Solution-Focused Approaches to Tobacco Reduction With Disadvantaged Prenatal Clients

Browne, Annette J.; Shultis, John; Thio-Watts, Marlene

doi:10.1207/s15327655jchn1603_3

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…Coded categories were not mutually exclusive such that a reference might have defined the principle of patient-centered care at more than one category. Bracketed numbers represent the number of unique references coded at each category b References coded at this category [20, 40, 42, 43, 45, 47, 50, 52, 64, 69, 72–89] c References coded at this category [25, 40, 43, 46, 47, 50, 52–57, 63, 67, 71, 75–77, 84, 87, 90–93] d References coded at this category [20, 45, 52–54, 64, 67, 72, 74, 86, 88]…”

Section: Resultsmentioning

confidence: 99%

Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review

Marchand

Beaumont

Westfall³

et al. 2019

Subst Abuse Treat Prev Policy

152

110

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Background Despite ongoing efforts aimed to improve treatment engagement for people with substance-related disorders, evidence shows modest rates of utilization as well as client-perceived barriers to care. Patient-centered care (PCC) is one widely recognized approach that has been recommended as an evidence-based practice to improve the quality of substance use disorder treatment. PCC includes four core principles: a holistic and individualized focus to care, shared decision-making and enhanced therapeutic alliance. Aims This scoping review aimed to explore which PCC principles have been described and how they have defined and measured among people with substance-related disorders. Methods Following the iterative stages of the Arksey and O’Malley scoping review methodology, empirical (from Medline, Embase, PsycINFO, CINAHL and ISI Web of Science) and grey literature references were eligible if they focused on people accessing treatment for substance-related disorders and described PCC. Two reviewers independently screened the title/abstract and full-texts of references. Descriptive analyses and a directed content analysis were performed on extracted data. Findings One-hundred and forty-nine references met inclusion from the 2951 de-duplicated references screened. Therapeutic alliance was the most frequent principle of PCC described by references (72%); this was consistently defined by characteristics of empathy and non-judgment. Shared decision-making was identified in 36% of references and was primarily defined by client and provider strategies of negotiation in the treatment planning process. Individualized care was described by 30% of references and included individualized assessment and treatment delivery efforts. Holistic care was identified in 23% of references; it included an integrated delivery of substance use, health and psychosocial services via comprehensive care settings or coordination. Substance use and treatment engagement outcomes were most frequently described, regardless of PCC principle. Conclusions This review represents a necessary first step to explore how PCC has been defined and measured for people accessing substance use disorder treatment. The directed content analysis revealed population and context-specific evidence regarding the defining characteristics of PCC-principles that can be used to further support the implementation of PCC.

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Section: Resultsmentioning

confidence: 99%

Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review

Marchand

Beaumont

Westfall³

et al. 2019

Subst Abuse Treat Prev Policy

152

110

View full text Add to dashboard Cite

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“…Most of the participants in our study valued the strength‐based approach which provided structure to how and what was taught during the home visits and increased the parents’ self‐esteem. Strength‐based interventions have been used successfully in a number of individual and family situations (Browne et al. 1999, Johnson 2003).…”

Section: Discussionmentioning

confidence: 99%

Early childhood home visiting programme: factors contributing to success

Heaman

Chalmers²,

Woodgate³

et al. 2006

Journal of Advanced Nursing

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“…This comprehensive focus marked a critical departure from mainstream practices whereby cessation support often takes the form of standardized advice through brief interventions with narrowed focus on smoking behavioral change without the provision of contextual understanding and support [1,36]. Failing to acknowledge or mitigate the social context and causes of Indigenous women's smoking has the potential to cause harm by casting the goal of smoking cessation as unattainable [1,37]. This is especially pronounced for Indigenous women, who typically experience a greater intersection of stressors than non-Indigenous women during pregnancy, including experiences of daily stress from social disadvantage, which has been linked to tobacco addiction [38].…”

Section: Co-creating a Foundation For Smoking Reduction And Cessationmentioning

confidence: 99%

“They Were Willing to Work with Me and Not Pressure Me”: A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Women

Lyall

Guy

Egert

et al. 2020

IJERPH

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With tobacco commonly used for stress relief, smoking cessation during pregnancy can present challenges for women facing stressful circumstances. This can be pronounced for Aboriginal and Torres Strait Islander women who experience disproportionately high smoking rates during pregnancy and also have a greater intersection of stressors from social disadvantage, institutional racism and trauma. To contribute understandings into how women can be best supported at this time, this study identified the features of value of an Aboriginal and Torres Strait Islander pregnancy smoking cessation program that addressed the contexts of women’s lives in culturally affirming and strength-based ways. A narrative methodology using a yarning approach was used to interview 7 pregnant women, 6 significant others, 3 case managers, and 4 healthcare professionals. Data were analyzed using thematic analysis, guided by an Indigenist research practice of deep and reflexive researcher listening. Features of value included: relationship-based care, holistic wraparound care, flexibility, individualized care, and culturally orientated care. Combined, they enabled highly relevant and responsive women-centered, trauma-informed, and harm-reducing smoking cessation support that was well received by participants, who achieved promising smoking changes, including cessation. This approach strongly departs from standard practices and provides a blueprint for meaningful support for pregnant women experiencing vulnerabilities.

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Solution-Focused Approaches to Tobacco Reduction With Disadvantaged Prenatal Clients

Cited by 9 publications

References 14 publications

Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review

Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review

Early childhood home visiting programme: factors contributing to success

“They Were Willing to Work with Me and Not Pressure Me”: A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Women

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