Randomized comparison of group versus individual educational interventions for pregnant women to reduce their secondhand smoke exposure

Chi, Ying‐Chen; Sha, Feng; Yip, Psf; Chen, Jiunn-Liang; Yip, Paul S. F.

doi:10.1097/md.0000000000005072

Cited by 22 publications

(41 citation statements)

References 22 publications

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“…This has important implications for future interventions and their translation in real-world settings. Interventions delivered to groups of women have the potential to reach a wider audience in communities at a lower cost [ 133 , 134 ]. There are also aspects of group-based interventions upon which value cannot be placed or measured.…”

Section: Discussionmentioning

confidence: 99%

“…There are also aspects of group-based interventions upon which value cannot be placed or measured. These include emotional and social support, peer-contribution to learning, affirmation, and a sense of ‘togetherness’ that increases womens’ motivation to achieve their health goals [ 134 ]. It should be emphasized that interventions are likely to have a greater impact on population incidence of overweight and obesity if sub-groups most at-risk for excessive GWG, such as women who are already overweight and obese, low socioeconomic status (SES), and certain ethnic minorities are targeted [ 133 ].…”

Section: Discussionmentioning

confidence: 99%

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Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

et al. 2018

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Excessive maternal gestational weight gain (GWG) contributes to generational obesity. Our aim was to explore efficacy and intervention characteristics (trimester, duration, frequency, intensity, and delivery method) of interventions to prevent excessive GWG. CINAHL, Cochrane, EMBASE, LILACS, MEDLINE, PsycINFO, and Scopus were searched up to May 2018 (no date or language restrictions). Keywords and MeSH terms for diet, GWG, intervention, lifestyle, maternal, physical activity, and pregnancy were used to locate randomized-controlled trials (RCTs). The Cochrane Collaboration tool for assessing risk of bias was applied. Eighty-nine RCTs were included. Meta-analysis (60 trials) estimated that women in diet only (WMD: −3.27; 95% CI: −4.96, −1.58, p < 0.01), physical activity (PA) (WMD: −1.02; 95% CI: −1.56, −0.49, p < 0.01), and lifestyle interventions (combining diet and PA) (WMD: −0.84; 95% CI: −1.29, −0.39, p < 0.01) gained significantly less weight than controls. The three eHealth interventions favored neither intervention nor control (WMD: −1.06; 95% CI: −4.13, 2.00, p = 0.50). Meta-regression demonstrated no optimal duration, frequency, intensity, setting, or diet type. Traditional face to face delivery of weight management interventions during pregnancy can be successful. Delivery via eHealth has potential to extend its reach to younger women but needs further evaluation of its success.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

et al. 2018

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“…Exposure to smoke includes breathing smoke emanating from burning cigarettes and indirectly from exhaled smoke 4,5 . The exposure to SHS causes several severe complications in pregnant women such as preterm labor [6][7][8][9][10] , rupture of membranes 11 , increased probability of a cesarean operation 7 , decreased growth of fetus, delayed intrauterine growth 1,6,10 , low birth weight of fetus 6,[8][9][10] , distressed fetus 8,9 , small embryo for the gestational age 7 , sudden infant-death syndrome 6,10 , and increased level of cotinine in follicular fluid 12 . Although the prevalence of female smokers is low in Middle-East countries, especially Iran, the high prevalence of smoking among men puts women at risk of SHS harms 13 .…”

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confidence: 99%

“…Therefore, it is essential to encourage pregnant women to pursue preventative strategies 23 . In this regard, some studies investigated the decrease in SHS exposure on the basis of the Health Belief Model by changing the participants' health beliefs 8,23 . The Health Belief Model is based on behavioral patterns and includes individuals' vulnerability to diseases, effects of diseases on a person's life, as well as the effect of health performances in decreasing intensity and sensitivity 25 .…”

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confidence: 99%

Exposure to secondhand smoke in Iranian pregnant women at home and the related factors

