Skip to main content

Research Repository

Advanced Search

Antenatal clinic and Stop Smoking Services staff views on "Opt-Out" referrals for smoking cessation in pregnancy: a framework analysis

Campbell, Katarzyna; Bowker, Katharine; Naughton, Felix; Sloan, Melanie; Cooper, Sue; Coleman, Tim

Authors

Felix Naughton fmen2@medschl.cam.ac.uk

Melanie Sloan

TIM COLEMAN tim.coleman@nottingham.ac.uk
Professor of Primary Care



Abstract

Introduction: UK guidance recommends routine exhaled carbon monoxide (CO) screening for pregnant women and “opt-out” referrals to stop smoking services (SSS) of those with CO ≥ 4 ppm. We explored staff views on this referral pathway when implemented in one UK hospital Trust. Methods: Seventeen semi-structured interviews with staff involved in the implementation of the new referral pathway: six antenatal clinic staff (before and after implementation); five SSS staff (after). Data were analyzed using framework analysis. Results: Two themes were identified: (1) views on implementation of the pathway and (2) impact of the pathway on the women. Generally, staff felt that following training, referrals were less arduous to implement and better received than expected. The majority believed this pathway helped engage women motivated to quit and offered a unique chance to impart smoking cessation knowledge to hard-to-reach women, who might not otherwise contact SSS. An unexpected issue arose during implementation—dealing with non-smokers with high CO readings. Conclusions: According to staff, the “opt-out” referral pathway is an acceptable addition to routine antenatal care. It can help engage hard-to-reach women and educate them about the dangers of smoking in pregnancy. Incorporating advice on dealing with non-smokers with high CO into routine staff training could help future implementations.

Citation

Campbell, K., Bowker, K., Naughton, F., Sloan, M., Cooper, S., & Coleman, T. (2016). Antenatal clinic and Stop Smoking Services staff views on "Opt-Out" referrals for smoking cessation in pregnancy: a framework analysis. International Journal of Environmental Research and Public Health, 13(10), https://doi.org/10.3390/ijerph13101004

Journal Article Type Article
Acceptance Date Sep 28, 2016
Publication Date Oct 12, 2016
Deposit Date Oct 14, 2016
Publicly Available Date Oct 14, 2016
Journal International Journal of Environmental Research and Public Health
Electronic ISSN 1660-4601
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 13
Issue 10
Article Number 1004
DOI https://doi.org/10.3390/ijerph13101004
Keywords “opt-out” referrals; smoking cessation; pregnancy; health support workers; stop smoking services
Public URL http://eprints.nottingham.ac.uk/id/eprint/37579
Publisher URL http://www.mdpi.com/1660-4601/13/10/1004
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files


ijerph-13-01004.pdf (1.1 Mb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations