Cited by 13Smoking Behavior and CessationHealth Policy Implementation ScienceBehavioral Health and Interventions

Development of a smoke-free homes intervention for parents: an intervention mapping approach.

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O’Donnell, Rachel, Dobson, Ruaraidh, De Bruin, Marijn, Turner, Stephen, Booth, Lorna, Semple, Sean·2019·Health Psychology Bulletin

Abstract

Exposure to second-hand smoke (SHS) is associated with various ill-health outcomes for children and adults. Barriers to creating a smoke-free home (SFH) are well-documented. Feasible and effective interventions to create smoke-free homes for disadvantaged households are lacking. Interventions that include providing parents with objective information about the impact of smoking on air quality in their home may be particularly effective. This study describes the development of a novel, theory- and evidence-based smoke-free homes intervention using objectively-assessed air quality feedback. The intervention was developed using the six-step Intervention Mapping (IM) protocol. Findings from literature reviews, focus groups with parents, interviews with health/care professionals, and expert panel discussions shaped intervention content and materials. Findings highlighted the importance of parents receiving personalised information on second-hand smoke levels in their home. Professionals considered the use of non-judgemental language essential in developed materials. Previous literature highlighted the need to address home smoking behaviour at a household rather than individual level. The AFRESH intervention is modular and designed to be delivered face-to-face by healthcare professionals. It includes up to five meetings with parents, two sets of five days' air quality monitoring and personalised feedback, and the option to involve other household members in creating a smoke-free home using educational, motivational, and goal setting techniques. Further research is needed to evaluate the acceptability and effectiveness of the AFRESH intervention and which specific groups of parents this intervention will most likely benefit. IM was a useful framework for developing this complex intervention. This paper does not present evaluation findings.

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  • There are only a limited number of comparable academic articles using IM in clinical psychology, although IM use is prevalent in health and prevention research.

    “Although the use and reporting of IM approaches is prevalent in health and prevention research (34–39), there are only a limited number of comparable academic articles published in the field of (clinical) psychology (40, 41).”
  • Beside Metacognitive Training (MCT), two more mechanism-based therapies for psychosis focusing explicitly on impaired metacognitive processes linked to positive symptoms were identified: Metacognitive insight and reflection therapy (MERIT) and Metacognitive interpersonal therapy for psychosis (MIT-P).

    “Beside Metacognitive Training (MCT), we identified two more mechanism-based therapies for psychosis focusing explicitly on impaired metacognitive processes linked to our first health problem (positive symptoms) (36): Metacognitive insight and reflection therapy (MERIT) and Metacognitive interpersonal therapy for psychosis (MIT-P).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [36]

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Research works printed but not linked: 1

  1. Bartholomew LK Markham CM Ruiter RAC Fernàndez ME Kok G Parcel GS Planning health promotion programs: An Intervention Mapping approach 4th ed Hoboken, NJ Wiley 2016

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Authors
O’Donnell, R., Dobson, R., De Bruin, M., Turner, S., Booth, L., & Semple, S.
Affiliations
  • University of Stirling (GB)
  • Glasgow Caledonian University (GB)
Corresponding author
O’Donnell, Rachel
Venue
Health Psychology Bulletin
Published
2019-12-19
Volume
3
Issue
1
Pages
67-86
ISSN
2398-5941 (ISSN-L)
OpenAlex
W2971471922
Cited by
13
References
37
Citations by year
2025: 5 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2
FWCI
1.03
Type
journal article
Language
en
Open access
Locations
  • Health Psychology Bulletin (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
Funders
Medical Research Council (MR/M026159/1)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
smoke-free homes, passive smoking, parental smoking, intervention mapping, complex intervention development, disadvantaged families, goal setting, motivational techniques

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