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Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy

Background: International guidelines recommend that following an early-pregnancy ‘opt-out’ referral for smoking cessation support, pregnant women who smoke should also be offered referrals at subsequent antenatal appointments (‘opt-in’ referrals). We assessed feasibility and acceptability of introdu...

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Autores principales: Campbell, Katarzyna Anna, Orton, Sophie, Bowker, Katharine, Cooper, Sue, Coleman, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518207/
https://www.ncbi.nlm.nih.gov/pubmed/31014015
http://dx.doi.org/10.3390/ijerph16081358
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author Campbell, Katarzyna Anna
Orton, Sophie
Bowker, Katharine
Cooper, Sue
Coleman, Tim
author_facet Campbell, Katarzyna Anna
Orton, Sophie
Bowker, Katharine
Cooper, Sue
Coleman, Tim
author_sort Campbell, Katarzyna Anna
collection PubMed
description Background: International guidelines recommend that following an early-pregnancy ‘opt-out’ referral for smoking cessation support, pregnant women who smoke should also be offered referrals at subsequent antenatal appointments (‘opt-in’ referrals). We assessed feasibility and acceptability of introducing ‘opt-in’ self-referral forms to stop smoking services (SSS) in antenatal clinics. Method: A ‘before–after’ service evaluation and qualitative interviews. ‘Opt-in’ self-referral forms were distributed by reception staff to women attending antenatal ultrasound appointments. We collected hospital/SSS data for the study period and a comparison period 12 months prior. Reception staff were interviewed and data analyzed thematically. Results: Over 6500 women entered antenatal care in each period; ~15% smoked and ~50% of those who smoked were referred to SSS at their first appointment. In the study period, 17.4% of women completed ‘opt-in’ forms. Of these 17.3% smoked, and 23.1% of those who smoked requested a referral. The staff thought new procedures had minimal impact on workload, but were easy to forget. They believed the pathway would be better delivered by midwifery staff, with additional information/advice to improve engagement. Conclusions: ‘Opt-in’ referrals in later pregnancy result in significant numbers of women who smoke indicating interest in smoking cessation support. Additional training and support is necessary to motivate reception staff to oversee self-referral pen-and-paper procedures effectively.
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spelling pubmed-65182072019-05-31 Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy Campbell, Katarzyna Anna Orton, Sophie Bowker, Katharine Cooper, Sue Coleman, Tim Int J Environ Res Public Health Article Background: International guidelines recommend that following an early-pregnancy ‘opt-out’ referral for smoking cessation support, pregnant women who smoke should also be offered referrals at subsequent antenatal appointments (‘opt-in’ referrals). We assessed feasibility and acceptability of introducing ‘opt-in’ self-referral forms to stop smoking services (SSS) in antenatal clinics. Method: A ‘before–after’ service evaluation and qualitative interviews. ‘Opt-in’ self-referral forms were distributed by reception staff to women attending antenatal ultrasound appointments. We collected hospital/SSS data for the study period and a comparison period 12 months prior. Reception staff were interviewed and data analyzed thematically. Results: Over 6500 women entered antenatal care in each period; ~15% smoked and ~50% of those who smoked were referred to SSS at their first appointment. In the study period, 17.4% of women completed ‘opt-in’ forms. Of these 17.3% smoked, and 23.1% of those who smoked requested a referral. The staff thought new procedures had minimal impact on workload, but were easy to forget. They believed the pathway would be better delivered by midwifery staff, with additional information/advice to improve engagement. Conclusions: ‘Opt-in’ referrals in later pregnancy result in significant numbers of women who smoke indicating interest in smoking cessation support. Additional training and support is necessary to motivate reception staff to oversee self-referral pen-and-paper procedures effectively. MDPI 2019-04-16 2019-04 /pmc/articles/PMC6518207/ /pubmed/31014015 http://dx.doi.org/10.3390/ijerph16081358 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Campbell, Katarzyna Anna
Orton, Sophie
Bowker, Katharine
Cooper, Sue
Coleman, Tim
Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title_full Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title_fullStr Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title_full_unstemmed Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title_short Feasibility and Acceptability of ‘Opt-In’ Referrals for Stop Smoking Support in Pregnancy
title_sort feasibility and acceptability of ‘opt-in’ referrals for stop smoking support in pregnancy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518207/
https://www.ncbi.nlm.nih.gov/pubmed/31014015
http://dx.doi.org/10.3390/ijerph16081358
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