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

Griffiths, SE; Parsons, J; Fulton, EA; Naughton, F; Tombor, I; Brown, KE; (2018) Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis. Health Psychology Review , 12 (4) pp. 333-356. 10.1080/17437199.2018.1488602. Green open access

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Abstract

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 nine 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=0.03) 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.

Type: Article
Title: Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/17437199.2018.1488602
Publisher version: http://doi.org/10.1080/17437199.2018.1488602
Language: English
Additional information: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http:// creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way
Keywords: Behaviour Change Techniques, Digital interventions, Pregnancy, Smoking, Systematic review
UCL classification: UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10051186
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