scholarly journals Accessing specialist support to stop smoking in pregnancy: A qualitative study exploring engagement with UK‐based stop smoking services

Author(s):  
Sarah Ellen Griffiths ◽  
Felix Naughton ◽  
Katherine E. Brown
Author(s):  
Sue Cooper ◽  
Sophie Orton ◽  
Katarzyna A. Campbell ◽  
Michael Ussher ◽  
Naomi Coleman-Haynes ◽  
...  

Smoking in pregnancy remains a public health problem. In the UK e-cigarettes are the most popular aid to quitting smoking outside of pregnancy, but we don’t know the extent of e-cigarette use in pregnancy or how English Stop Smoking Services (SSS) respond to pregnant women who vape. In 2015 we surveyed SSS managers about cessation support for pregnant women and responses to clients who vaped. Subsequently we interviewed a sub-sample of managers to seek explanations for the SSS’ position on e-cigarettes; interviews were thematically analysed. Survey response rate was 67.8% (72/106); overall managers reported 2.2% (range 1.4–4.3%) of pregnant clients were using e-cigarettes. Most SSS reported supporting pregnant women who already vaped, but would not recommend e-cigarette use; for women that were still smoking and not using e-cigarettes, 8.3% of SSS were likely/very likely to advise using e-cigarettes, with 56.9% of SSS unlikely/very unlikely to advise using them. Fifteen respondents were interviewed; interviewees were generally positive about the potential of e-cigarettes for cessation in pregnancy although concerns about perceived lack of evidence for safety were expressed and most wanted research on this. Clear guidance on e-cigarette use informed by pregnancy specific research will assist SSS to provide consistent evidence-based support.


Author(s):  
Marian Olamide Owoniyi ◽  
Dr. Olutoyin Elizabeth Okeya

The problem of smoking in pregnancy has remained a challenge to both public health professionals and Welsh Government with the low uptake of stop smoking services by pregnant women. Despite the evidence base for stop smoking, services have neither been implemented consistently nor robustly across Wales. Hence the need to develop a service improvement project like ‘Models for Access to Maternal Stop Smoking Support’ (MAMSS) to provide new ways of supporting pregnant women who smoke, alongside the current national Stop Smoking Services. The study explored the experiences and views of pregnant women smokers accessing stop smoking services in Wales. The need for suitable training was reported amongst public health professionals involved in providing stop smoking service for pregnant women. Most women wanted to reduce and not stop smoking; also available opportunities were important in determining the ability to access and deliver services, with the use of carbon monoxide (CO) monitors positively influencing the receptiveness of the pregnant women. Midwives were however reluctant to create an image of enforcing stop smoking and a holistic approach was advocated by some staff members to encourage health education and promotion. Overall, a specialist service such as that provided by the MAMSS project was viewed as appropriate. Public health professionals understood their roles and the advantages of the CO monitors in encouraging quitting/stop smoking in pregnancy. Specialist midwives made positive impacts on the pregnant smoker’s receptiveness to stop smoking support. Both staff and pregnant women acknowledged that accessibility and flexibility of service were key determinants of service delivery and service uptake, whilst incorporating an approach that is supportive rather than enforcing. This electronic document is a “live” template and already defines the components of your paper [title, text, heads, etc.] in its style sheet


Author(s):  
Catherine Chamberlain ◽  
Alison O'Mara-Eves ◽  
Jessie Porter ◽  
Tim Coleman ◽  
Susan M Perlen ◽  
...  

2019 ◽  
Vol 15 (1) ◽  
pp. 44-49
Author(s):  
Dayyanah Sumodhee ◽  
Rachel Povey ◽  
Nikolas Pontikos

AbstractIntroductionAccording to UK guidelines, stop smoking practitioners are expected to be open and supportive towards e-cigarette users. As adequate support from practitioners can be instrumental for smokers to successfully quit smoking, it is crucial to explore the challenges that stop smoking practitioners face when advising on e-cigarette use.AimThis qualitative study explores the challenges that stop smoking practitioners face when advising patients on e-cigarettes.MethodsA qualitative study was conducted with semi-structured interviews with 10 stop smoking practitioners from four stop smoking services in London. Face to face interviews were recorded and transcribed verbatim. Inductive thematic analysis was conducted to explore practitioners' experiences when advising on e-cigarettes.FindingsTwo themes were noted: practitioners' concerns and practitioner–patient interactions. Practitioners were particularly concerned regarding the lack of information, safety issues and the maintenance of addiction linked with e-cigarettes. They emphasised the difficulty of advising on a product that they cannot prescribe. Overall, practitioners expressed the lack of confidence when advising on e-cigarettes since they were often unprepared and not able to answer patients' questions on e-cigarettes.ConclusionsStop smoking practitioners' lack of confidence and limited knowledge regarding e-cigarettes emphasises the necessity for training and guidance on e-cigarettes to improve their interactions with patients on this subject. In particular, practitioners need to be provided with clear guidance on how to counsel patients about how and where to buy e-cigarettes.


Author(s):  
Catherine Chamberlain ◽  
Alison O'Mara-Eves ◽  
Sandy Oliver ◽  
Jenny R Caird ◽  
Susan M Perlen ◽  
...  

1989 ◽  
Vol 11 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Richard J. Madeley ◽  
Pamela A. Gillies ◽  
F. Lindsay Power ◽  
E. Malcolm Symonds

Author(s):  
Jo M. Longman ◽  
Catherine Adams ◽  
Christine Paul ◽  
James McLennan ◽  
Megan E. Passey

Smoking in pregnancy remains a public health challenge. Our team developed a comprehensive intervention using the Behaviour Change Wheel to support clinicians’ implementation of guidelines on supporting women to stop smoking in pregnancy. Integral to the intervention was a suite of evidence-based video and print materials. This paper describes the rationale and process for developing these materials. Comprehensive mixed methods research was undertaken to identify the key barriers and enablers for clinicians in implementing the guidelines. This research identified which behaviours required change, and which behaviour change techniques were best suited to effecting that change. Materials were developed based on this understanding, in a collaborative process with multiple stakeholders, and their feasibility and acceptability explored in a small trial. Materials developed included leadership, clinician and client resources. There are considerable advantages to systematically and collaboratively developing materials which are integral to a behaviour-change intervention even though it is resource intensive to do so.


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