Randomized trial of a secondhand smoke exposure reduction intervention among hospital-based pregnant women

Chen, Ying; Wu, Chen Long; Chen, Cheng-Yu; Lyu, Shu Yu; Lo, Feng En; Morisky, Donald E.

doi:10.1016/j.addbeh.2014.10.001

Cited by 20 publications

(42 citation statements)

References 21 publications

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“…It may be said that HL could be effective in reducing perceived barriers through increasing perceived severity and self-efficacy. This finding is consistent with the results of studies by Atabila and Eleanor (17) and Chi et al (19). This finding is remarkably in contrast to the study findings of Kazemi (18) in which perceived barriers did not have significant differences over time in the experimental group compared to the control group.…”

supporting

confidence: 92%

Adding Health Literacy to the Health Belief Model: Effectiveness of an Educational Intervention on Smoking Preventive Behaviors Among University Students

Panahi¹,

Ramezankhani²,

Tavousi³

et al. 2018

Iran Red Crescent Med J

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Background: It is believed that smoking is the gateway to use substances and illicit drugs. Due to an increase in smoking among students, we thought there is a need for more efficient ways to prevent smoking among the young and adolescents. Objectives: This study aimed to develop an extended version of the Health Belief Model (HBM) with elements of Health Literacy (HL) to assess whether an educational intervention could be effective in smoking prevention based on this new development in 2016. Methods: This was a quasi-experimental study performed on 130 students living in dormitories of Shahid Beheshti University of Medical Sciences in Tehran, Iran, who were recruited and assigned to experimental and control groups (each containing 65 students). The experimental group received 6 electronic educational sessions via telegram application while the control group received no intervention. The data were collected using a questionnaire containing items on HBM, smoking preventive behaviors, and a measure of HL (the HL inventory for adults-HELIA). The questionnaire was completed at three time-points: before, immediately and three months after the intervention. The significance level was set at 0.05. Results: Before the intervention, there was no significant difference in the demographic and background variables, the underlying level of knowledge, preventive behaviors, HL, and all the constructs of the model between the groups (P > 0.05). After the intervention, comparing two groups showed that the mean scores of knowledge, preventive behaviors, HL, and all components of the model changed significantly in the experimental group compared to the control group (P < 0.05). The mean and standard deviation of adoption of smoking preventive behaviors at the beginning of the study in smoking and non-smoking students in the

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supporting

confidence: 92%

Adding Health Literacy to the Health Belief Model: Effectiveness of an Educational Intervention on Smoking Preventive Behaviors Among University Students

Panahi¹,

Ramezankhani²,

Tavousi³

et al. 2018

Iran Red Crescent Med J

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“…The details of the development process and content of the teaching materials can be found elsewhere. [ 10 ]…”

Section: Methodsmentioning

confidence: 99%

“…One previous study from Taiwan using a randomized controlled design has demonstrated that educational interventions based on this expanded HBM successfully enhance the capability of pregnant women to avoid and refuse SHS. [ 10 ] In that study, the intervention group demonstrated higher levels of readiness to refuse SHS and was more motivated to engage in SHS preventative actions than the comparison group. Similar findings were reported by Kazemi et al in Iran.…”

Section: Introductionmentioning

confidence: 97%

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

et al. 2016

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Background:Secondhand smoke (SHS) exposure is deleterious to pregnant women and their unborn children. The prevalence of SHS exposure among pregnant women is particularly high in many Asian countries where approximately half of the male population smokes. We aim to investigate the efficacy of an intervention based on an expanded Health Belief Model (HBM) incorporating self-efficacy to educate and empower pregnant women to reduce their SHS exposure.Methods:We conducted a 3-arm randomized controlled trial (N = 50 in each arm) comparing the effectiveness of group-based and individual-based interventions with a treatment-as-usual group. A questionnaire tapping into constructs of the expanded HBM was administered at baseline and 1- and 2-month follow-ups. Exhaled carbon monoxide was used to determine SHS exposure (>=6 ppm). ANOVA was used to compare HBM construct scores, self-efficacy for rejecting SHS exposure, and SHS rejection behavior among the 3 groups at baseline and the 1- and 2-month follow-ups, while logistic regression analysis was used to compare the risk of exposure to SHS at each follow-up.Results:The group-based intervention significantly improved health beliefs, self-efficacy, and self-reported rejection behaviors. The individual-based intervention effect was limited to some health belief constructs and SHS rejection behaviors. Both group- and individual-based interventions showed significant reductions in SHS exposure 2 months after the intervention (P < 0.0001).Conclusion:Group-based educational interventions based on the HBM are particularly effective in training pregnant women to avoid and refuse exposure to SHS. Policy makers should consider offering group-delivered programs to educate and empower pregnant women to reduce their SHS exposure.

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“…Considering that in smaller cities men spend most of their time with their families, creating a smoke-free home requires a couple of hours of not smoking and perception of barriers of not smoking would be accompanied with ETS exposure of women. Some reports have mentioned that educational efforts based on HBM have not been successful in quitting cigarette permanently and completely [25]. So, this study revealed that although men have strong motivations for conducting behaviors to ensure the health of the baby during pregnancy [17], but perception of threats of ETS exposure could not also create a smoke-free home for wives.…”

Section: Discussionmentioning

confidence: 83%

The relationship between husbands’ health belief and environment tobacco smoke exposure among their pregnant wife

Sahebi

Kazemi

Parizi

2016

The Journal of Maternal-Fetal & Neonatal Medicine

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Randomized trial of a secondhand smoke exposure reduction intervention among hospital-based pregnant women

Abstract: These results should encourage health professionals to educate pregnant women regarding the harms of SHS while both empowering and equipping them with the tools to confront their family members and effectively reduce their SHS exposure while promoting smoke-free social norms.

Cited by 20 publications

References 21 publications

Adding Health Literacy to the Health Belief Model: Effectiveness of an Educational Intervention on Smoking Preventive Behaviors Among University Students

Adding Health Literacy to the Health Belief Model: Effectiveness of an Educational Intervention on Smoking Preventive Behaviors Among University Students

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

The relationship between husbands’ health belief and environment tobacco smoke exposure among their pregnant wife

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