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

Passey, Megan; Longman, Jo; Adams, Catherine; Johnston, Jennifer J.; Simms, Jessica; Rolfe, Margaret

doi:10.1186/s12884-020-02912-0

Cited by 12 publications

(40 citation statements)

References 32 publications

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“…A state-wide survey of women's experiences of maternity care in NSW found that only 46% of women who smoked in pregnancy recalled being told about quitting programs (14). Our own research con rmed midwives, obstetricians and managers all reported major gaps in care, particularly in assisting women with cessation strategies and arranging follow-up (15,16), both of which are crucial to quitting success (17,18).…”

Section: Introductionmentioning

confidence: 70%

Section: Feasibility and Pilot Studymentioning

confidence: 99%

“…Questionnaires were based on our validated questionnaire previously used in the state-wide survey of midwives to assess provision of SCS and barriers and enablers to doing so (16). Twenty items in the original questionnaire relating to barriers/enablers were found to form three factors ('Capability', 'Work environment' (relates to opportunity in the COM-B) and 'Personal priority' (relates to motivation in COM-B)), which strongly predicted provision of SCS (16). To assess the acceptability, face and content validity of the data collection tools participants were also asked to provide feedback on relevance, acceptability and clarity of the questions, comprehensiveness of coverage of the issues, question order, time taken to complete and any suggestions for improvement.…”

Section: Feasibility and Pilot Studymentioning

confidence: 99%

“…Step 1. De ne the problem in behavioural terms The problem identi ed was the gap between the guideline recommended SCS and current practice identi ed in the literature, which was particularly acute regarding provision of assistance and arranging follow-up, rather than asking about smoking status (11)(12)(13)(14)(15)(16).…”

Section: Stage 1 Understand the Behaviourmentioning

confidence: 99%

“…We undertook an initial qualitative study with 27 maternity service managers, obstetricians and midwives working in the public health system in NSW, using the TDF to guide the interviews (15). We then conducted an online anonymous survey with midwives working in public antenatal clinics in NSW, with the questionnaire based on the TDF, and re ned using ndings from the qualitative study (16). Data from both these published studies were mapped to the TDF domains and the COM-B components by MP and JL, with review and discussion with the remaining authors.…”

Section: Step 4 Identify What Needs To Changementioning

confidence: 99%

See 4 more Smart Citations

Improving Implementation of Smoking Cessation Guidelines in Pregnancy Care: Development of an Intervention to Address System, Maternity Service Leader and Clinician Factors

Passey

Adams

Paul³

et al. 2020

Preprint

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BackgroundSmoking during pregnancy increases the risk of multiple serious adverse infant, child and maternal outcomes, yet nearly 10% of Australian women still smoke during pregnancy. Despite evidence-based guidelines that recommend routine and repeated smoking cessation support (SCS) for all pregnant women, the provision of recommended SCS remains poor. Guidance on developing complex interventions to improve health care recommends drawing on existing theories, reviewing evidence, undertaking primary data collection, attending to future real-world implementation, and designing and refining interventions using iterative cycles with stakeholder input throughout. Here we describe using the Behaviour Change Wheel (BCW) to apply these principles in developing an intervention to improve provision of SCS in Australian maternity services.MethodsWorking closely with key stakeholders in the New South Wales (NSW) health system, we applied the steps of the BCW method then undertook a small feasibility study in one service to further refine the intervention. Stakeholders were engaged in multiple ways – as a core research team member, through a project Advisory Group, targeted meetings with policy makers, a large workshop to review potential components and the feasibility study. ResultsBarriers to and enablers of providing SCS were identified in five of six components described in the BCW method (psychological capability, physical opportunity, social opportunity, and in reflective and automatic motivation). These were mapped to intervention types and we selected education, training, enablement, environmental restructuring, persuasion, incentivisation and modelling as suitable in our context. Through application of the APEASE criteria (Affordability, Practicability, Effectiveness, Acceptability, Side effects, and Equity) in the stakeholder workshop, behaviour change techniques were selected and applied in developing the intervention which includes systems, clinician and leadership elements. The feasibility study confirmed feasibility and acceptability of the midwifery component and the need to further strengthen the leadership component. ConclusionsUsing the BCW method combined with strong stakeholder engagement from inception resulted in transparent development of the MOHMQuit intervention, which targets identified barriers to and enablers of the provision of SCS and is developed specifically for the context in which it will be implemented. The intervention is being trialed in eight public maternity services in NSW.

