Griffiths Sarah Ellen, Brown Katherine E, Fulton Emily Anne, Tombor Ildiko, Naughton Felix
Centre for Technology Enabled Health Research, Faculty of Health and Life Sciences, Coventry University, Richard Crossman Building, Priory Street, Coventry, CV1 5FB, UK.
Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
Syst Rev. 2016 Dec 1;5(1):207. doi: 10.1186/s13643-016-0390-6.
Behavioural support for smoking cessation in pregnancy can be effective; however, many pregnant women face barriers to seeking support to stop smoking. Some digital interventions have been found to be effective for smoking cessation in the general population and may be effective for supporting cessation in pregnancy due to their flexibility and the potential for personalisation. To date, there is limited evidence of the effectiveness of digital interventions for smoking cessation in pregnancy. This review aims to assess the following: (1) whether digital interventions are effective at promoting smoking cessation among pregnant women; (2) which behaviour change techniques (BCTs) or combinations of BCTs are associated with the effectiveness of digital interventions for smoking cessation in pregnancy; and (3) whether the number of BCTs used is associated with the effectiveness of digital interventions for smoking cessation in pregnancy.
This review will include digital interventions delivered largely through computer (PC or laptop), video/DVD, mobile phone (including smartphones) or portable handheld device (e.g. tablet, iPad) and include websites, mobile or tablet applications and SMS text messages. Interventions must be randomised or quasi-randomised controlled trials aimed at women who smoke in pregnancy, with smoking cessation as a measured outcome (preferably the latest available point prevalence smoking status measure taken during pregnancy, biochemically verified if available). Electronic bibliographic databases will be searched to identify suitable studies indexed in the following: Academic Search Complete, ASSIA, CINAHL, The Cochrane Library, EMBASE, Medline, PsycINFO, Scopus, and Web of Science. The search strategy will include key words and database-specific subject headings relating to 'pregnancy' and 'smoking' and synonyms for the terms 'digital' and 'randomised controlled trial'. Where required and where possible, the first and second authors will independently code interventions and control groups for BCTs. If data allows, meta-analyses will be used to assess intervention effectiveness and the effectiveness of BCTs.
This systematic review will provide a detailed synthesis of the effectiveness of current research using digital interventions for smoking cessation in pregnancy, to build on the evidence base and guide the development of future research in this area.
PROSPERO CRD42016036201.
孕期戒烟的行为支持可能有效；然而，许多孕妇在寻求戒烟支持时面临障碍。一些数字干预措施已被发现对普通人群戒烟有效，并且由于其灵活性和个性化潜力，可能对孕期戒烟支持有效。迄今为止，关于数字干预措施对孕期戒烟有效性的证据有限。本综述旨在评估以下内容：（1）数字干预措施在促进孕妇戒烟方面是否有效；（2）哪些行为改变技术（BCTs）或BCTs组合与孕期戒烟数字干预措施的有效性相关；（3）所使用的BCTs数量是否与孕期戒烟数字干预措施的有效性相关。
本综述将包括主要通过计算机（个人电脑或笔记本电脑）、视频/ DVD、手机（包括智能手机）或便携式手持设备（如平板电脑、iPad）提供的数字干预措施，包括网站、移动或平板电脑应用程序以及短信。干预措施必须是针对孕期吸烟女性的随机或准随机对照试验，以戒烟作为测量结果（最好是孕期最新可用的点患病率吸烟状态测量，如果可用则进行生化验证）。将搜索电子书目数据库，以识别以下索引的合适研究：《学术搜索完整版》、《应用社会科学索引和摘要》、《护理学与健康照护数据库》、《考克兰图书馆》、《荷兰医学文摘数据库》、《医学索引》、《心理学文摘数据库》、《Scopus数据库》和《科学引文索引》。搜索策略将包括与“怀孕”和“吸烟”相关的关键词和特定于数据库的主题词，以及“数字”和“随机对照试验”术语的同义词。在需要且可能的情况下，第一作者和第二作者将独立对干预措施和对照组的BCTs进行编码。如果数据允许，将使用荟萃分析来评估干预措施的有效性和BCTs的有效性。
本系统综述将详细综合当前使用数字干预措施进行孕期戒烟研究的有效性，以建立证据基础并指导该领域未来研究的发展。
PROSPERO CRD42016036201。
