scholarly journals Antenatal Clinic and Stop Smoking Services Staff Views on “Opt-Out” Referrals for Smoking Cessation in Pregnancy: A Framework Analysis

2016 ◽  
Vol 13 (10) ◽  
pp. 1004 ◽  
Author(s):  
Katarzyna Campbell ◽  
Katharine Bowker ◽  
Felix Naughton ◽  
Melanie Sloan ◽  
Sue Cooper ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Antenatal Clinic ◽  
Framework Analysis ◽  
Stop Smoking ◽  
Opt Out ◽  
Stop Smoking Services ◽  
In Pregnancy

scholarly journals Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy

2019 ◽  
Vol 16 (8) ◽  
pp. 1358 ◽  
Author(s):  
Katarzyna Anna Campbell ◽  
Sophie Orton ◽  
Katharine Bowker ◽  
Sue Cooper ◽  
Tim Coleman
Keyword(s):  
Smoking Cessation ◽  
Qualitative Interviews ◽  
Service Evaluation ◽  
Minimal Impact ◽  
Additional Information ◽  
Stop Smoking ◽  
Opt Out ◽  
Stop Smoking Services ◽  
Training And Support ◽  
New Procedures

Background: International guidelines recommend that following an early-pregnancy ‘opt-out’ referral for smoking cessation support, pregnant women who smoke should also be offered referrals at subsequent antenatal appointments (‘opt-in’ referrals). We assessed feasibility and acceptability of introducing ‘opt-in’ self-referral forms to stop smoking services (SSS) in antenatal clinics. Method: A ‘before–after’ service evaluation and qualitative interviews. ‘Opt-in’ self-referral forms were distributed by reception staff to women attending antenatal ultrasound appointments. We collected hospital/SSS data for the study period and a comparison period 12 months prior. Reception staff were interviewed and data analyzed thematically. Results: Over 6500 women entered antenatal care in each period; ~15% smoked and ~50% of those who smoked were referred to SSS at their first appointment. In the study period, 17.4% of women completed ‘opt-in’ forms. Of these 17.3% smoked, and 23.1% of those who smoked requested a referral. The staff thought new procedures had minimal impact on workload, but were easy to forget. They believed the pathway would be better delivered by midwifery staff, with additional information/advice to improve engagement. Conclusions: ‘Opt-in’ referrals in later pregnancy result in significant numbers of women who smoke indicating interest in smoking cessation support. Additional training and support is necessary to motivate reception staff to oversee self-referral pen-and-paper procedures effectively.

scholarly journals Associations between Practitioner Personality and Client Quit Rates in Smoking Cessation Behavioural Support Interventions

2017 ◽  
Vol 13 (2) ◽  
pp. 103-109 ◽  
Author(s):  
Heather L. Gainforth ◽  
Sarita Y. Aujla ◽  
Emma Beard ◽  
Emma Croghan ◽  
Robert West
Keyword(s):  
Smoking Cessation ◽  
Outcome Measure ◽  
Success Rates ◽  
Specific Training ◽  
Five Dimensions ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Random Intercept ◽  
Stop Smoking Services ◽  
Multi Level

Introduction:There is wide variation in the success rates of practitioners employed to help smokers to stop, even once a range of potential confounding factors has been taken into account.Aim:This paper examined whether personality characteristics of practitioners might play a role success rates.Methods:Data from 1,958 stop-smoking treatment episodes in two stop-smoking services (SSS) involving 19 stop-smoking practitioners were used in the analysis. The outcome measure was clients’ biochemically verified quit status 4 weeks after the target quit date. The five dimensions of personality, as assessed by the Ten-Item Personality Inventory, were included as predictor variables: openness, conscientiousness, agreeableness, extraversion, and neuroticism. A range of client and other practitioner characteristics were used as covariates. A sensitivity analysis was conducted to determine if managers' ratings of practitioner personality were also associated with clients’ quit status.Results:Multi-level random intercept models indicated that clients of practitioners with a higher extraversion score had greater odds of being abstinent at four weeks (self-assessed: OR = 1.10, 95% CI = 1.01–1.19; manager-assessed: OR = 1.32, 95% CI = 1.21–1.44).Conclusions:More extraverted stop smoking practitioners appear to have greater success in advising their clients to quit smoking. Findings need to be confirmed in larger practitioner populations, other SSS, and in different smoking cessation contexts. If confirmed, specific training may be needed to assist more introverted stop smoking practitioners.

