Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services

BMC Public Health

Shantini Paranjothy⁸  Annie Petherick³  Carol Owen⁸  Margaret Munkley⁵  Rachel Lewis²  Angela Jones⁵  Catrin Ford⁴  Christian Heathcote-Elliott⁴  Mererid Bowley³  Siobhan Jones⁷  Aimee Grant¹  Lorna Bennett⁶ 

[1]Cochrane Institute of Primary Care and Public Health, Cardiff University School of Medicine, 5th Floor Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, UK

[2]Public Health Wales Trust (Betsi Cadwaladr University Health Board local public health team), Preswylfa, Hendy Road, Mold, Flintshire CH7 1PZ, UK

[3]Public Health Wales NHS Trust (Aneurin Bevan University Health Board local public health team), Llanarth House, Newbridge Gateway, Bridge Street, Newbridge NP11 5GH, UK

[4]Public Health Wales NHS Trust (Abertawe Bro Morgannwg University Health Board local public health team), Floor 12, The Oldway Centre, 36 Orchard Street, Swansea SA1 5AW, UK

[5]Public Health Wales NHS Trust (Cwm Taf University Health Board local public health team), Keir Hardie Health Park, Aberdare Road, Merthyr Tydfil CF48 1BZ, UK

[6]Public Health Wales NHS Trust, Temple of Peace and Health, Cathay’s Park, Cardiff CF10 3NW, UK

[7]Public Health Wales NHS Trust (Betsi Cadwaladr University Health Board local public health team), 10 Llys Castan, Ffordd y Parc, Parc Menai, Bangor, Gwynedd LL57 4DF, UK

[8]Public Health Wales NHS Trust, 14 Cathedral Road, Cardiff CF11 9LJ, UK

关键词: Service delivery;    Quasi-experiment;    Maternity support worker;    Midwife;    Pregnancy;    Pregnant women;    Stop smoking services;    Smoking cessation;    Smoking;   

Others  :  1126341
DOI  :  10.1186/1471-2458-14-1041

 received in 2013-10-15, accepted in 2014-09-25,  发布年份 2014

【 摘 要 】

Background

Maternal smoking is a key cause of poor outcomes for mothers, babies and children and Wales has higher rates of smoking in pregnancy than any other UK country. Despite various improvements within the NHS Stop Smoking Service to strengthen the intervention for pregnant women, referrals and successful quit attempts for this group have continued to remain extremely low. A key element of UK national guidance for smoking cessation during pregnancy is to provide a flexible and tailored service to help increase levels of engagement. This study aims to test the effectiveness of three different models of service delivery to address the gap in the evidence base about how to deliver a flexible, tailored smoking cessation service to pregnant women.

Methods

This study will adopt a quasi-experimental design over a 12 month period. The setting is four of Wales’ seven Health Boards using an integrated approach between maternity services, local public health teams and the NHS Stop Smoking Service. Core recommendations from UK public health guidance are being implemented across intervention and usual care sites. Stop smoking support for pregnant women in intervention sites is being delivered more flexibly than in usual care sites. Both qualitative and quantitative approaches will be adopted to capture important contextual information and consider multiple perspectives. A health economic analysis will be undertaken using a cost-consequences analysis approach. The primary outcome measure is engagement with stop smoking services (defined as having at least one face-to-face therapeutic contact with a clinician).

Discussion

Supporting pregnant women to stop smoking is a challenging area of public health. The proposed study will address several areas where there are key evidence gaps relating to smoking cessation interventions for pregnant women. Specifically, how best to encourage pregnant women to attend a specialist stop smoking support service, how to deliver the service and who should provide it.

【 授权许可】

   
2014 Bennett et al.; licensee BioMed Central Ltd.

【 图 表 】

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