Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care

Notley, Caitlin; Brown, Tracey J.; Bauld, Linda; Boyle, Elaine M.; Clarke, Paul; Hardeman, Wendy; Holland, Richard; Hubbard, Marie; Naughton, Felix; Nichols, Amy; Orton, Sophie; Ussher, Michael; Ward, Emma

Abstract

Neonatal intensive care units (NICUs) have a disproportionately higher number of parents who smoke tobacco compared to the general population. A baby’s NICU admission offers a unique time to prompt behaviour change, and to emphasise the dangerous health risks of environmental tobacco smoke exposure to vulnerable infants. We sought to explore the views of mothers, fathers, wider family members, and healthcare professionals to develop an intervention to promote smoke-free homes, delivered on NICU. This article reports findings of a qualitative interview and focus group study with parents whose infants were in NICU (n = 42) and NICU healthcare professionals (n = 23). Thematic analysis was conducted to deductively explore aspects of intervention development including initiation, timing, components and delivery. Analysis of inductively occurring themes was also undertaken. Findings demonstrated that both parents and healthcare professionals supported the need for intervention. They felt it should be positioned around the promotion of smoke-free homes, but to achieve that end goal might incorporate direct cessation support during the NICU stay, support to stay smoke free (relapse prevention), and support and guidance for discussing smoking with family and household visitors. Qualitative analysis mapped well to an intervention based around the ‘3As’ approach (ask, advise, act). This informed a logic model and intervention pathway.

Citation

Notley, C., Brown, T. J., Bauld, L., Boyle, E. M., Clarke, P., Hardeman, W., Holland, R., Hubbard, M., Naughton, F., Nichols, A., Orton, S., Ussher, M., & Ward, E. (2022). Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care. International Journal of Environmental Research and Public Health, 19(6), Article 3670. https://doi.org/10.3390/ijerph19063670

• Journal Article Type: Article
• Acceptance Date: Mar 12, 2022
• Online Publication Date: Mar 19, 2022
• Publication Date: Mar 2, 2022
• Deposit Date: Mar 28, 2022
• Publicly Available Date: Mar 29, 2022
• Journal: International Journal of Environmental Research and Public Health
• Print ISSN: 1661-7827
• Electronic ISSN: 1660-4601
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 19
• Issue: 6
• Article Number: 3670
• DOI: https://doi.org/10.3390/ijerph19063670
• Keywords: neonatal; smoking cessation; smoke-free homes; relapse prevention; intervention development
• Public URL: https://nottingham-repository.worktribe.com/output/7655364
• Publisher URL: https://www.mdpi.com/1660-4601/19/6/3670