چکیده (انگلیسی):

Background:Smoking is the most significant preventable cause of morbidity and early mortality in the world. The
family is an influential context in which smoking behaviour occurs.
Methods:A systematic review and narrative summary of family-based interventions to help adults quit smoking
was conducted.
Results:Eight controlled trials were included. Risk of bias was high. The smoking-related outcome of the intervention
was self-reported smoking status/abstinence, validated by objective measures (including saliva thiocynate or breath
carbon monoxide). Follow-up ranged from 6 weeks to 5 years. The main target groups were: pregnant women (1),
pregnant women who smoked (2), men at risk of cardiovascular disease (2), adult smokers (1), parents who smoked
(1) and couples who both smoked (1). Interventions included family members but most did not go further by drawing
on family, systemic or relational theories to harness the influence of family on smoking behaviour. Only three studies
directly compared the effects on smoking behaviour of a family-based (i.e., interventions that involve a member
of the family) versus an individual-based (i.e., interventions that use behaviour change techniques that focus on
the individual) intervention. None of these studies found significant differences between groups on the smoking
behaviour of the main target group.
Conclusions:We have yet to develop family-based smoking cessation interventions that harness or re-direct the
influence of family members on smoking behaviour in a positive way. Thus, it is likely that individualised-approaches to
smoking cessation will prevail.