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

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dc.cclicenceCC-BY-NC-NDen
dc.contributor.authorGriffiths, Sarah Ellen
dc.contributor.authorParsons, Joanne
dc.contributor.authorFulton, Emily Anne
dc.contributor.authorNaughton, Felix
dc.contributor.authorTombor, Ildiko
dc.contributor.authorBrown, Katherine Elizabeth
dc.date.acceptance2018-06-10
dc.date.accessioned2020-01-08T15:58:49Z
dc.date.available2020-01-08T15:58:49Z
dc.date.issued2018-06-18
dc.descriptionopen access articleen
dc.description.abstractSmoking 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.en
dc.exception.ref2021codes254aen
dc.funderOther external funder (please detail below)en
dc.funder.otherPark of PhD studentship funded by Public Health Warwickshireen
dc.identifier.citationGriffiths, S., Parsons, J., Fulton, E., Naughton, F., Tombor, I. and Brown, K. (2018) Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis. Health Psychology Review, 12 (4), pp.333-356.en
dc.identifier.doihttps://doi.org/10.1080/17437199.2018.1488602
dc.identifier.issn1743-7202
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/19017
dc.language.isoenen
dc.peerreviewedYesen
dc.publisherTaylor and Francisen
dc.subjectSystematic reviewen
dc.subjectsmokingen
dc.subjectpregnancyen
dc.subjectdigital interventionsen
dc.subjectbehaviour change techniquesen
dc.titleAre digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysisen
dc.typeOtheren

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