Article
Details
Citation
Notley C, Brown TJ, 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, 16 (11), Art. No.: 1968. https://doi.org/10.3390/ijerph16111968
Abstract
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).
Keywords
tobacco smoking relapse prevention; postpartum women; intervention development; mixed methods
Journal
International Journal of Environmental Research and Public Health: Volume 16, Issue 11
Status | Published |
---|---|
Funders | Medical Research Council |
Publication date | 30/06/2019 |
Publication date online | 03/06/2019 |
Date accepted by journal | 25/05/2019 |
URL | http://hdl.handle.net/1893/29776 |
eISSN | 1660-4601 |
People (1)
Professor of Behavioural Medicine, Institute for Social Marketing