Satyanarayana, Veena A, Jackson, Cath, Siddiqi, Kamran, Chandra, Prabha S, Huque, Rumana, Dherani, Mukesh, Nasreen, Shammi, Murthy, Pratima and Rahman, Atif 
ORCID: 0000-0002-2066-4467
(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, 7 (1).
74-.
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A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh a theo.pdf - Published version Download (1MB) | Preview |
Abstract
<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Behaviour change intervention, Secondhand smoke, Smoke exposure at home, Pregnancy, LAMI |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 07 Apr 2021 10:07 |
| Last Modified: | 18 Jan 2023 22:54 |
| DOI: | 10.1186/s40814-021-00811-5 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3118258 |
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