Skip to main content
Top
Published in: Systematic Reviews 1/2018

Open Access 01-12-2018 | Protocol

The effects of interventions targeting multiple health behaviors on smoking cessation outcomes: a rapid realist review protocol

Authors: Nadia Minian, Wayne K. deRuiter, Mathangee Lingam, Tricia Corrin, Rosa Dragonetti, Heather Manson, Valerie H. Taylor, Laurie Zawertailo, Arezoo Ebnahmady, Osnat C. Melamed, Terri Rodak, Margaret Hahn, Peter Selby

Published in: Systematic Reviews | Issue 1/2018

Login to get access

Abstract

Background

Health behaviors directly impact the health of individuals, and populations. Since individuals tend to engage in multiple unhealthy behaviors such as smoking, excessive alcohol use, physical inactivity, and eating an unhealthy diet simultaneously, many large community-based interventions have been implemented to reduce the burden of disease through the modification of multiple health behaviors. Smoking cessation can be particularly challenging as the odds of becoming dependent on nicotine increase with every unhealthy behavior a smoker exhibits. This paper presents a protocol for a rapid realist review which aims to identify factors associated with effectively changing tobacco use and target two or more additional unhealthy behaviors.

Methods

An electronic literature search will be conducted using the following bibliographic databases: MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), The Cochrane Library, Social Science Abstracts, Social Work Abstracts, and Web of Science. Two reviewers will screen titles and abstracts for relevant research, and the selected full papers will be used to extract data and assess the quality of evidence. Throughout this process, the rapid realist approach proposed by Saul et al., 2013 will be used to refine our initial program theory and identify contextual factors and mechanisms that are associated with successful multiple health behavior change.

Discussion

This review will provide evidence-based research on the context and mechanisms that may drive the success or failure of interventions designed to support multiple health behavior change. This information will be used to guide curriculum and program development for a government funded project on improving smoking cessation by addressing multiple health behaviors in people in Canada.

Systematic review registration

Appendix
Available only for authorised users
Literature
2.
go back to reference Manuel DG, Perez R, Sanmartin C, Taljaard M, Hennessy D, Wilson K, et al. Measuring burden of unhealthy behaviours using a multivariable predictive approach: life expectancy lost in Canada attributable to smoking, alcohol, physical inactivity, and diet. PLoS Med. 2016; https://doi.org/10.1371/journal.pmed.1002082. Manuel DG, Perez R, Sanmartin C, Taljaard M, Hennessy D, Wilson K, et al. Measuring burden of unhealthy behaviours using a multivariable predictive approach: life expectancy lost in Canada attributable to smoking, alcohol, physical inactivity, and diet. PLoS Med. 2016; https://​doi.​org/​10.​1371/​journal.​pmed.​1002082.
4.
go back to reference Leatherdale ST, Rynard V. A cross-sectional examination of modifiable risk factors for chronic disease among a nationally representative sample of youth: are Canadian students graduating high school with a failing grade for health? BMC Public Health. 2013; https://doi.org/10.1186/1471-2458-13-569. Leatherdale ST, Rynard V. A cross-sectional examination of modifiable risk factors for chronic disease among a nationally representative sample of youth: are Canadian students graduating high school with a failing grade for health? BMC Public Health. 2013; https://​doi.​org/​10.​1186/​1471-2458-13-569.
6.
go back to reference Klein-Geltink JE, Choi BC, Fry RN. Multiple exposures to smoking, alcohol, physical inactivity and overweight: Prevalences according to the Canadian Community Health Survey Cycle 1.1. Chronic Dis Can. 2006;27:25–33.PubMed Klein-Geltink JE, Choi BC, Fry RN. Multiple exposures to smoking, alcohol, physical inactivity and overweight: Prevalences according to the Canadian Community Health Survey Cycle 1.1. Chronic Dis Can. 2006;27:25–33.PubMed
7.
go back to reference Schuit AJ, van Loon AJ, Tijhuis M, Ocke M. Clustering of lifestyle risk factors in a general adult population. Prev Med. 2002;35:219–24.CrossRefPubMed Schuit AJ, van Loon AJ, Tijhuis M, Ocke M. Clustering of lifestyle risk factors in a general adult population. Prev Med. 2002;35:219–24.CrossRefPubMed
8.
go back to reference Poortinga W. The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med. 2007;44:124–8.CrossRefPubMed Poortinga W. The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med. 2007;44:124–8.CrossRefPubMed
10.
go back to reference Butterfield RM, Park ER, Puleo E, Mertens A, Gritz ER, Li FP, et al. Multiple risk behaviors among smokers in the childhood cancer survivors study cohort. Psychooncology. 2004;13:619–29.CrossRefPubMed Butterfield RM, Park ER, Puleo E, Mertens A, Gritz ER, Li FP, et al. Multiple risk behaviors among smokers in the childhood cancer survivors study cohort. Psychooncology. 2004;13:619–29.CrossRefPubMed
13.
go back to reference Auer R, Vittinghoff E, Kiefe C, Reis JP, Rodondi N, Khodneva YA, et al. Change in physical activity after smoking cessation: the Coronary Artery Risk Development in Young Adults (CARDIA) study. Addiction. 2014; https://doi.org/10.1111/add.12561. Auer R, Vittinghoff E, Kiefe C, Reis JP, Rodondi N, Khodneva YA, et al. Change in physical activity after smoking cessation: the Coronary Artery Risk Development in Young Adults (CARDIA) study. Addiction. 2014; https://​doi.​org/​10.​1111/​add.​12561.
16.
go back to reference Emmons KM, McBride CM, Puleo E, Pollak KI, Clipp E, Kuntz K, et al. Project PREVENT: a randomized trial to reduce multiple behavioral risk factors for colon cancer. Cancer Epidemiol Biomark Prev. 2005;4:1453–9.CrossRef Emmons KM, McBride CM, Puleo E, Pollak KI, Clipp E, Kuntz K, et al. Project PREVENT: a randomized trial to reduce multiple behavioral risk factors for colon cancer. Cancer Epidemiol Biomark Prev. 2005;4:1453–9.CrossRef
17.
go back to reference Puska P, Nissinen A, Salonen JT, Toumilehto J. Ten years of the North Karelia Project: results with community-based prevention of coronary heart disease. Scand J Soc Med. 1983;11:65–8.PubMed Puska P, Nissinen A, Salonen JT, Toumilehto J. Ten years of the North Karelia Project: results with community-based prevention of coronary heart disease. Scand J Soc Med. 1983;11:65–8.PubMed
18.
