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

Overview

Journal Pilot Feasibility Stud

Publisher Biomed Central

Date 2021 Mar 20

PMID 33741080

Citations 5

Authors

Veena A Satyanarayana

Cath Jackson

Kamran Siddiqi

Prabha S Chandra

Rumana Huque

Mukesh Dherani

Shammi Nasreen

Pratima Murthy

Atif Rahman

Affiliations

Soon will be listed here.

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.

Citing Articles

Multicomponent Behavioural Intervention during Pregnancy to Reduce Home Exposure to Second-Hand Smoke: A Pilot Randomised Controlled Trial in Bangladesh and India.

Satyanarayana V, Jackson C, Siddiqi K, Dherani M, Parrott S, Li J Int J Environ Res Public Health. 2024; 21(4).

PMID: 38673401 PMC: 11050483. DOI: 10.3390/ijerph21040490.

Effects of a Comic Booklet Intervention Aimed at Preventing Second-Hand Smoke Exposure for Pregnant Women in Indonesia: A Randomised Controlled Trial.

Inaoka K, Octawijaya I, Mamahit C, Karundeng J, Wariki W, Ota E Healthcare (Basel). 2023; 11(23).

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Automated lead toxicity prediction using computational modelling framework.

Chaurasia P, McClean S, Mahdi A, Yogarajah P, Ansari J, Kunwar S Health Inf Sci Syst. 2023; 11(1):56.

PMID: 38028960 PMC: 10661678. DOI: 10.1007/s13755-023-00257-4.

Re-examining the Nexus Between Maternal Smoking Behavior and Under-Five Children's ARI in India: A Comprehensive Study.

Rahaman M, Roy A, Latif M, Rana M, Chouhan P, Das K Environ Health Insights. 2023; 17:11786302231200997.

PMID: 37766736 PMC: 10521266. DOI: 10.1177/11786302231200997.

Examining the influences on the use of behavioural science within UK local authority public health: Qualitative thematic analysis and deductive mapping to the COM-B model and Theoretical Domains Framework.

Moffat A, Cook E, Chater A Front Public Health. 2022; 10:1016076.

PMID: 36339139 PMC: 9632167. DOI: 10.3389/fpubh.2022.1016076.

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