Translating guidelines to practice: findings from a multidisciplinary preventive cardiology programme in the west of Ireland

Gibson, Irene; Flaherty, Gerard; Cormican, Sarah; Jones, Jennifer; Kerins, Claire; Walsh, Anne; Costello, Caroline; Windle, Jane; Connolly, Susan; Crowley, James J.

doi:10.1177/2047487313498831

Cited by 39 publications

(60 citation statements)

References 34 publications

(30 reference statements)

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“…There were 32 interventions [40, that used opportunity as one of the mechanisms for behaviour change with the majority of these interventions (59%) [40, [65][66][67][68][69][70][71][72][73][74][75][76][77][78][81][82][83][84] reporting successful long-term cessation. There were 12 interventions that aimed to increase access to resources as a part of the intervention [60,62,65,66,69,70,76,77,[81][82][83][84]. Of these, 10 (83%) interventions reported successful long-term smoking cessation [65,66,69,70,76,77,[81][82][83][84].…”

Section: Demi-regularity -Opportunitymentioning

confidence: 99%

“…There were 12 interventions that aimed to increase access to resources as a part of the intervention [60,62,65,66,69,70,76,77,[81][82][83][84]. Of these, 10 (83%) interventions reported successful long-term smoking cessation [65,66,69,70,76,77,[81][82][83][84]. The majority of interventions that made changes to the physical and/or social environment (8/11; 73%) [40, 65,66,68,73,81,82,84] or interventions that improved patient's social support system (10/15; 67%) [65-68, 71, 72, 74-76, 78] also reported successful long-term cessation.…”

Section: Demi-regularity -Opportunitymentioning

confidence: 99%

“…Specifically, four [67,71,84,103,104] out of eight interventions [59,63,67,71,80,84,103,104] in Asia reported that participants were more likely to quit smoking. Interventions that utilized capability in community based settings or in schools also had positive results with 71% (5/7) [40, 70,77,81,104] and 80% (4/5) [40, 73,82,84], respectively reporting long-term smoking cessation.…”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

“…Similar to capability, implementing strategies that increased motivation within interventions appeared to be beneficial in certain contexts. For example, the majority of interventions that utilized motivation in communitybased settings (3/4; 75%) [40, 70,77] and schools (2/3; 67%) [40,84] reported that participants were more likely to quit smoking long-term. In contrast, applying motivation as a mechanism was unsuccessful in clinical settings; eight (36%) […”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

“…6/19; 32%) [40,70,74,78,83,102] and in Australasia (2/5; 40%)[69,75], only a minority of the interventions using capability reported participants were more likely to quit smoking. Even when we examined specific techniques for increasing capability that were used in Europe, very few interventions reported successful long-term smoking cessation.…”

mentioning

confidence: 99%

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Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Minian

Corrin

Lingam

et al. 2020

Preprint

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Background: Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.Methods: This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.Results: Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion: In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).Study registration: PROSPERO registration number: CRD42017064430

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