Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

International Journal of Environmental Research and Public Health

Elaine M Boyle¹  Sophie Orton²  Richard Holland³  Sarah Gentry⁴  Tracey J Brown⁴  Caitlin Notley⁴  Paul Clarke⁴  Michael Ussher⁵  Wendy Hardeman⁶  Felix Naughton⁶  Linda Bauld⁷ 

[1] Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK;Division of Primary Care, University of Nottingham, Nottingham, NG7 2RD, UK;Leicester Medical School, University of Leicester, Leicester, LE1 7HA, UK;Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK;Population Health Research Institute, St George’s, University of London, London, SW17 0RE, UK;School of Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK;Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, EH8 9AG, UK;

关键词: systematic review;    behaviour change techniques;    smoking;    harm reduction;    second-hand smoke;    tobacco smoke pollution;   

DOI  :  10.3390/ijerph17217731

来源: DOAJ

【 摘 要 】

Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined “promising” BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 “promising” BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.

【 授权许可】

Unknown