Evidence map›Paper›PMID 42252955›Full record

Trial reportBrain and behavior2026

The Effectiveness of a Structured Educational Intervention on Knowledge, Beliefs, and Self-Reported Practices of Pregnant Women Exposed to Thirdhand Smoke: A Randomized Controlled Trial.

Nooshin Yoshany, Zahra Afkhami, Mahsa Khodayarian, Sara Jambarsang, Amir Ghaderi, Zohreh Karimiankakolaki

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nooshin YoshanyDepartment of Health Education and Promotion, Social Determinants of Health Research Center, School, of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Zahra AfkhamiDepartment of Health Education and Promotion Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mahsa KhodayarianSocial Determinants of Health Research Center, Department of Health Education & Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Sara JambarsangCenter For Healthcare Data Modeling, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Amir GhaderiSocial Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Zohreh KarimiankakolakiSocial Determinants of Health Research Center, Shk.C., Islamic Azad University, Shahrekord, Iran.

Funding

Shahid Sadoughi University of Medical Sciences, Yazd, Iran 1404
6 · The paper itself

Abstract

backgroundThirdhand smoke (THS) is a persistent environmental toxin that poses significant health risks, especially to vulnerable populations such as pregnant women and their fetuses. Effective interventions to enhance knowledge, modify beliefs, and improve protective practices are crucial. This study aimed to evaluate the impact of a structured, multi-component educational intervention on knowledge, beliefs, and self-reported practices related to THS among pregnant women.

methodsA randomized controlled trial was conducted with 100 pregnant women in their second or third trimester, recruited from comprehensive health centers in Isfahan, Iran. Participants were randomly assigned to an intervention group (n = 50) or a control group (n = 50). The intervention group received a multi-faceted educational program consisting of four face-to-face group sessions, one spousal session, educational pamphlets, and reinforcement messages via a social media group. The control group received routine prenatal care. Data were collected using validated questionnaires assessing knowledge (11 items), beliefs (using the Beliefs About Thirdhand Smoke-BATHS scale, 9 items), and self-reported practices (9 items) at baseline and two months post-intervention. Data were analyzed using paired t-test, Wilcoxon signed-rank test, and Analysis of Covariance (ANCOVA) in SPSS v.23.

resultsThe intervention group demonstrated significant improvements in mean scores of knowledge (from 13.30 ± 2.68 to 21.52 ± 5.23, p < 0.001), beliefs (from 25.60 ± 8.12 to 38.46 ± 4.01, p < 0.001), and self-reported practices (from 10.50 ± 1.50 to 13.52 ± 2.10, p < 0.001) after the intervention. No significant changes were observed in the control group. ANCOVA results, while controlling for baseline scores, confirmed a statistically significant effect of the intervention on post-intervention scores for knowledge (F = 179.61, p < 0.001), beliefs (F = 77.52, p < 0.001), and practices (F = 54.14, p < 0.001).

conclusionA structured, theory-based educational intervention significantly improved knowledge, beliefs, and self-reported protective practices concerning THS among pregnant women. Integrating such comprehensive programs into routine prenatal care is strongly recommended to mitigate THS exposure risks and promote maternal and fetal health.

trial registrationThis randomized controlled trial was prospectively registered in the Iranian Registry of Clinical Trials (IRCT) on 25/04/2025, prior to participant recruitment (Identifier: IRCT20250105064282N1).  https://irct.behdasht.gov.ir/trial/81695.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticePatient Education as TopicPregnant PeopleTobacco Smoke PollutionAdultFemaleHumansIranPregnancyPrenatal CareSelf ReportYoung AdultTobacco Smoke Pollutionbeliefshealth educationknowledgepregnant womenself‐practicesthirdhand smoke

Identifiers

PMID42252955
PMCPMC13244072

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.