Document Detail

Specifying evidence-based behavior change techniques to aid smoking cessation in pregnancy.
MedLine Citation:
PMID:  22318690     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Behavioral support aids smoking cessation in pregnancy. However, it remains unclear which component behavior change techniques (BCTs) contribute to effectiveness or the extent to which these are applied in practice. This study aimed to examine (a) which BCTs were included in effective behavioral support interventions for pregnant smokers (b) the prevalence of use of these BCTs by the English Stop Smoking Services (SSSs).
METHODS: From a Cochrane review of smoking cessation behavioral support in pregnancy, 7 interventions were identified as effective in that they increased the odds of cessation by at least 50%, and differences between intervention and control conditions were statistically significant. BCTs in each intervention were identified using an established taxonomy of BCTs. Thirteen treatment manuals from SSSs were coded for inclusion of BCTs.
RESULTS: Thirty-seven BCTs were identified across trials of behavioral support for pregnant smokers, with an average of 8 BCTs, and a range of 6-34 BCTs, per intervention. Eleven BCTs were present in at least 2 effective interventions (e.g., facilitate goal setting [n = 6], advise on social support [n = 2], action planning [n = 5], provide rewards contingent on successfully stopping smoking [n = 4]). Only 15.4% of treatment manuals from SSSs contained all 11 BCTs; 53.8% contained at least 6 of them.
CONCLUSIONS: While BCTs associated with effective interventions can be identified from systematically reviewed literature, English SSSs appear to use only a limited proportion of these in practice.
Fabiana Lorencatto; Robert West; Susan Michie
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-02-07
Journal Detail:
Title:  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco     Volume:  14     ISSN:  1469-994X     ISO Abbreviation:  Nicotine Tob. Res.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2013-01-24     Revised Date:  2014-10-07    
Medline Journal Info:
Nlm Unique ID:  9815751     Medline TA:  Nicotine Tob Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1019-26     Citation Subset:  IM    
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MeSH Terms
Behavior Therapy / organization & administration*
Databases, Factual
Evidence-Based Medicine*
Health Education / organization & administration*
Manuals as Topic*
Outcome Assessment (Health Care)
Pregnancy Complications / prevention & control*
Smoking Cessation / methods*
Women's Health
Young Adult
Grant Support
14135//Cancer Research UK; 49945//Department of Health; G0901474//Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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