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Section: Introductionmentioning

confidence: 70%

Section: Feasibility and Pilot Studymentioning

confidence: 99%

Section: Feasibility and Pilot Studymentioning

confidence: 99%

Section: Stage 1 Understand the Behaviourmentioning

confidence: 99%

Section: Step 4 Identify What Needs To Changementioning

confidence: 99%

See 3 more Smart Citations

Improving Implementation of Smoking Cessation Guidelines in Pregnancy Care: Development of an Intervention to Address System, Maternity Service Leader and Clinician Factors

Passey

Adams

Paul³

et al. 2020

Preprint

Self Cite

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Smoking cessation care during pregnancy: A qualitative exploration of midwives’ challenging role

et al. 2023

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Which Way?Indigenous-led Smoking Cessation Care: Knowledge, Attitudes and Practices of Aboriginal and Torres Strait Islander Health Workers and Practitioners – A National Cross-sectional Survey

Kennedy

Longbottom

Mersha

et al. 2022

Nicotine &Amp; Tobacco Research

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Introduction Tobacco is the leading preventable cause of morbidity and mortality for Aboriginal and Torres Strait Islander people. Accordingly, the provision of culturally safe and effective smoking cessation strategies are crucial. While previous research has suggested Aboriginal Health Workers/Practitioners are well placed to provide smoking cessation care, no research to date has explored the workforce knowledge, attitudes and practices in offering best practice cessation care. Methods A cross-sectional study was conducted among Aboriginal Health Workers/Practitioners from June to September 2021. Descriptive and inferential statistics were conducted to examine participant characteristics, provision of smoking cessation care, and explore the factors associated with smoking cessation care. Results Out of 1052 registered Aboriginal Health Workers/Practitioners, 256 participants completed the full survey (24.3%). Smoking cessation counselling was always provided by 41.9%; provided some of the time by 42.4%, and never provided by 12.9%. Combination NRT and Quitline referral were always offered by 23.1% and 44.9% of participants respectively. Those that received training, felt smoking cessation care was part of their role, and were based in Aboriginal Community Controlled Health Organisation were significantly more likely to offer best practice smoking cessation care. Conclusion Aboriginal Health Workers/Practitioners and Aboriginal Community Controlled Health Organisations play a critical role in delivering high quality, evidence based and culturally safe care to Aboriginal and Torres Strait Islander people. Aboriginal Health Workers/Practitioners are well placed to offer smoking cessation care. Ongoing funding and implementation of a targeted smoking cessation workforce with appropriate training and resources are urgently required. Implications Aboriginal Health Workers/Practitioners are well placed to offer culturally safe, best practice smoking cessation care. However, due to the magnitude and complexity of Aboriginal Health Workers/Practitioners roles, it is challenging for smoking cessation care to be consistently and feasibly integrated into usual care. Acknowledging Australia’s National Preventative Health Strategy target of 27% or less Aboriginal and Torres Strait Islander people smoking by 2030, urgent investment and resourcing must be directed to building a skilled workforce to support quitting and maintaining smokefree behaviours, ensuring equitable access to smoking cessation care for Aboriginal and Torres Strait Islander peoples.

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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

Cited by 12 publications

References 32 publications

Improving Implementation of Smoking Cessation Guidelines in Pregnancy Care: Development of an Intervention to Address System, Maternity Service Leader and Clinician Factors

Improving Implementation of Smoking Cessation Guidelines in Pregnancy Care: Development of an Intervention to Address System, Maternity Service Leader and Clinician Factors

Smoking cessation care during pregnancy: A qualitative exploration of midwives’ challenging role

Which Way?Indigenous-led Smoking Cessation Care: Knowledge, Attitudes and Practices of Aboriginal and Torres Strait Islander Health Workers and Practitioners – A National Cross-sectional Survey

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