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Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children.

Brown, TJ; Gentry, S; Bauld, L; Boyle, EM; Clarke, P; Hardeman, W; Holland, R; Naughton, F; Orton, S; Ussher, M; et al. Brown, TJ; Gentry, S; Bauld, L; Boyle, EM; Clarke, P; Hardeman, W; Holland, R; Naughton, F; Orton, S; Ussher, M; Notley, C (2020) Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children. Int J Environ Res Public Health, 17 (21). p. 7731. ISSN 1660-4601 https://doi.org/10.3390/ijerph17217731
SGUL Authors: Ussher, Michael Henry

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Abstract

Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined "promising" BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 "promising" BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.

Item Type: Article
Additional Information: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Keywords: behaviour change techniques, children, harm reduction, postnatal, second-hand smoke, smoking, systematic review, tobacco smoke pollution, Toxicology, MD Multidisciplinary
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Int J Environ Res Public Health
ISSN: 1660-4601
Language: eng
Dates:
DateEvent
22 October 2020Published
19 October 2020Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
PB-PG-0817-20032National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
PubMed ID: 33105823
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112519
Publisher's version: https://doi.org/10.3390/ijerph17217731

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