Systematic review of behaviour change techniques within interventions to reduce environmental tobacco smoke exposure for children

Tracey J. Brown*, Sarah Gentry, Linda Bauld, Elaine M. Boyle, Paul Clarke, Wendy Hardeman, Richard Holland, Felix Naughton, Sophie Orton, Michael Ussher, Caitlin Notley

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article number7731
Pages (from-to)1-14
Number of pages14
JournalInternational Journal of Environmental Research and Public Health
Volume17
Issue number21
DOIs
Publication statusPublished - 1 Nov 2020
Externally publishedYes

Bibliographical note

Funding Information:
Funding: This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0817-20032). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

Funding Information:
This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0817-20032). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Thank you to authors of included papers who responded to our queries: Sophia Chan (The University of Hong Kong, China), Bradley Collins and Stephen Lepore (Temple University, Philadelphia, USA), Gina French (University of Hawaii, Kapiolani Medical Center for Women and Children, Honolulu, USA), and Melbourne Hovell (San Diego State University, California, USA). We also thank authors who responded to our queries but whose papers we were unable to include in this review: Ping-Ling Chen and Yu-Ting Chen (Taipei Medical University, Taiwan, China), Ashley Clawson (Oklahoma State University, Oklahoma, USA), Sue Curry (The University of Iowa, Iowa, USA), Michelle Kegler (Emory University, Georgia, USA), and Melinda Mahabee-Gittens (Cincinnati Children?s Medical Center, Ohio, USA).

Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Behaviour change techniques
  • Children
  • Harm reduction
  • Postnatal
  • Secondhand smoke
  • Smoking
  • Systematic review
  • Tobacco smoke pollution

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