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Published in: BMC Primary Care 1/2016

Open Access 01-12-2016 | Research article

A systematic review and narrative summary of family-based smoking cessation interventions to help adults quit smoking

Authors: Gill Hubbard, Trish Gorely, Gozde Ozakinci, Rob Polson, Liz Forbat

Published in: BMC Primary Care | Issue 1/2016

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Abstract

Background

Smoking is the most significant preventable cause of morbidity and early mortality in the world. The family is an influential context in which smoking behaviour occurs.

Methods

A systematic review and narrative summary of family-based interventions to help adults quit smoking was conducted.

Results

Eight controlled trials were included. Risk of bias was high. The smoking-related outcome of the intervention was self-reported smoking status/abstinence, validated by objective measures (including saliva thiocynate or breath carbon monoxide). Follow-up ranged from 6 weeks to 5 years. The main target groups were: pregnant women (1), pregnant women who smoked (2), men at risk of cardiovascular disease (2), adult smokers (1), parents who smoked (1) and couples who both smoked (1). Interventions included family members but most did not go further by drawing on family, systemic or relational theories to harness the influence of family on smoking behaviour. Only three studies directly compared the effects on smoking behaviour of a family-based (i.e., interventions that involve a member of the family) versus an individual-based (i.e., interventions that use behaviour change techniques that focus on the individual) intervention. None of these studies found significant differences between groups on the smoking behaviour of the main target group.

Conclusions

We have yet to develop family-based smoking cessation interventions that harness or re-direct the influence of family members on smoking behaviour in a positive way. Thus, it is likely that individualised-approaches to smoking cessation will prevail.
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Metadata
Title
A systematic review and narrative summary of family-based smoking cessation interventions to help adults quit smoking
Authors
Gill Hubbard
Trish Gorely
Gozde Ozakinci
Rob Polson
Liz Forbat
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2016
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-016-0457-4

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