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Britton, Geraldine R.; Collier, Rosemary; McKitrick, Sean A.; Sprague, Lori Marie; Rhodes-Keefe, Joyce; Feeney, Ann; James, Gary D.

doi:10.1097/01.naj.0000520228.66868.ae

Cited by 12 publications

(36 citation statements)

References 25 publications

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“…HPs who themselves smoked hardly provided any smoking cessation counseling [ 52 ]. PW corroborated that HPs who smoked did not encourage them to quit or were not insistent enough [ 35 , 52 , 53 ]. For example, PW states this in McLeod, et al [ 53 ] : “My specialist he smokes so (he) does not advocate giving up smoking.”.…”

Section: Resultsmentioning

confidence: 83%

“…This review included 32 qualitative and mixed methods studies: twelve focused exclusively on the HPs’ perspectives [ 19 – 30 ], 16 exclusively on PW’s perspectives [ 31 – 46 ], while four papers included both [ 47 – 50 ]. Twenty studies were conducted in Europe [ 19 , 21 , 22 , 25 – 27 , 30 , 31 , 34 , 36 , 38 , 39 , 41 – 45 , 47 , 49 , 51 ], eight in the Oceania region [ 20 , 24 , 29 , 33 , 37 , 40 , 46 , 50 ], two in the USA [ 23 , 35 ] and one each in South America [ 48 ] and Africa [ 28 ]. HPs included doctors, nurses, midwives, Aboriginal Health Workers, pharmacists and other allied HPs.…”

Section: Resultsmentioning

confidence: 99%

“…HP- Health visitor, Bull, 2007- 1st order I think it’d be easier to quit smoking if you had something like an AA meeting but for smokers…I think if I had the urge to have a cigarette, and you could call somebody and say “Well, you know, I’m really stressed out right now and I really need to talk or I’m going to light up a cigarette. Woman, Britton,2007 [ 35 ] - 1st order I think hearing other people’s stories and how they cope with it is helpful. Woman, Bovill, 2018 [ 33 ] - 1st order Automatic motivation If you have a patient who maybe smokes 40 cigarettes [a day], it is impossible that she will quit smoking.…”

Section: Resultsmentioning

confidence: 99%

“…Stress was detrimental to PW, and in rare instances, HPs encouraged PW to continue smoking to avoid the stress attributed to quitting attempts [ 36 , 38 , 42 , 51 , 48 ]. Communicating the best health advice (IF - education) without making the PW feel guilty, while also trying to maintain a congenial relationship (IF -enablement) with their client, was often challenging for the HPs [ 19 , 22 , 24 , 29 , 30 , 35 , 42 , 48 , 52 , 53 ]. Some HPs overcame this dilemma by recommending cutting down to reduce smoking-related harms rather than quitting, perhaps potentially preserving the relationship with their client (IF – enablement) [ 23 , 24 , 27 , 29 , 33 , 40 , 43 , 46 , 48 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

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Health providers’ and pregnant women’s perspectives about smoking cessation support: a COM-B analysis of a global systematic review of qualitative studies

Kumar

Stevenson

Jobling

et al. 2021

BMC Pregnancy Childbirth

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Background Smoking cessation in pregnancy has unique challenges. Health providers (HP) may need support to successfully implement smoking cessation care (SCC) for pregnant women (PW). We aimed to synthesize qualitative data about views of HPs and PW on SCC during pregnancy using COM-B (Capability, Opportunity, Motivation, Behaviour) framework. Methods A systematic search of online databases (MEDLINE, EMBASE, PsycINFO and CINAHL) using PRISMA guidelines. PW’s and HPs’ quotes, as well as the authors’ analysis, were extracted and double-coded (30%) using the COM-B framework. Results Thirty-two studies included research from 5 continents: twelve on HPs’ perspectives, 16 on PW’s perspectives, four papers included both. HPs’ capability and motivation were affected by role confusion and a lack of training, time, and resources to provide interventions. HPs acknowledged that advice should be delivered while taking women’s psychological state (capability) and stressors into consideration. Pregnant women’s physical capabilities to quit (e.g., increased metabolism of nicotine and dependence) was seldom addressed due to uncertainty about nicotine replacement therapy (NRT) use in pregnancy. Improving women’s motivation to quit depended on explaining the risks of smoking versus the safety of quit methods. Women considered advice from HPs during antenatal visits as effective, if accompanied by resources, peer support, feedback, and encouragement. Conclusions HPs found it challenging to provide effective SCC due to lack of training, time, and role confusion. The inability to address psychological stress in women and inadequate use of pharmacotherapy were additional barriers. These findings could aid in designing training programs that address HPs’ and PW’s attitudes and supportive campaigns for pregnant smokers.

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Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Health providers’ and pregnant women’s perspectives about smoking cessation support: a COM-B analysis of a global systematic review of qualitative studies

Kumar

Stevenson

Jobling

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…There is clear evidence of the strong association between maternal tobacco use and the increase of serious adverse pregnancy-related outcomes with effects extending into childhood 2,14,15 . Pregnancy related health effects of maternal smoking are summarized in Table 1 16 .…”

Section: Resultsmentioning

confidence: 99%

Smoking cessation in pregnancy: An update for maternity care practitioners

Diamanti¹,

Papadakis²,

Schoretsaniti³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTIONThis paper provides an up-to-date summary of the effects of smoking in pregnancy as well as challenges and best practices for supporting smoking cessation in maternity care settings.METHODSWe conducted a qualitative review of published peer reviewed and grey literature.RESULTSThere is strong evidence of the effects of maternal tobacco use and secondhand smoke exposure on adverse pregnancy outcomes. Tobacco use is the leading preventable cause of miscarriage, stillbirth and neonatal deaths, and evidence has shown that health effects extend into childhood. Women who smoke should be supported with quitting as early as possible in pregnancy and there are benefits of quitting before the 15th week of pregnancy. There are a variety of factors that are associated with tobacco use in pregnancy (socioeconomic status, nicotine addiction, unsupportive partner, stress, mental health illness etc.). Clinical-trial evidence has found counseling, when delivered in sufficient intensity, significantly increases cessation rates among pregnant women. There is evidence that the use of nicotine replacement therapy (NRT) may increase cessation rates, and, relative to continued smoking, the use of NRT is considered safer than continued smoking. The majority of women who smoke during pregnancy will require support throughout their pregnancy, delivered either by a trained maternity care provider or via referral to a specialized hospital or community quit-smoking service. The 5As (Ask, Advise, Assess, Assist, Arrange) approach is recommended for organizing screening and treatment in maternity care settings. Additionally, supporting smoking cessation in the postpartum period should also be a priority as relapse rates are high.CONCLUSIONSThere have been several recent updates to clinical practice regarding the treatment of tobacco use in pregnancy. It is important for the latest guidance to be put into practice, in all maternity care settings, in order to decrease rates of smoking in pregnancy and improve pregnancy outcomes.

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