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Self-help smoking cessation interventions in pregnancy - a systematic review
Felix Naughton
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Abstract
Background: It is well established that smoking during pregnancy forms the greatest avoidable risk to perinatal morbidity and mortality. Meta-analyses of pooled intervention trials reveal that programmes promoting abstinence in pregnant smokers result in small but significant reductions in smoking rates when compared to control conditions (Kelley et al, 2001; Lumley et al, 2004). However, the majority of these trials combine different cessation components, most commonly advice/counselling and written materials, making it problematic to ascertain the individual contributions that each component makes towards changing smoking behaviour. Although self-help materials have been identified as important adjuncts to advice, little is known about the types of self-help programmes that are likely to be most effective in encouraging pregnant smokers to quit or whether self-help approaches on their own can be effective. As far as the authors are aware there is as yet no published systematic review focusing on self-help interventions for pregnant smokers. Objectives: To assess the efficacy of self-help smoking cessation interventions for pregnant smokers and investigate whether self-help programme structure, presentation and delivery are associated with cessation rates. The methods of this review will in general follow those of Lancaster and Stead's (2005) Cochrane review examining self-help interventions for smoking cessation in the general population. Search strategy: Searches were carried out in MEDLINE, EMBASE, PsycINFO and CENTRAL in addition to hand searches of reference lists of previous reviews. Selection criteria: Randomised and quasi-randomised controlled trials of self-help smoking cessation interventions for pregnant smokers without significant cessation counselling. Data collection and analysis: Trial suitability and quality was assessed by two reviewers revealing 16 trials of interest and data were extracted independently. Main results: The findings of the review will be discussed in the context of the pregnancy smoking cessation literature with recommendations for future low cost self-help based interventions.
Biography
After graduating in Psychology from the Nottingham Trent University, I worked for the North-west Deanery coordinating the roll out a database tracking the training of doctors and dentists in all NHS trusts in the north-west of England. More recently I completed an MSc in Health Psychology at the University of Bath and am currently a Cancer Research UK funded PhD student in the process of developing a computer-tailored smoking cessation intervention for pregnant women smokers. My broad research interest is in health behaviour change and specific interests include smoking behaviour in pregnant smokers and the use of new technologies in health care and health promotion.
Author 1: Felix Naughton
PhD Student
General Practice & Primary Care Research Unit
University of Cambridge,
Forvie site,
Robinson Way
Cambridge
CB2 2SR
Author 2: Stephen R Sutton
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