Satyanarayana, Veena A., Jackson, Cath, Siddiqi, Kamran orcid.org/0000-0003-1529-7778 et al. (6 more authors) (2021) A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh:a theory and evidence-based approach to development. Pilot and Feasibility Studies. 74. ISSN 2055-5784
Abstract
Background: Home exposure to secondhand smoke (SHS) is highly prevalent amongst pregnant women in low- and middle-income countries like India and Bangladesh. The literature on the efficacy of behaviour change interventions to reduce home exposure to SHS in pregnancy is scarce. Methods: We employed a theory and evidence-based approach to develop an intervention using pregnant women as agents of change for their husband’s smoking behaviours at home. A systematic review of SHS behaviour change interventions led us to focus on developing a multicomponent intervention and informed selection of behaviour change techniques (BCTs) for review in a modified Delphi survey. The modified Delphi survey provided expert consensus on the most effective BCTs in reducing home exposure to SHS. Finally, a qualitative interview study provided context and detailed understanding of knowledge, attitudes and practices around SHS. This insight informed the content and delivery of the proposed intervention components. Results: The final intervention consisted of four components: a report on saliva cotinine levels of the pregnant woman, a picture booklet containing information about SHS and its impact on health as well strategies to negotiate a smoke-free home, a letter from the future baby to their father encouraging him to provide a smoke-free home, and automated voice reminder and motivational messages delivered to husbands on their mobile phone. Intervention delivery was in a single face-to-face session with a research assistant who explained the cotinine report, discussed key strategies for ensuring a smoke-free environment at home and practised with pregnant women how they would share the booklet and letter with their husband and supportive family members. Conclusion: A theory and evidence-based approach informed the development of a multicomponent behaviour change intervention, described here. The acceptability and feasibility of the intervention which was subsequently tested in a pilot RCT in India and Bangladesh will be published later.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s). 2021 |
Keywords: | Behaviour change intervention,LAMI,Pregnancy,Secondhand smoke,Smoke exposure at home |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number MEDICAL RESEARCH COUNCIL (MRC) 126451/54 |
Depositing User: | Pure (York) |
Date Deposited: | 03 Mar 2021 12:30 |
Last Modified: | 22 Oct 2024 00:01 |
Published Version: | https://doi.org/10.1186/s40814-021-00811-5 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1186/s40814-021-00811-5 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:171755 |
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Filename: s40814_021_00811_5.pdf
Description: A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh: a theory and evidence-based approach to development
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