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

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        Author
        Griffiths, Sarah Ellen
        Parsons, Joanne
        Naughton, Felix
        Fulton, Emily Anne
        Tombor, Ildiko
        Brown, Katherine E.
        Attention
        2299/21902
        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 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.
        Publication date
        2018-10-02
        Published in
        Health Psychology Review
        Published version
        https://doi.org/10.1080/17437199.2018.1488602
        Other links
        http://hdl.handle.net/2299/21902
        Relations
        School of Life and Medical Sciences
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