Healthcare Providers’ Views on Digital Smoking Cessation Interventions for Pregnant Women

Tombor, Ildikó; Neale, Joanne; Shahab, Lion; Ruiz, Milagros; West, Robert

doi:10.1017/jsc.2014.6

Cited by 13 publications

(15 citation statements)

References 29 publications

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“…However, there is insufficient evidence at present regarding the efficacy and safety of nicotine replacement therapy for this population (Coleman, Chamberlain, Davey, Cooper, & Leonardi-Bee, 2015). Interventions using a digital platform, including telephone, video, internet or mobile application technologies (O'Brien, McCarthy, Gibney, & McAuliffe, 2014), show promise for smoking cessation in pregnancy as they can provide anonymity and are available on demand (Tombor, Neale, Shahab, Ruiz, & West, 2015). Whilst a review of mobile phone based smoking cessation interventions in pregnancy has been undertaken (Heminger, Schindler-Ruwisch, & Abroms, 2016), the timing of this review meant that only one randomised trial could be included.…”

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confidence: 99%

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

Griffiths

Parsons

Naughton

et al. 2018

Health Psychology Review

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Smoking in pregnancy remains a global public health issue due to foetal health risks and potential maternal complications. The aims of this systematic review and meta-analysis were to explore: (1) whether digital interventions for pregnancy smoking cessation are effective, (2) the impact of intervention platform on smoking cessation, (3) the associations between specific Behaviour Change Techniques (BCTs) delivered within interventions and smoking cessation and (4) the association between the total number of BCTs delivered and smoking cessation. Systematic searches of 9 databases resulted in the inclusion of 12 published articles (n = 2970). The primary meta-analysis produced a sample-weighted odds ratio (OR) of 1.44 (95% CI 1.04-2.00, p = .03) in favour of digital interventions compared with comparison groups. Computer-based (OR = 3.06, 95% CI 1.28-7.33) and text-message interventions (OR = 1.59, 95% CI 1.07-2.38) were the most effective digital platform. Moderator analyses revealed seven BCTs associated with smoking cessation: information about antecedents; action planning; problem solving; goal setting (behaviour); review behaviour goals; social support (unspecified); and pros and cons. A meta-regression suggested that interventions using larger numbers of BCTs produced the greatest effects. This paper highlights the potential for digital interventions to improve rates of smoking cessation in pregnancy.

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confidence: 99%

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

Griffiths

Parsons

Naughton

et al. 2018

Health Psychology Review

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“…As issues have been raised regarding the accessibility of some forms of digital interventions, such as the use of websites and smartphone apps, among pregnant smokers from lower socioeconomic backgrounds [55], it would be beneficial to explore this in a quantitative analysis. Unfortunately, it is unlikely that the data from this review will allow for a quantitative assessment of the impact of socioeconomic status, or mode of delivery, on intervention effectiveness for smoking cessation in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Are digital interventions for smoking cessation in pregnancy effective? A systematic review protocol

et al. 2016

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BackgroundBehavioural support for smoking cessation in pregnancy can be effective; however, many pregnant women face barriers to seeking support to stop smoking. Some digital interventions have been found to be effective for smoking cessation in the general population and may be effective for supporting cessation in pregnancy due to their flexibility and the potential for personalisation. To date, there is limited evidence of the effectiveness of digital interventions for smoking cessation in pregnancy. This review aims to assess the following: (1) whether digital interventions are effective at promoting smoking cessation among pregnant women; (2) which behaviour change techniques (BCTs) or combinations of BCTs are associated with the effectiveness of digital interventions for smoking cessation in pregnancy; and (3) whether the number of BCTs used is associated with the effectiveness of digital interventions for smoking cessation in pregnancy.MethodsThis review will include digital interventions delivered largely through computer (PC or laptop), video/DVD, mobile phone (including smartphones) or portable handheld device (e.g. tablet, iPad) and include websites, mobile or tablet applications and SMS text messages. Interventions must be randomised or quasi-randomised controlled trials aimed at women who smoke in pregnancy, with smoking cessation as a measured outcome (preferably the latest available point prevalence smoking status measure taken during pregnancy, biochemically verified if available). Electronic bibliographic databases will be searched to identify suitable studies indexed in the following: Academic Search Complete, ASSIA, CINAHL, The Cochrane Library, EMBASE, Medline, PsycINFO, Scopus, and Web of Science. The search strategy will include key words and database-specific subject headings relating to ‘pregnancy’ and ‘smoking’ and synonyms for the terms ‘digital’ and ‘randomised controlled trial’. Where required and where possible, the first and second authors will independently code interventions and control groups for BCTs. If data allows, meta-analyses will be used to assess intervention effectiveness and the effectiveness of BCTs.DiscussionThis systematic review will provide a detailed synthesis of the effectiveness of current research using digital interventions for smoking cessation in pregnancy, to build on the evidence base and guide the development of future research in this area.Systematic review registrationPROSPERO CRD42016036201 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0390-6) contains supplementary material, which is available to authorized users.

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“…The exploratory work involved (1) focus groups with health care providers (HCPs) [52] to solicit their views on how digital interventions should be configured in order to improve pregnant smokers’ cessation efforts and (2) interviews with pregnant smokers [53] using the COM-B framework [38] to identify what would need to change in pregnant smokers and/or their environment in order for them to stop smoking. HCPs, including stop smoking advisors and midwives who provide smoking cessation support for pregnant smokers, were recruited because of their potentially valuable insights into effective methods to aid cessation during pregnancy.…”

Section: Methodsmentioning

confidence: 99%

“…For example, HCPs recommended that the intervention should increase pregnant smokers’ motivation and confidence to quit by establishing rewarding experiences (e.g. providing badges as rewards) [52], and pregnant smokers emphasized that having easy access to further cessation support (preferably face-to-face) would be important [53]. …”

Section: Methodsmentioning

confidence: 99%

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Development of SmokeFree Baby: a smoking cessation smartphone app for pregnant smokers

Tombor

Shahab

Brown

et al. 2016

Behav. Med. Pract. Policy Res.

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Pregnant smokers may benefit from digital smoking cessation interventions, but few have been designed for this population. The aim was to transparently report the development of a smartphone app designed to aid smoking cessation during pregnancy. The development of a smartphone app (‘SmokeFree Baby’) to help pregnant women stop smoking was guided by frameworks for developing complex interventions, including the Medical Research Council (MRC), Multiphase Optimization Strategy (MOST) and Behaviour Change Wheel (BCW). Two integrative behaviour change theories provided the theoretical base. Evidence from the scientific literature and behaviour change techniques (BCTs) from the BCT Taxonomy v1 informed the intervention content. The app was developed around five core modules, each with a distinct intervention target (identity change, stress management, health information, promoting use of face-to-face support and behavioural substitution) and available in a ‘control’ or ‘full’ version. SmokeFree Baby has been developed as part of a multiphase intervention optimization to identify the optimum combination of intervention components to include in smartphone apps to help pregnant smokers stop smoking.Electronic supplementary materialThe online version of this article (doi:10.1007/s13142-016-0438-0) contains supplementary material, which is available to authorized users.

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Healthcare Providers’ Views on Digital Smoking Cessation Interventions for Pregnant Women

Cited by 13 publications

References 29 publications

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

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

Are digital interventions for smoking cessation in pregnancy effective? A systematic review protocol

Development of SmokeFree Baby: a smoking cessation smartphone app for pregnant smokers

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