title: The effectiveness of interventions to establish smoke-free homes in pregnancy and in the neonatal period: a systematic review.
abstract: This review considers the effectiveness of interventions to encourage the establishment of smoke-free homes during pregnancy and the neonatal period. A comprehensive search of the literature was undertaken to find relevant studies via electronic databases, citations and reference lists of included studies. The searches identified 17 papers that met the inclusion criteria. These were quality assessed and data extracted. Due to heterogeneity of the papers, a narrative synthesis was completed. Interventions were categorized in terms of those based on counselling, counselling plus additional elements, individually adapted programmes and motivational interviewing. The findings suggest inconclusive evidence relating to these intervention types, with a range of outcome measures reported. There were limitations throughout the papers in terms of study quality (especially sample size) and poor reporting of results in relation to effectiveness. The review was limited by its very specific population; however, it suggests that currently there is mixed evidence for the effectiveness of interventions to reduce parental environmental tobacco smoke in early infancy.
authors.affiliation: Section of Public Health, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK. s.k.baxter@sheffield.ac.uk
authors.forename: Susan
authors.initials: S
authors.lastname: Baxter
authors.forename: Lindsay
authors.initials: L
authors.lastname: Blank
authors.forename: Emma S
authors.initials: ES
authors.lastname: Everson-Hock
authors.forename: Julia
authors.initials: J
authors.lastname: Burrows
authors.forename: Josie
authors.initials: J
authors.lastname: Messina
authors.forename: Louise
authors.initials: L
authors.lastname: Guillaume
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Goyder
mesh_terms: D005260:Female; D006801:Humans; D011181:Postnatal Care / Q000379:methods*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*
chemical_list: D014028:Tobacco Smoke Pollution