go back to reference Mortality rates after 10.5 years for participants in the Multiple Risk Factor Intervention Trial. Findings related to a priori hypotheses of the trial. The Multiple Risk Factor Intervention Trial Research Group. JAMA. 1990;263:1795–801.CrossRef Mortality rates after 10.5 years for participants in the Multiple Risk Factor Intervention Trial. Findings related to a priori hypotheses of the trial. The Multiple Risk Factor Intervention Trial Research Group. JAMA. 1990;263:1795–801.CrossRef
19.
go back to reference Elder JP, McGraw SA, Abrams DB, Ferreira A, Lasater TM, Longpre H, et al. Organizational and community approaches to community-wide prevention of heart disease: the first two years of the Pawtucket heart health program. Prev Med. 1986;15:107–17.CrossRefPubMed Elder JP, McGraw SA, Abrams DB, Ferreira A, Lasater TM, Longpre H, et al. Organizational and community approaches to community-wide prevention of heart disease: the first two years of the Pawtucket heart health program. Prev Med. 1986;15:107–17.CrossRefPubMed
20.
go back to reference Winkleby MA, Taylor CB, Jatulis D, Fortmann SP. The long-term effects of a cardiovascular disease prevention trial: the Stanford Five-City Project. Am J Public Health. 1996;86:1773–9.CrossRefPubMedPubMedCentral Winkleby MA, Taylor CB, Jatulis D, Fortmann SP. The long-term effects of a cardiovascular disease prevention trial: the Stanford Five-City Project. Am J Public Health. 1996;86:1773–9.CrossRefPubMedPubMedCentral
21.
go back to reference Luepker RV, Murray DM, Jacobs DR Jr, Mittelmark MB, Bracht N, Carlaw R, et al. Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program. Am J Public Health. 1994;84:1383–93.CrossRefPubMedPubMedCentral Luepker RV, Murray DM, Jacobs DR Jr, Mittelmark MB, Bracht N, Carlaw R, et al. Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program. Am J Public Health. 1994;84:1383–93.CrossRefPubMedPubMedCentral
22.
go back to reference Toobert DJ, Glasgow RE, Strycker LA, Barrera M Jr, Ritzwoller DP, Weidner G. Long-term effects of the Mediterranean lifestyle program: a randomized clinical trial for postmenopausal women with type 2 diabetes. Int J Behav Nutr Phys Act. 2007; https://doi.org/10.1186/1479-5868-4-1. Toobert DJ, Glasgow RE, Strycker LA, Barrera M Jr, Ritzwoller DP, Weidner G. Long-term effects of the Mediterranean lifestyle program: a randomized clinical trial for postmenopausal women with type 2 diabetes. Int J Behav Nutr Phys Act. 2007; https://​doi.​org/​10.​1186/​1479-5868-4-1.
23.
go back to reference Grunfeld E, Manca D, Moineddin R, Thorpe KE, Hoch JS, Campbell-Scherer D, et al. Improving chronic disease prevention and screening in primary care: results of the BETTER pragmatic cluster randomized controlled trial. BMC Fam Pract. 2013; https://doi.org/10.1186/1471-2296-14-175. Grunfeld E, Manca D, Moineddin R, Thorpe KE, Hoch JS, Campbell-Scherer D, et al. Improving chronic disease prevention and screening in primary care: results of the BETTER pragmatic cluster randomized controlled trial. BMC Fam Pract. 2013; https://​doi.​org/​10.​1186/​1471-2296-14-175.
24.
go back to reference Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review—a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10(Suppl 1):21–34.CrossRefPubMed Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review—a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10(Suppl 1):21–34.CrossRefPubMed
26.
go back to reference Pawson R. Evidence-based policy. A realist perspective. London: Sage Publications; 2006.CrossRef Pawson R. Evidence-based policy. A realist perspective. London: Sage Publications; 2006.CrossRef
27.
go back to reference Pawson R, Tilley N. Realistic Evaluation. London: Sage Publications; 1997. Pawson R, Tilley N. Realistic Evaluation. London: Sage Publications; 1997.
31.
go back to reference Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review: a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10(Suppl 1):21–34.CrossRefPubMed Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review: a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10(Suppl 1):21–34.CrossRefPubMed
33.
go back to reference Puska P, Nissinen A, Tuomilehto J, Salonen JT, Koskela K, McAlister A, et al. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia project. Ann Rev Public Health. 1985;6:147–93.CrossRef Puska P, Nissinen A, Tuomilehto J, Salonen JT, Koskela K, McAlister A, et al. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia project. Ann Rev Public Health. 1985;6:147–93.CrossRef
34.
go back to reference Farquhar JW, Fortmann SP, Flora JA, Taylor CB, Haskell WL, Williams PT, et al. Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City project. JAMA. 1990;264:359–65.CrossRefPubMed Farquhar JW, Fortmann SP, Flora JA, Taylor CB, Haskell WL, Williams PT, et al. Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City project. JAMA. 1990;264:359–65.CrossRefPubMed
35.
go back to reference Toobert DJ, Strycker LA, Glasgow RE, Barrera M, Bagdade JD. Enhancing support for health behavior change among women at risk for heart disease: the Mediterranean Lifestyle Trial. Health Educ Res. 2002;17:574–85.CrossRefPubMed Toobert DJ, Strycker LA, Glasgow RE, Barrera M, Bagdade JD. Enhancing support for health behavior change among women at risk for heart disease: the Mediterranean Lifestyle Trial. Health Educ Res. 2002;17:574–85.CrossRefPubMed
37.
go back to reference Multiple Risk Factor Intervention Trial Research Group (MRFIT). Mortality after 10 1/2 years for hypertensive participants in the Multiple Risk Factor Intervention Trial. Circulation. 1990;82:1616–28. Multiple Risk Factor Intervention Trial Research Group (MRFIT). Mortality after 10 1/2 years for hypertensive participants in the Multiple Risk Factor Intervention Trial. Circulation. 1990;82:1616–28.
38.
go back to reference Multiple Risk Factor Intervention Trial Research Group (MRFIT). Coronary heart disease death, nonfatal acute myocardial infarction and other clinical outcomes in the Multiple Risk Factor Intervention Trial. Am J Cardiol 1986;58:1-13. Multiple Risk Factor Intervention Trial Research Group (MRFIT). Coronary heart disease death, nonfatal acute myocardial infarction and other clinical outcomes in the Multiple Risk Factor Intervention Trial. Am J Cardiol 1986;58:1-13.
39.
go back to reference Multiple risk factor intervention trial. Risk factor changes and mortality results. Multiple risk factor intervention trial research group. JAMA. 1982;248:1465–77.CrossRef Multiple risk factor intervention trial. Risk factor changes and mortality results. Multiple risk factor intervention trial research group. JAMA. 1982;248:1465–77.CrossRef
40.
go back to reference Multiple Risk Factor Intervention Trial Research Group (MRFIT). Mortality after 16 years for participants randomized to the Multiple Risk Factor Intervention Trial. Circulation. 1996;94:946–51. Multiple Risk Factor Intervention Trial Research Group (MRFIT). Mortality after 16 years for participants randomized to the Multiple Risk Factor Intervention Trial. Circulation. 1996;94:946–51.
41.
go back to reference Stamler J, Neaton JD, Cohen JD, Cutler J, Eberly L, Grandits G, et al. Multiple risk factor intervention trial revisited: a new perspective based on nonfatal and fatal composite endpoints, coronary and cardiovascular, during the trial. J Am Heart Assoc. 2012; https://doi.org/10.1161/JAHA.112.003640. Stamler J, Neaton JD, Cohen JD, Cutler J, Eberly L, Grandits G, et al. Multiple risk factor intervention trial revisited: a new perspective based on nonfatal and fatal composite endpoints, coronary and cardiovascular, during the trial. J Am Heart Assoc. 2012; https://​doi.​org/​10.​1161/​JAHA.​112.​003640.
43.
go back to reference DistillerSR, Evidence partners, Ottawa, Canada, 2017. DistillerSR, Evidence partners, Ottawa, Canada, 2017.
44.
go back to reference QSR International. NVivo qualitative data analysis Software, QSR International Pty Ltd, Version 11, 2015. QSR International. NVivo qualitative data analysis Software, QSR International Pty Ltd, Version 11, 2015.
Metadata
Title
The effects of interventions targeting multiple health behaviors on smoking cessation outcomes: a rapid realist review protocol
Authors
Nadia Minian
Wayne K. deRuiter
Mathangee Lingam
Tricia Corrin
Rosa Dragonetti
Heather Manson
Valerie H. Taylor
Laurie Zawertailo
Arezoo Ebnahmady
Osnat C. Melamed
Terri Rodak
Margaret Hahn
Peter Selby
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2018
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-018-0702-0

Other articles of this Issue 1/2018

Systematic Reviews 1/2018 Go to the issue