scholarly journals Stop smoking practitioner consensus on barriers and facilitators to smoking cessation in pregnancy and how to address these: A modified Delphi survey

2019 ◽  
Vol 9 ◽  
pp. 100164
Author(s):  
Libby Fergie ◽  
Katarzyna A. Campbell ◽  
Tom Coleman-Haynes ◽  
Michael Ussher ◽  
Sue Cooper ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Delphi Survey ◽  
Barriers And Facilitators ◽  
Modified Delphi ◽  
Stop Smoking ◽  
In Pregnancy

scholarly journals Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals

2019 ◽  
Vol 16 (10) ◽  
pp. 1814 ◽  
Author(s):  
Ross Thomson ◽  
Lisa McDaid ◽  
Joanne Emery ◽  
Felix Naughton ◽  
Sue Cooper ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Replacement Therapy ◽  
Nicotine Replacement Therapy ◽  
Health Care Professionals ◽  
Educational Interventions ◽  
Barriers And Facilitators ◽  
Nicotine Replacement ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
In Pregnancy

Smoking during pregnancy is a leading cause of negative pregnancy and perinatal outcomes. While UK guidelines recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy, adherence to NRT is generally low and may partially explain why NRT appears less effective in pregnancy compared to non-pregnant smokers. This study aimed to identify and describe factors associated with NRT adherence from a health professional’s perspective. Two focus groups and one expert group were conducted with 26 professionals involved in antenatal stop smoking services and the data were analysed thematically using a template methodology. From our analyses, we extracted two main themes: (i) ‘Barriers to NRT use in pregnancy’ explores the issues of how misinformation and unrealistic expectations could discourage NRT use, while (ii) ‘Facilitators to NRT use in pregnancy’ describes the different information, and modes of delivery, that stop smoking professionals believe will encourage correct and sustained NRT use. Understanding the barriers and facilitators to improve NRT adherence may aid the development of educational interventions to encourage NRT use and improve outcomes for pregnant women wanting to stop smoking.

scholarly journals A Qualitative Study of Factors Influencing Adherence among Pregnant Women Taking Part in a Trial of E-Cigarettes for Smoking Cessation

2021 ◽  
Vol 18 (2) ◽  
pp. 430
Author(s):  
Allison Ford ◽  
Isabelle Uny ◽  
Judith Lowes ◽  
Felix Naughton ◽  
Sue Cooper ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Pregnant Women ◽  
Thematic Analysis ◽  
Theoretical Domains Framework ◽  
Telephone Interviews ◽  
Factors Influencing ◽  
Stop Smoking ◽  
Pregnant Smokers ◽  
Intervention Adherence ◽  
In Pregnancy

Use of e-cigarettes (vaping) has potential to help pregnant women stop smoking. This study explored factors influencing adherence among participants in the vaping arm of the first trial of vaping for smoking cessation in pregnancy. We conducted semi-structured telephone interviews (n = 28) with women at three-months postpartum. Interviews were analysed using thematic analysis, informed by the Theoretical-Domains Framework, Necessity-Concerns Framework and Perceptions and Practicalities Approach. Interviewees generally reported high levels of vaping. We found that: (1) intervention adherence was driven by four necessity beliefs—stopping smoking for the baby, and vaping for harm reduction, smoking cessation or as a last resort; (2) necessity beliefs outweighed vaping concerns, such as dependence and safety; (3) adherence was linked to four practicalities themes, acting as barriers and facilitators to vaping—device and e-liquid perceptions, resources and support, whether vaping became habitual, and social and environmental factors; and (4) intentional non-adherence was rare; unintentional non-adherence was due to device failures, forgetting to vape, and personal circumstances and stress. Pregnant smokers provided with e-cigarettes, and with generally high levels of vaping, had positive beliefs about the necessity of vaping for smoking cessation which outweighed concerns about vaping. Non-adherence was mainly due to unintentional factors.