Mahmoodabad¹,

Karimiankakolaki²,

Kazemi³

et al. 2019

Tob. Prev. Cessation

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INTRODUCTION Fetus health is of high importance in pregnant women and exposure to secondhand smoke (SHS) endangers maternal and fetal health. Therefore, in this study we examined the prevalence of exposure to SHS in pregnant women at home and the related factors. METHODS This cross-sectional study was conducted with 255 pregnant women who were referred to the Isfahan health care center from July to September 2018. A questionnaire that was designed by the research team was applied to collect data about the participants' prevalence of exposure, attitude-emotional dimension, perceived susceptibility, perceived severity, and perceived barriers. The questionnaire used was self-administered. The validity and reliability of the questionnaire were confirmed by a panel of experts. Cronbach's alpha of attitude-emotional dimension, perceived susceptibility, perceived severity, and perceived barriers were also calculated as 0.81, 0.91, 0.92, and 0.89, respectively. Statistically significant differences were examined using chi-squared test and Mann-Whitney test. RESULTS We found that the prevalence of exposure to SHS in pregnant women was 23.1%. The age of the husband (p=0.041), education level of the smoking husband (p=0.005), the education level of the pregnant woman (p=0.002), employment status of husband (p=0.010), and whether the pregnancy was planned (p=0.010) had significant association with the participant prevalence of exposure to SHS. Thus, older age of husbands, lower education levels of husbands and wives, unwanted pregnancies, and unemployment of husbands resulted in higher exposure to SHS. The mean scores of knowledge and perceptions were lower in women exposed to smoke than in non-exposed women (p<0.05). CONCLUSIONS The rate of SHS exposure was high in pregnant women. The knowledge and perception scores of exposed women to SHS were lower than those of non-exposed women. Low levels of education of husbands and women, unemployment and higher age of husbands, and unwanted pregnancies were considered as health risk factors. Therefore, effective training programs should be designed to educate pregnant women and their husbands.

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“…For comparison, there are few, if any, other intervention research activities that have focused on reducing SHS exposure among adult nonsmokers; most of the previous SHS interventions have targeted children’s exposure, pregnant women (24,25), adult smoking cessation, hospitalized patients, or household smoking bans.…”

Section: Discussionmentioning

confidence: 99%

Feasibility Pilot of a Randomized Faith-Based Intervention to Reduce Secondhand Smoke Exposure Among Korean Americans

et al. 2017

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IntroductionInterventions are needed to prevent exposure to secondhand smoke (SHS), which persists in certain immigrant enclaves, including Koreans in the United States. A faith-based and culturally acceptable intervention was developed and pilot tested in collaboration with Korean churches to address SHS exposure among people of Korean descent.MethodsA pilot cluster randomized intervention trial was conducted with 11 Korean churches in southern California and 75 Korean adults who were exposed to SHS. Study participants received a multicomponent intervention, which consisted of motivational interviewing by telephone and educational materials tailored with related biblical messages; the intervention was bolstered by church-based group activities and environmental cues. The control group received the same type and frequency of intervention components, but the components related only to fruit and vegetable consumption. Data were collected on the feasibility of the intervention and study procedures. SHS exposure and awareness and knowledge of SHS exposure were assessed by telephone interviews at baseline and follow-up.ResultsAt follow-up, a larger percentage of the intervention group than the control group reported correct SHS knowledge and disapproval of SHS. The intervention group’s SHS exposure was reduced by 8.5 cigarettes per week (vs a reduction of 1 cigarette per week among the control group).ConclusionsInitial findings are promising for improving knowledge, attitudes, and protective behaviors surrounding SHS exposure. Results suggest that a faith-based intervention for Korean Americans who are exposed to SHS is feasible, acceptable, and potentially effective in reducing their exposure to SHS.

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Randomized comparison of group versus individual educational interventions for pregnant women to reduce their secondhand smoke exposure

Cited by 22 publications

References 22 publications

Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

Attenuating Pregnancy Weight Gain—What Works and Why: A Systematic Review and Meta-Analysis

Exposure to secondhand smoke in Iranian pregnant women at home and the related factors

Feasibility Pilot of a Randomized Faith-Based Intervention to Reduce Secondhand Smoke Exposure Among Korean Americans

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