A systematic review of couple- or household-targeted interventions for smoking cessation in pregnancy
Abstract
BACKGROUND: Tobacco smoking is a major modifiable risk for poor pregnancy outcomes. Pregnant women whose partner smokes are six times more likely to continue smoking. Typically, interventions target pregnant mothers or smoking fathers to reduce second-hand smoke exposure. Evidence reviews advocate for couple-targeted smoking cessation interventions, however no recent review has evaluated the effectiveness of interventions targeting both pregnant women and their partner/household member. We aimed to systematically review and evaluate the effectiveness of smoking cessation interventions targeting the couple/household where both parties smoke for antenatal smoking cessation in pregnant women. METHODS: We searched 8 databases (MEDLINE, Embase, Emcare, AMED, BNI, CINAHL, PsycINFO, Cochrane Register of Controlled Trials) for randomised controlled trials (RCTs), controlled non-randomised studies and before-and-after studies, meeting PICO criteria: Population: pregnant woman and her partner/household member/s who are tobacco smokers antenatally. INTERVENTION: Tobacco smoking cessation intervention targeting a couple/household. CONTROL: Intervention targeting woman only, usual care, historical control group. Outcome/s: Objectively assessed or self-reported antenatal maternal smoking cessation. Studies were systematically selected for inclusion and data were extracted by two researchers. Meta-analysis was not undertaken due to clinical and methodological heterogeneity, including…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 6 participants or records.
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