Development of a complex intervention for the maintenance of postpartum smoking abstinence: Process for defining evidence based intervention
| Autor: | Felix Naughton, Sophie Orton, Wendy Hardeman, Caitlin Notley, Tracey J. Brown, Richard Holland, Michael Ussher, Linda Bauld |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Project Report
medicine.medical_specialty Evidence-based practice tobacco smoking relapse prevention mixed methods Health Toxicology and Mutagenesis 030508 substance abuse lcsh:Medicine Relapse prevention intervention development 03 medical and health sciences Social support 0302 clinical medicine Intervention (counseling) Health care Secondary Prevention medicine Humans 030212 general & internal medicine Clinical Trials as Topic Evidence-Based Medicine business.industry Postpartum Period lcsh:R Public Health Environmental and Occupational Health Nicotine replacement therapy Focus group United Kingdom 3. Good health Family medicine Female Smoking Cessation 0305 other medical science business postpartum women Postpartum period |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 16, Iss 11, p 1968 (2019) International Journal of Environmental Research and Public Health Notley, C, Brown, T J, Bauld, L, Hardeman, W, Holland, R, Naughton, F, Orton, S & Ussher, M 2019, ' Development of a Complex Intervention for the Maintenance of Postpartum Smoking Abstinence : Process for Defining Evidence-Based Intervention ', International Journal of Environmental Research and Public Health, vol. 16, no. 11 . https://doi.org/10.3390/ijerph16111968 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph16111968 |
| Popis: | Relapse to tobacco smoking for pregnant women who quit is a major public health problem. Evidence-based approaches to intervention are urgently required. This study aimed to develop an intervention to be integrated into existing healthcare. A mixed methods approach included a theory-driven systematic review identifying promising behaviour change techniques for targeting smoking relapse prevention, and qualitative focus groups and interviews with women (ex-smokers who had remained quit and those who had relapsed), their partners and healthcare professionals (N = 74). A final stage recruited ten women to refine and initially test a prototype intervention. Our qualitative analysis suggests a lack, but need for, relapse prevention support. This should be initiated by a trusted ‘credible source’. For many women this would be a midwife or a health visitor. Support needs to be tailored to individual needs, including positive praise/reward, novel digital and electronic support and partner or social support. Advice and support to use e cigarettes or nicotine replacement therapy for relapse prevention was important for some women, but others remained cautious. The resulting prototype complex intervention includes face-to-face support reiterated throughout the postpartum period, tailored digital and self-help support and novel elements such as gifts and nicotine replacement therapy (NRT). |
| Databáze: | OpenAIRE |
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