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

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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949360/
https://www.ncbi.nlm.nih.gov/pubmed/35329355
http://dx.doi.org/10.3390/ijerph19063670
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author 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
author_facet 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
author_sort Notley, Caitlin
collection PubMed
description 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.
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spelling pubmed-89493602022-03-26 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 Int J Environ Res Public Health Article 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. MDPI 2022-03-19 /pmc/articles/PMC8949360/ /pubmed/35329355 http://dx.doi.org/10.3390/ijerph19063670 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
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
Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title_full Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title_fullStr Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title_full_unstemmed Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title_short Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care
title_sort development of a smoke-free home intervention for families of babies admitted to neonatal intensive care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949360/
https://www.ncbi.nlm.nih.gov/pubmed/35329355
http://dx.doi.org/10.3390/ijerph19063670
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