Self-help smoking cessation interventions in pregnancy: a systematic review and meta-analysis.
AIMS: Self-help smoking cessation interventions for pregnant smokers are of importance due to their potential to be wide-reaching, low-cost and their appeal to pregnant smokers who are interested in quitting smoking. To date, however, there has been no systematic assessment of their efficacy. This s...
| Publicado en: | Addiction Vol. 103; no. 4; pp. 566 - 580 |
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| Autores principales: | , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105751116&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105751116 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Apr2008 vid: 103 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105751116 105751116 2009871545 10.1111/j.1360-0443.2008.02140.x NLM18339103 105751116 ppf: 566 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Self-help smoking cessation interventions in pregnancy: a systematic review and meta-analysis. aug: au: Naughton F Prevost AT Sutton S affil: General Practice and Primary Care Research Unit, Institute of Public Health, University of Cambridge, UK. sug: subj: Self Care In Pregnancy Smoking Cessation In Pregnancy Australia Chi Square Test Clinical Trials Confidence Intervals Descriptive Statistics Embase Female Funding Source Interrater Reliability Medline Meta Analysis Norway Odds Ratio Pregnancy Psycinfo Quality Assessment Relative Risk Self Report Sensitivity and Specificity Treatment Outcomes United Kingdom United States Human Female ab: AIMS: Self-help smoking cessation interventions for pregnant smokers are of importance due to their potential to be wide-reaching, low-cost and their appeal to pregnant smokers who are interested in quitting smoking. To date, however, there has been no systematic assessment of their efficacy. This systematic review aimed to assess the efficacy of self-help interventions for pregnant smokers and to investigate whether self-help material intensity, type or delivery are associated with cessation. METHODS: The literature was searched for randomized and quasi-randomized controlled trials of self-help smoking cessation interventions for pregnant smokers without significant cessation counselling. Fifteen trials met the inclusion criteria and relevant data were extracted independently. RESULTS: The primary meta-analysis pooled 12 trials comparing usual care (median quit rate 4.9%) with self-help (median quit rate 13.2%) and yielded a pooled odds ratio (OR) of 1.83 [95% confidence interval (CI) 1.23-2.73], indicating that self-help interventions on average nearly double the odds of quitting compared with standard care. However, a further meta-analysis failed to find evidence that intervention materials of greater intensity increase quitting significantly over materials of lesser intensity (pooled OR = 1.25, 95% CI 0.81-1.94). There was insufficient evidence to determine whether the tailoring of materials or levels of one-to-one contact were related to intervention efficacy. CONCLUSIONS: Self-help interventions appear to be more effective than standard care although, due mainly to a lack of trials, it is unclear whether more sophisticated and intensive approaches increase intervention effectiveness. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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