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Factors relating to the uptake of interventions for smoking cessation amongst pregnant women: a systematic review and qualitative synthesis

Baxter, S., Everson-Hock, E.S., Messina, J., Guillaume, L., Burrows, J. and Goyder, E. (2010) Factors relating to the uptake of interventions for smoking cessation amongst pregnant women: a systematic review and qualitative synthesis. Nicotine and Tobacco Research, 12 (7). pp. 685-694. ISSN 1462-2203

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Introduction The review had the aim of investigating factors enabling or discouraging the uptake of smoking cessation services by pregnant women smokers.

Methods The literature was searched for papers relating to the delivery of services to pregnant or recently pregnant women who smoke. No restrictions were placed on study design. A qualitative synthesis strategy was adopted to analyse the included papers.

Results Analysis and synthesis of the 23 included papers suggested ten aspects of service delivery that may have an influence on the uptake of interventions. These were: whether or not the subject of smoking is broached by a health professional; the content of advice and information provided; the manner of communication; having service protocols; follow-up discussion; staff confidence in their skills; the impact of time and resource constraints; staff perceptions of ineffectiveness; differences between professionals; and obstacles to accessing interventions.

Discussion The findings suggest variation in practice between services and different professional groups, in particular regarding the recommendation of quitting smoking versus cutting down, but also in regard to procedural aspects such as recording status and repeat advice giving. These differences offer the potential for a pregnant woman to receive contradicting advice. The review suggests a need for greater training in this area and the greater use of protocols, with evidence of a perception of ineffectiveness/pessimism towards intervention amongst some service providers.

Item Type: Article
Copyright, Publisher and Additional Information: © 2010 Oxford University Press. This is an author produced version of a paper subsequently published in Nicotine & Tobacco Research. Uploaded in accordance with the publisher's self-archiving policy.
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Section of Public Health (Sheffield)
Funding Information:
FunderGrant number
National Institute for Health and Clinical Excellence120080
Depositing User: Dr Emma S Everson-Hock
Date Deposited: 03 Aug 2010 08:57
Last Modified: 08 Feb 2013 17:01
Published Version: http://dx.doi.org/10.1093/ntr/ntq072
Status: Published
Publisher: Oxford University Press
Refereed: Yes
Identification Number: 10.1093/ntr/ntq072
URI: http://eprints.whiterose.ac.uk/id/eprint/11061

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