Interventions for pregnant women who use tobacco and other substances: a systematic review protocol

Introduction The prevalence of tobacco smoking in pregnancy remains elevated in some disadvantaged populations of women. One group is those who use alcohol and/or other psychoactive substances during pregnancy, with tobacco use prevalence estimates ranging from 71% to 95%. Although effective evidenc...

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Main Authors: Amanda L Baker, Melissa A Jackson, Kristen L McCarter, Amanda L Brown, Gillian S Gould, Adrian J Dunlop
Format: Article
Language:English
Published: BMJ Publishing Group 2019-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/11/e032449.full
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author Amanda L Baker
Melissa A Jackson
Kristen L McCarter
Amanda L Brown
Gillian S Gould
Adrian J Dunlop
author_facet Amanda L Baker
Melissa A Jackson
Kristen L McCarter
Amanda L Brown
Gillian S Gould
Adrian J Dunlop
author_sort Amanda L Baker
collection DOAJ
description Introduction The prevalence of tobacco smoking in pregnancy remains elevated in some disadvantaged populations of women. One group is those who use alcohol and/or other psychoactive substances during pregnancy, with tobacco use prevalence estimates ranging from 71% to 95%. Although effective evidence-based cessation treatments exist, few women with co-occurring substance use problems successfully stop smoking during pregnancy. There is limited information about treatments that specifically target this group and a summary of the available research is required to assist and enhance the development of innovative cessation interventions. This article describes a protocol for a comprehensive review of studies that have trialled behavioural and/or pharmacological tobacco cessation interventions in populations of pregnant women who are nicotine dependent and use alcohol and/or other psychoactive substances.Methods and analysis The review will undertake literature searches in MEDLINE, PsycINFO, CINAHL, EMBASE and ProQuest databases, as well as the grey literature. Studies of any design methodology will be included if they describe changes to tobacco smoking behaviours in quantitative terms. No restriction on year of publication or published language will apply. Participants include pregnant women of any age, who smoke tobacco, who are seeking or having treatment, or in post-treatment recovery for the use of psychoactive substances. Interventions are any psychological, behavioural or pharmacological treatments used to treat tobacco use. Outcome measures are any that quantitatively report abstinence or reductions in participant tobacco consumption. Key details and tobacco-related outcomes from included studies will be extracted and tabulated before being narratively synthesised. The systematic review protocol has been developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines.Ethics and dissemination Ethics approval is not required. Findings will be disseminated via peer-reviewed literature, conference presentations, media and social media.PROSPERO registration number CRD42018108777
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spelling doaj-art-a7d1a4e685a9483bb208ea0d4d3cf71f2025-08-20T02:49:01ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-032449Interventions for pregnant women who use tobacco and other substances: a systematic review protocolAmanda L Baker0Melissa A Jackson1Kristen L McCarter2Amanda L Brown3Gillian S Gould4Adrian J Dunlop55 School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia1 School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia1 School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia1 School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia1 School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia1 School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, AustraliaIntroduction The prevalence of tobacco smoking in pregnancy remains elevated in some disadvantaged populations of women. One group is those who use alcohol and/or other psychoactive substances during pregnancy, with tobacco use prevalence estimates ranging from 71% to 95%. Although effective evidence-based cessation treatments exist, few women with co-occurring substance use problems successfully stop smoking during pregnancy. There is limited information about treatments that specifically target this group and a summary of the available research is required to assist and enhance the development of innovative cessation interventions. This article describes a protocol for a comprehensive review of studies that have trialled behavioural and/or pharmacological tobacco cessation interventions in populations of pregnant women who are nicotine dependent and use alcohol and/or other psychoactive substances.Methods and analysis The review will undertake literature searches in MEDLINE, PsycINFO, CINAHL, EMBASE and ProQuest databases, as well as the grey literature. Studies of any design methodology will be included if they describe changes to tobacco smoking behaviours in quantitative terms. No restriction on year of publication or published language will apply. Participants include pregnant women of any age, who smoke tobacco, who are seeking or having treatment, or in post-treatment recovery for the use of psychoactive substances. Interventions are any psychological, behavioural or pharmacological treatments used to treat tobacco use. Outcome measures are any that quantitatively report abstinence or reductions in participant tobacco consumption. Key details and tobacco-related outcomes from included studies will be extracted and tabulated before being narratively synthesised. The systematic review protocol has been developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines.Ethics and dissemination Ethics approval is not required. Findings will be disseminated via peer-reviewed literature, conference presentations, media and social media.PROSPERO registration number CRD42018108777https://bmjopen.bmj.com/content/9/11/e032449.full
spellingShingle Amanda L Baker
Melissa A Jackson
Kristen L McCarter
Amanda L Brown
Gillian S Gould
Adrian J Dunlop
Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
BMJ Open
title Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
title_full Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
title_fullStr Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
title_full_unstemmed Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
title_short Interventions for pregnant women who use tobacco and other substances: a systematic review protocol
title_sort interventions for pregnant women who use tobacco and other substances a systematic review protocol
url https://bmjopen.bmj.com/content/9/11/e032449.full
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