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

Griffiths, SE; Brown, KE; Fulton, EA; Tombor, I; Naughton, F; (2016) Are digital interventions for smoking cessation in pregnancy effective? A systematic review protocol. Systematic Reviews , 5 , Article 207. 10.1186/s13643-016-0390-6. Green open access

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Abstract

BACKGROUND: Behavioural 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. METHODS: This 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. DISCUSSION: This 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 REGISTRATION: PROSPERO CRD42016036201.

Type: Article
Title: Are digital interventions for smoking cessation in pregnancy effective? A systematic review protocol
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s13643-016-0390-6
Publisher version: https://doi.org/10.1186/s13643-016-0390-6
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Digital interventions, M-health, Pregnancy, Protocol, Smoking, Systematic review, e-health, Behavior Therapy, Cell Phone, Female, Humans, Pregnancy, Smoking Cessation, Telemedicine, Text Messaging
UCL classification: UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10050758
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