Burke Emma, Dobbie Fiona, Dougall Nadine, Adebolu Oluwaseun Mary, Mockler David, Vance Joanne, O'Connell Nicola, Darker Catherine, Bauld Linda, Hayes Catherine
School of Medicine, Trinity College Dublin, Dublin, Ireland, D24 DH74, Ireland.
Usher Institute, College of Population Health Sciences Medicine and Informatics Veterinary Medicine, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
HRB Open Res. 2019 Jun 12;2:10. doi: 10.12688/hrbopenres.12901.1. eCollection 2019.
Tobacco use is the leading cause of preventable death in Ireland with almost 6,000 smokers dying each year from smoking-related diseases. Amongst younger Irish women, smoking rates are considerably higher in those from socially disadvantaged areas compared to women from affluent areas. Women from poorer areas also experience higher rates of lung cancer. To our knowledge, there are no peer reviewed published systematic reviews on the effectiveness of interventions tailored to reduce smoking rates in women from disadvantaged areas. This systematic review protocol will aim to examine the effectiveness of such interventions and to describe trial processes such as recruitment, follow-up and dropout prevention strategies, as well as barriers and enablers of successful implementation. A systematic review will be conducted of peer-reviewed randomised controlled trials and associated process evaluations of smoking cessation interventions designed for women living in socially disadvantaged areas. If the search returns, less than five studies are review criteria will expand to include quasi-experimental studies. A number of databases of scholarly literature will be searched from inception using a detailed search strategy. Two independent reviewers will screen titles, abstracts and full-text articles to identify relevant studies using a pre-defined checklist based on PICOS. In the case of disagreement, a third reviewer will be consulted. The quality of included studies will be assessed using the 'Grading of Recommendations Assessment, Development and Evaluation' (GRADE) criteria. Quantitative data will be extracted and, if comparable, will be assessed using meta-analysis. A narrative meta-synthesis of qualitative data will be conducted. This review aims to synthesise information from relevant studies on smoking cessation interventions tailored for women from socially disadvantaged areas. The evidence obtained from studies and presented in this review will help guide future research in this area. This review will be registered with International Prospective Register of Systematic Reviews (PROSPERO).
在爱尔兰,吸烟是可预防死亡的首要原因,每年有近6000名吸烟者死于与吸烟相关的疾病。在爱尔兰年轻女性中,与富裕地区的女性相比,社会处境不利地区的女性吸烟率要高得多。贫困地区的女性肺癌发病率也更高。据我们所知,目前还没有经过同行评审发表的关于针对处境不利地区女性降低吸烟率干预措施有效性的系统评价。本系统评价方案旨在研究此类干预措施的有效性,并描述招募、随访和预防失访策略等试验过程,以及成功实施的障碍和促进因素。
将对同行评审的随机对照试验以及针对生活在社会处境不利地区女性的戒烟干预措施的相关过程评估进行系统评价。如果检索结果少于五项研究,评审标准将扩大到包括准实验研究。将从一开始就使用详细的检索策略搜索多个学术文献数据库。两名独立评审员将根据基于PICOS的预定义清单筛选标题、摘要和全文文章,以识别相关研究。如有分歧,将咨询第三位评审员。将使用“推荐分级评估、制定和评价”(GRADE)标准评估纳入研究的质量。将提取定量数据,如果具有可比性,将使用荟萃分析进行评估。将对定性数据进行叙述性荟萃综合分析。
本综述旨在综合来自相关研究的关于针对社会处境不利地区女性的戒烟干预措施的信息。从研究中获得并在本综述中呈现的证据将有助于指导该领域未来的研究。本综述将在国际系统评价前瞻性注册库(PROSPERO)上注册。