Deakin University
Browse

File(s) under permanent embargo

Smoking cessation programs in pregnancy: systematically addressing development, implementation, women's concerns and effectiveness

journal contribution
posted on 2001-01-01, 00:00 authored by S Oliver, L Oakley, J Lumley, Elizabeth Waters
Objectives:  To increase a review's relevance to practitioners and service users and identify the implications for systematic review methodology. Methods:  A systematic review of the effects of smoking cessation programmes implemented during pregnancy integrated process indicators and the views of maternity service users and health promotion specialists. Additional qualitative data were extracted systematically from included randomised control trials (RCTs) to determine whether the design of interventions and conclusions arising from their evaluation related to the views of service users. On completing the review we reflected on the types of observational and qualitative research it drew on, where this research was incorporated into the review, and its added value. Results:   Incorporating process indicators into the review revealed: 1) problems with implementation and transplantation of some interventions and 2) studies with more stringent quality criteria and process evaluations demonstrated greater impact (weighted mean difference in smoking). Pregnant smokers were rarely involved in the design or evaluation of the interventions. Prior observational and qualitative studies and small scale consultations influenced the criteria by which the effectiveness of the interventions were judged, and revealed to what extent these criteria are adopted in practice.
Conclusions:   Systematically abstracting data about the development and delivery of interventions revealed gaps that might be filled by the active involvement of service users.

History

Journal

Health Education Journal

Volume

60

Issue

4

Pagination

362 - 370

Publisher

Central Council for Health Education

Location

London, England

ISSN

0017-8969

eISSN

1748-8176

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2001, Central Council for Health Education

Usage metrics

    Research Publications

    Categories

    No categories selected

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC