Control beliefs are related to smoking prevention in prenatal care

Lemola, Sakari; Meyer-Leu, Yvonne; Samochowiec, Jakub; Grob, Alexander

doi:10.1111/j.1365-2753.2012.01891.x

Cited by 6 publications

(11 citation statements)

References 11 publications

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“…The inclusion of these mandatory fields in the clinical information system also explains the lack of variability in response to these questions and highlights the importance of electronic information systems in providing prompts for clinical activity [26]. .The finding that smoking is more frequently addressed at the initial visit than at subsequent visits is consistent with multiple other studies with both midwives and obstetricians [12,22,24,27,28]. Offering personalised support for cessation repeatedly throughout pregnancy is valuable as it provides a consistent message for women that midwives are concerned about them and their smoking [29,30].…”

Section: Discussionsupporting

confidence: 69%

“…The first factor identified in the analysis of barriers was 'Capability', which included all the knowledge, skills and confidence (beliefs about capabilities) items. Participants reported poorer knowledge, skills and confidence related to Assisting than Assessing, and more commonly agreed with knowledge statements than with those for skills and confidenceconsistent with both their reported behaviour and other research [12,21,22]. Importantly, the 'Capability' factor was significantly associated with 'Helping' women, and thus, ascertaining the items in 'Capability' with lesser agreement (skills, confidence and adequate training) helps to identify potential components for interventions.…”

Section: Discussionmentioning

confidence: 77%

“…1). By contrast, other studies have found that Asking smoking status and giving brief Advice to quit smoking were more commonly performed than Assessing, providing Assistance or Arranging follow-up [19,[21][22][23][24]. In the case of provision of advice, this difference may result from the wording of our question ('How often do you give clear, strong messages urging every pregnant smoker to quit?').…”

Section: Discussionmentioning

confidence: 85%

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Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Passey

Longman

Adams

et al. 2020

BMC Pregnancy Childbirth

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Background:Smoking is the most important preventable cause of adverse pregnancy outcomes, but provision of smoking cessation support (SCS) to pregnant women is poor. We examined the association between midwives' implementation of SCS (5As -Ask, Advise, Assess, Assist, Arrange follow-up) and reported barriers/enablers to implementation. Methods: On-line anonymous survey of midwives providing antenatal care in New South Wales (NSW), Australia, assessing provision of the 5As and barriers/enablers to their implementation, using the Theoretical Domains Framework (TDF). Factor analyses identified constructs underlying the 5As; and barriers/enablers. Multivariate general linear models examined relationships between the barrier/enabler factors and the 5As factors. Results: Of 750 midwives invited, 150 (20%) participated. Respondents more commonly reported Asking and Assessing than Advising, Assisting, or Arranging follow-up (e.g. 77% always Ask smoking status; 17% always Arrange follow-up). Three 5As factors were identified-'Helping', 'Assessing quitting' and 'Assessing dependence'. Responses to barrier/enabler items showed greater knowledge, skills, intentions, and confidence with Assessment than Assisting; endorsement for SCS as a priority and part of midwives' professional role; and gaps in training and organisational support for SCS. Nine barrier/enabler factors were identified. Of these, the factors of 'Capability' (knowledge, skills, confidence); 'Work Environment' (service has resources, capacity, champions and values SCS) and 'Personal priority' (part of role and a priority) predicted 'Helping'. Conclusion: The TDF enabled systematic identification of barriers to providing SCS, and the multivariate models identified key contributors to poor implementation. Combined with qualitative data, these results have been mapped to intervention components to develop a comprehensive intervention to improve SCS.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 85%

See 1 more Smart Citation

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Passey

Longman

Adams

et al. 2020

BMC Pregnancy Childbirth

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“…In 2008, all midwives listed in the public phone book of Switzerland were contacted via regular mail and questionnaires were sent in their respective national languages (German, French, and Italian). In total, 1270 midwives were contacted, of whom 366 participated in the study (28.8% of all the midwives registered in the phone book) [8]. In January 2018, the Swiss Association of Midwives provided us with the e-mail addresses of its members.…”

Section: Study Settings and Respondentsmentioning

confidence: 99%

“…Midwives care for women during and/or after pregnancy, and are thus well-positioned for screening the smoking and alcohol use habits of women, and observing their exposure to passive smoke. Moreover, through building trusting and supportive relationships, midwives can effectively educate pregnant women about relevant risks for the child and can facilitate positive changes to women's behavioral patterns [7,8]. Empirical evidence shows that in highincome countries, psychosocial interventions increase the rates of women who quit smoking during late pregnancy [9].…”

Section: Introductionmentioning

confidence: 99%

Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018

Lemola

Gkiouleka

Urfer-Maurer

et al. 2020

BMC Pregnancy Childbirth

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Background: Evidence suggests that cigarette smoking and alcohol consumption during pregnancy negatively impacts fetal health. Health agencies across countries have developed specific guidelines for health professionals in perinatal care to strengthen their role in smoking and alcohol use prevention. One such example is the "Guideline on Screening and Counselling for prevention of cigarette smoking and alcohol consumption before, during, and after pregnancy" introduced by the Swiss Midwives Association in 2011. The current study assesses the changes in midwives' engagement in smoking and alcohol use prevention before (2008) and after the introduction of the Guideline (2018). Further, the current study examines differences across regions (German vs. French speaking regions), graduation years (before and after the introduction of the Guideline) and different work settings (hospital vs. self-employed). Methods: Survey data were collected in 2008 (n = 366) and in 2018 (n = 459). Differences in how midwives engaged in smoking and alcohol use prevention between 2008 and 2018 were assessed with chi-square tests, as were differences across German and French speaking regions, graduation years (before and after the introduction of the Guideline) and across different work settings (working in hospitals or as self-employed). Results: An increase in midwives' awareness of the risks of consuming even small quantities of cigarettes and alcohol for the unborn child between 2008 and 2018 is evident. Explaining the risks to pregnant women who smoke or use alcohol remained the most frequently reported prevention strategy. However, engagement with more extensive smoking and alcohol use preventive strategies across the whole course of pregnancy, such as assisting women in the elaboration of a plan to stop smoking/alcohol use, remained limited. Conclusions: Seven years after its introduction, the effectiveness of the Guideline in increasing midwives' engagement in smoking and alcohol use prevention appears limited despite midwives' increased awareness.

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Provision and effect of quit-smoking counselling by primary care midwives

et al. 2015

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Control beliefs are related to smoking prevention in prenatal care

Abstract: The findings point to the importance of strengthening gynaecologists' and midwives' control beliefs by professional education and training on smoking prevention.

Cited by 6 publications

References 11 publications

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Midwives’ engagement in smoking- and alcohol-prevention in prenatal care before and after the introduction of practice guidelines in Switzerland: comparison of survey findings from 2008 and 2018

Provision and effect of quit-smoking counselling by primary care midwives

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