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Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Smoking cessation interventions for pregnant women attending treatment for substance use disorders: A systematic review
Addiction, Vol.117(4), pp.847-860
04/2022
PMCID: PMC9293139
PMID: 34374145
Appears in Recent Faculty of Health Publications
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Source: InCites
Abstract
Background and aims: Up to 95% of pregnant women seeking treatment for alcohol and other drug (AOD) use smoke tobacco. Previous reviews indicate few effective smoking cessation treatments for this group. This updated review aimed to identify and measure the efficacy of smoking cessation interventions trialled among pregnant women in AOD treatment settings who smoke tobacco.
Methods: A narrative synthesis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement. Studies involving psychological, behavioural or pharmacological interventions used to treat tobacco use, including electronic nicotine delivery systems, for pregnant women of any age, who smoked tobacco and were seeking/receiving treatment, or in post‐treatment recovery for AOD concerns, were reviewed. MEDLINE, PsycINFO, CINAHL, EMBASE and ProQuest databases, grey literature and reference lists were searched, and field experts were contacted for unpublished study data. The Effective Public Health Practice Project tool assessed study quality. The review was pre‐registered with PROSPERO no. CRD42018108777.
Results: Seven interventions (two randomised controlled trials, two single‐arm pilot studies, two program evaluations and one causal comparative study) treating 875 women were identified. All were United States (US)‐based and targeted women with drug dependence, but not alcohol dependence. Three interventions used contingency management, five provided behavioural counselling, and one offered nicotine replacement therapy. All reported reductions in cigarette consumption; one contingency management‐based study demonstrated higher abstinence rates compared with controls at treatment‐end that were not maintained at follow‐up. Four of six studies were rated as methodologically weak and one unpublished study was not rated.
Conclusions: Conclusions about the efficacy of smoking interventions for pregnant women with alcohol and other drug concerns who also smoke tobacco are hindered by the paucity of available data and poor methodological quality of included studies.
Details
- Title
- Smoking cessation interventions for pregnant women attending treatment for substance use disorders: A systematic review
- Creators
- Melissa A. Jackson - Hunter New England Local Health DistrictAmanda L. Baker - University of NewcastleGillian S. Gould - University of NewcastleAmanda L. Brown - Hunter New England Local Health DistrictAdrian J. Dunlop - Hunter New England Local Health DistrictKristen McCarter - University of Newcastle
- Publication Details
- Addiction, Vol.117(4), pp.847-860
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Number of pages
- 14
- Identifiers
- 991013054979702368
- Copyright
- This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. © 2021 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article