Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review

Abstract Background Smoking cessation during pregnancy and the postpartum period by both women and their partners offers multiple health benefits. However, compared to pregnant/postpartum women, their partners are less likely to actively seek smoking cessation services. There is an increased recogni...

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Main Authors: Sudeepa Khanal, Céline Miani, Emily Finne, Julia Zielke, Melanie Boeckmann
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16713-5
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author Sudeepa Khanal
Céline Miani
Emily Finne
Julia Zielke
Melanie Boeckmann
author_facet Sudeepa Khanal
Céline Miani
Emily Finne
Julia Zielke
Melanie Boeckmann
author_sort Sudeepa Khanal
collection DOAJ
description Abstract Background Smoking cessation during pregnancy and the postpartum period by both women and their partners offers multiple health benefits. However, compared to pregnant/postpartum women, their partners are less likely to actively seek smoking cessation services. There is an increased recognition about the importance of tailored approaches to smoking cessation for expectant and new fathers. While Behavior Change Interventions (BCIs) are a promising approach for smoking cessation interventions, evidence on effectiveness exclusively among expectant and new fathers are fragmented and does not allow for many firm conclusions to be drawn. Methods We conducted a systematic review on effectiveness of BCIs on smoking cessation outcomes of expectant and new fathers both through individual and/or couple-based interventions. Peer reviewed articles were identified from eight databases without any date or language restriction.Two independent reviewers screened studies for relevance, assessed methodological quality of relevant studies, and extracted data from studies using a predeveloped data extraction sheet. Results We retrieved 1222 studies, of which 39 were considered for full text screening after reviewing the titles and abstracts. An additional eight studies were identified from reviewing the reference list of review articles picked up by the databases search. A total of nine Randomised Control Trials were included in the study. Six studies targeted expectant/new fathers, two targeted couples and one primarily targeted women with an intervention component to men. While the follow-up measurements for men varied across studies, the majority reported biochemically verified quit rates at 6 months. Most of the interventions showed positive effects on cessation outcomes. BCI were heterogenous across studies. Findings are suggestive of gender targeted interventions being more likely to have positive cessation outcomes. Conclusions This systematic review found limited evidence supporting the effectiveness of BCI among expectant and new fathers, although the majority of studies show positive effects of these interventions on smoking cessation outcomes. There remains a need for more research targeted at expectant and new fathers. Further, there is a need to identify how smoking cessation service delivery can better address the needs of (all) gender(s) during pregnancy.
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spelling doaj.art-9f19350d8982429da3068321ec2411ef2023-11-20T11:11:42ZengBMCBMC Public Health1471-24582023-09-0123112010.1186/s12889-023-16713-5Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic reviewSudeepa Khanal0Céline Miani1Emily Finne2Julia Zielke3Melanie Boeckmann4Department of Epidemiology & International Public Health, School of Public Health, Bielefeld UniversityDepartment of Epidemiology & International Public Health, School of Public Health, Bielefeld UniversityDepartment of Epidemiology & International Public Health, School of Public Health, Bielefeld UniversityDepartment of Epidemiology & International Public Health, School of Public Health, Bielefeld UniversityDepartment of Global Health, Institute of Public Health and Nursing Research, University of BremenAbstract Background Smoking cessation during pregnancy and the postpartum period by both women and their partners offers multiple health benefits. However, compared to pregnant/postpartum women, their partners are less likely to actively seek smoking cessation services. There is an increased recognition about the importance of tailored approaches to smoking cessation for expectant and new fathers. While Behavior Change Interventions (BCIs) are a promising approach for smoking cessation interventions, evidence on effectiveness exclusively among expectant and new fathers are fragmented and does not allow for many firm conclusions to be drawn. Methods We conducted a systematic review on effectiveness of BCIs on smoking cessation outcomes of expectant and new fathers both through individual and/or couple-based interventions. Peer reviewed articles were identified from eight databases without any date or language restriction.Two independent reviewers screened studies for relevance, assessed methodological quality of relevant studies, and extracted data from studies using a predeveloped data extraction sheet. Results We retrieved 1222 studies, of which 39 were considered for full text screening after reviewing the titles and abstracts. An additional eight studies were identified from reviewing the reference list of review articles picked up by the databases search. A total of nine Randomised Control Trials were included in the study. Six studies targeted expectant/new fathers, two targeted couples and one primarily targeted women with an intervention component to men. While the follow-up measurements for men varied across studies, the majority reported biochemically verified quit rates at 6 months. Most of the interventions showed positive effects on cessation outcomes. BCI were heterogenous across studies. Findings are suggestive of gender targeted interventions being more likely to have positive cessation outcomes. Conclusions This systematic review found limited evidence supporting the effectiveness of BCI among expectant and new fathers, although the majority of studies show positive effects of these interventions on smoking cessation outcomes. There remains a need for more research targeted at expectant and new fathers. Further, there is a need to identify how smoking cessation service delivery can better address the needs of (all) gender(s) during pregnancy.https://doi.org/10.1186/s12889-023-16713-5Behavioral change interventionSmoking cessationExpectant and new fathersGender targeted interventionSystematic review
spellingShingle Sudeepa Khanal
Céline Miani
Emily Finne
Julia Zielke
Melanie Boeckmann
Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
BMC Public Health
Behavioral change intervention
Smoking cessation
Expectant and new fathers
Gender targeted intervention
Systematic review
title Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
title_full Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
title_fullStr Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
title_full_unstemmed Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
title_short Effectiveness of behavior change interventions for smoking cessation among expectant and new fathers: findings from a systematic review
title_sort effectiveness of behavior change interventions for smoking cessation among expectant and new fathers findings from a systematic review
topic Behavioral change intervention
Smoking cessation
Expectant and new fathers
Gender targeted intervention
Systematic review
url https://doi.org/10.1186/s12889-023-16713-5
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