 , 47 , 48 , 49 , 52 ] were randomised controlled trials (RCTs), three were cluster RCTs [ 40 , 50 , 51 ], and one was a non-randomised controlled trial [ 43 ]. Most trials were conducted in the USA [ 5 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 49 , 51 ], with the remaining trials in China [ 38 , 39 , 41 , 52 ], Germany [ 46 ], and Spain [ 50 ]. Six trials were conducted exclusively in neonates [ 5 , 43 , 44 , 46 , 51 , 52 ], two in young infants (0–18 months) [ 41 , 50 ], five in children aged up to 5 years [ 38 , 39 , 42 , 47 , 48 ], and three in children aged up to 12 years [ 40 , 45 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most trials were conducted in the USA [ 5 , 40 , 42 , 43 , 44 , 45 , 47 , 48 , 49 , 51 ], with the remaining trials in China [ 38 , 39 , 41 , 52 ], Germany [ 46 ], and Spain [ 50 ]. Six trials were conducted exclusively in neonates [ 5 , 43 , 44 , 46 , 51 , 52 ], two in young infants (0–18 months) [ 41 , 50 ], five in children aged up to 5 years [ 38 , 39 , 42 , 47 , 48 ], and three in children aged up to 12 years [ 40 , 45 , 49 ]. Nine trials recruited both parents/caregivers [ 5 , 38 , 39 , 40 , 41 , 42 , 49 , 50 , 52 ], and seven trials [ 43 , 44 , 45 , 46 , 47 , 48 , 51 ] recruited mothers/female caregivers only.…”

Section: Resultsmentioning

confidence: 99%

“…Six trials were conducted exclusively in neonates [ 5 , 43 , 44 , 46 , 51 , 52 ], two in young infants (0–18 months) [ 41 , 50 ], five in children aged up to 5 years [ 38 , 39 , 42 , 47 , 48 ], and three in children aged up to 12 years [ 40 , 45 , 49 ]. Nine trials recruited both parents/caregivers [ 5 , 38 , 39 , 40 , 41 , 42 , 49 , 50 , 52 ], and seven trials [ 43 , 44 , 45 , 46 , 47 , 48 , 51 ] recruited mothers/female caregivers only. Ten trials recruited smokers or recent quitters [ 38 , 39 , 40 , 42 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ], two had mixed populations of non-smokers or smokers [ 5 , 44 ], one focussed on postpartum quitters [ 43 ], and two recruited families with a smoking father and non-smoking mother [ 41 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Brown

Gentry

Bauld

et al. 2020

IJERPH

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Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined “promising” BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 “promising” BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Brown

Gentry

Bauld

et al. 2020

IJERPH

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Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children

et al. 2016

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IMPORTANCE Reducing child exposure to tobacco smoke is a public health priority. Guidelines recommend that health care professionals in child health settings should address tobacco smoke exposure (TSE) in children. OBJECTIVE To determine the effectiveness of interventions delivered by health care professionals who provide routine child health care in reducing TSE in children. DATA SOURCES A secondary analysis of 57 trials included in a 2014 Cochrane review and a subsequent extended search was performed. Controlled trials (published through June 2015) of interventions that focused on reducing child TSE, with no restrictions placed on who delivered the interventions, were identified. Secondary data extraction was performed in August 2015. STUDY SELECTION Controlled trials of routine child health care delivered by health care professionals (physicians, nurses, medical assistants, health educators, and dieticians) that addressed the outcomes of interest (TSE reduction in children and parental smoking behaviors) were eligible for inclusion in this review and meta-analysis. DATA EXTRACTION AND SYNTHESIS Study details and quality characteristics were independently extracted by 2 authors. If outcome measures were sufficiently similar, meta-analysis was performed using the random-effects model by DerSimonian and Laird. Otherwise, the results were described narratively. MAIN OUTCOMES AND MEASURES The primary outcome measure was reduction in child TSE. Secondary outcomes of interest were parental smoking cessation, parental smoking reduction, and maternal postpartum smoking relapse prevention. RESULTS Sixteen studies met the selection criteria. Narrative analysis of the 6 trials that measured child TSE indicated no intervention effects relative to comparison groups. Similarly, meta-analysis of 9 trials that measured parental smoking cessation demonstrated no overall intervention effect (n = 6399) (risk ratio 1.05; 95% CI, 0.74-1.50; P = .78). Meta-analysis of the 3 trials that measured maternal postpartum smoking relapse prevention demonstrated a significant overall intervention effect (n = 1293) (risk ratio 1.53; 95% CI, 1.10-2.14; P = .01). High levels of study heterogeneity likely resulted from variability in outcome measures, length of follow up, intervention strategies, and unknown intervention fidelity. CONCLUSIONS AND RELEVANCE Interventions delivered by health care professionals who provide routine child health care may be effective in preventing maternal smoking relapse. Further research is required to improve the effectiveness of such interventions in reducing child TSE and increasing parental smoking cessation. The findings of this meta-analysis have policy and practice implications relating to interventions by routine pediatric health care professionals that aim to reduce child exposure to tobacco smoke.

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Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke

Behbod

Sharma

Baxi

et al. 2018

Cochrane Database of Systematic Reviews

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Effectiveness of a brief primary care intervention to reduce passive smoking in babies: a cluster randomised clinical trial

Abstract: Clinical Trials.gov Identifier: NCT00788996.

Cited by 6 publications

References 27 publications

Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children

Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke

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