Isolation, Marginalisation and Disempowerment – Understanding How Interactions with Health Providers Can Influence Smoking Cessation in Pregnancy

2021 ◽  
Author(s):  
Cherise Fletcher ◽  
Elizabeth Hoon ◽  
Angela Gialamas ◽  
Gustaaf Dekker ◽  
John Lynch ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Focus Groups ◽  
South Australia ◽  
Antenatal Clinic ◽  
Health Providers ◽  
Smoking During Pregnancy ◽  
Healthcare Barriers ◽  
Adverse Health Outcomes ◽  
Smoking In Pregnancy ◽  
In Pregnancy

Abstract BackgroundMaternal smoking during pregnancy can lead to serious adverse health outcomes for both women and their infants. While smoking in pregnancy has declined over time, it remains consistently higher in women with lower socioeconomic circumstances. Furthermore, fewer women in this group will successfully quit during pregnancy. AimThis study explores the barriers to smoking cessation experienced by socially disadvantaged pregnant women and investigates how interactions with health providers can influence their smoking cessation journey.Methodsomen (either pregnant or birthed in the previous 10 years, who smoked or quit smoking in pregnancy) were recruited from a metropolitan public hospital antenatal clinic in South Australia and community organisations in surrounding suburbs. Seventeen women participated in qualitative semi-structured small focus groups or interviews. The focus groups and interviews were recorded, transcribed and thematically analysed. FindingsFour interconnected themes were identified: 1) smoking embedded in women’s challenging lives and pregnancies, 2) cyclic isolation and marginalisation, 3) feeling disempowered, and 4) autonomy and self-determination. Themes 3 and 4 are characterised as being two sides of a single coin in that they coexist simultaneously and are inseparable. A key finding is a strong unanimous desire for smoking cessation in pregnancy but women felt they did not have the necessary support from health providers or confidence and self-efficacy to be successful.ConclusionWomen would like improvements to antenatal care that increase health practitioners’ understanding of the social and contextual healthcare barriers faced by women who smoke in pregnancy. They seek assistance from health providers to make informed choices about smoking cessation and would like women-centred care. Women feel that with greater support, consistency and encouragement from health providers they could be more successful at antenatal smoking cessation.

scholarly journals Implementation of routine biochemical validation and an ‘opt out’ referral pathway for smoking cessation in pregnancy

Addiction ◽  
2012 ◽  
Vol 107 ◽  
pp. 53-60 ◽  
Author(s):  
Linda Bauld ◽  
Lucy Hackshaw ◽  
Janet Ferguson ◽  
Tim Coleman ◽  
Gordon Taylor ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Opt Out ◽  
Biochemical Validation ◽  
In Pregnancy

scholarly journals Stop Smoking Service Clients’ Views Following the Introduction of Smoke-Free Legislation in England

2012 ◽  
Vol 7 (1) ◽  
pp. 47-54
Author(s):  
Lucy Hackshaw ◽  
Linda Bauld ◽  
Andy McEwen
Keyword(s):  
Public Attitudes ◽  
Smoking Behaviour ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Quit Attempt ◽  
Stop Smoking ◽  
Quit Attempts ◽  
Stop Smoking Services ◽  
Smoking Behaviours ◽  
Stop Smoking Service

This study aimed to explore smoker's perspectives of continued smoking and smoking cessation following the introduction of smoke-free legislation in England. Seventeen semi-structured interviews were conducted with smokers who were making a quit attempt with the support of stop smoking services delivered by the National Health Service. Interviews explored opinions of smoke-free legislation before it was implemented in July 2007, as well as attitudes towards the legislation, beliefs about the influence of legislation on smoking behaviours, as well as changes to public attitudes about smoking. Framework analysis highlighted five key themes: attitudes towards smoke-free legislation prior to its introduction, support for smoke-free legislation following implementation, smoke-free legislation and smoking behaviour, stigma, and returning to smoking. Overall, smokers were positive about smoke-free legislation and reported reductions in smoking and an increase in quit attempts after introduction of the legislation. Change in attitudes towards smoking and smokers were noted, which at times could transpire to stigmatisation felt by the participants. Few quitters expressed a wish to return to smoking if the legislation was reversed.

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