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

Tracey J. Brown, Sarah Gentry, Linda Bauld, Elaine M. Boyle, Paul Clarke, Wendy Hardeman, Richard Holland, Felix Naughton, Sophie Orton, Michael Ussher and Caitlin Notley
Additional contact information
Tracey J. Brown: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Sarah Gentry: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Linda Bauld: Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH8 9AG, UK
Elaine M. Boyle: Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK
Paul Clarke: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Wendy Hardeman: School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK
Richard Holland: Leicester Medical School, University of Leicester, Leicester LE1 7HA, UK
Felix Naughton: School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK
Sophie Orton: Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK
Michael Ussher: Population Health Research Institute, St George’s, University of London, London SW17 0RE, UK
Caitlin Notley: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK

IJERPH, 2020, vol. 17, issue 21, 1-14

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.

Keywords: systematic review; behaviour change techniques; smoking; harm reduction; second-hand smoke; tobacco smoke pollution; postnatal; children (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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