Antenatal Clinic and Stop Smoking Services Staff Views on “Opt-Out” Referrals for Smoking Cessation in Pregnancy: A Framework Analysis
Authors
Campbell, Katarzyna Anna
Bowker, Katharine Anna
Naughton, Felix
Sloan, Melanie
Cooper, Sue
Coleman, Tim
Publication Date
2016-10-12Journal Title
International Journal of Environmental Research and Public Health
ISSN
1661-7827
Publisher
Molecular Diversity Preservation International
Volume
13
Number
1004
Language
English
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Campbell, K. A., Bowker, K. A., 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 (1004)https://doi.org/10.3390/ijerph13101004
Abstract
$\textbf{Introduction}$: 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. $\textbf{Methods}$: 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. $\textbf{Results}$: 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. $\textbf{Conclusions}$: 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.
Keywords
“opt-out” referrals, smoking cessation, pregnancy, health support workers, stop smoking services
Sponsorship
This work was supported by the NIHR under its Programme Grants for Applied Research (RP-PG 0109-10020). The views expressed in this article are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors are members of the UK Centre for Tobacco and Alcohol Studies. Funding to UKCTAS from the British Heart Foundation, Cancer Research UK, the Economic and Social Research Council, the Medical Research Council and the National Institute of Health Research, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged.
Embargo Lift Date
2100-01-01
Identifiers
External DOI: https://doi.org/10.3390/ijerph13101004
This record's URL: https://www.repository.cam.ac.uk/handle/1810/261270
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