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Smoking Cessation in Pregnancy

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (10 November 2022) | Viewed by 11429

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Special Issue Editors

Prof. Dr. Tim Coleman

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Guest Editor

Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK
Interests: primary care; smoking cessation; smoking in pregnancy; nicotine replacement therapy

Dr. Katharine Bowker

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Guest Editor

Faculty of Medicine & Health Sciences, University of Nottingham, NG72RD Nottingham, UK
Interests: smoking cessation; smoking in pregnancy; nicotine replacement therapy

Dr. Ross Thomson

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Guest Editor

Division of Primary Care, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
Interests: primary care; smoking cessation; smoking in pregnancy; nicotine replacement therapy

Special Issue Information

Dear Colleagues,

We are pleased to announce a Special Issue of the International Journal of Environmental Research and Public Health titled “Smoking Cessation in Pregnancy”.

Smoking during pregnancy is a leading, yet preventable, cause of adverse prenatal outcomes, which also has detrimental health implications during childhood and into adulthood. Globally, rates of tobacco smoking by women are increasing and it is estimated that 53% of women who smoked every day pre-pregnancy will continue to smoke during pregnancy. Of those women who do manage to quit smoking, many will return to smoking within a year of having their baby. This highlights that efforts to reduce smoking rates in pregnancy remain a global public health priority, and effective ways to help pregnant women quit smoking and remain abstinent are urgently needed.

This Special Issue welcomes original research articles, reviews, and meta-analyses related to smoking cessation or smoking reduction in pregnancy, and to the prevention of postpartum relapse. Examples might include studies investigating behavioral counselling; novel treatments or improvements to existing ones; incentives to quit; the use of technologies; and relevant surveys or observational studies.

Prof. Dr. Tim Coleman
Dr. Katharine Bowker
Dr. Ross Thomson
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

smoking cessation
pregnancy
postpartum
return to smoking/relapse
e-cigarettes
nicotine replacement therapy
intervention development
harm reduction
smoking cessation interventions

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Published Papers (4 papers)

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Research

15 pages, 887 KiB

Open AccessArticle

“It Needs a Full-Time Dedicated Person to Do This Job in Our Local Communities with Our Aboriginal Health Services”—Aboriginal and Torres Strait Islander Health Workers and Practitioners Perspectives on Supporting Smoking Cessation during Pregnancy

by Amanual Getnet Mersha, Raglan Maddox, Sian Maidment, Kade Booth, Karl Briscoe, Paul Hussein, Hayley Longbottom, Yael Bar-Zeev and Michelle Kennedy

Int. J. Environ. Res. Public Health 2023, 20(1), 28; https://doi.org/10.3390/ijerph20010028 - 20 Dec 2022

Cited by 2 | Viewed by 2079

Abstract

Background: Aboriginal and Torres Strait Islander women deserve improved smoking cessation support. Aboriginal health workers (AHW) and practitioners (AHP) can be central to the provision of culturally safe smoking cessation care (SCC). The objective of this study is to explore attitudes and the perceived role of AHWs/AHPs toward providing SCC to Aboriginal and Torres Strait Islander pregnant women. Method: A mixed-method study using quantitative and qualitative data was conducted among AHW/AHPs in 2021 across Australia. Descriptive and analytical statistics were used to characterise AHWs’/AHPs’ attitudes towards SCC and to evaluate the factors associated with perceptions of who is best placed to provide SCC. Results: From the total AHW/AHP workforce, 21.2% (223) completed the survey. Less than half (48.4%) believed that AHW/AHP were best placed to provide SCC for pregnant women. The majority believed that group-based supports (82.5%) and cultural support programs (63.7%) were the best strategies to support Aboriginal and Torres Strait Islander pregnant women to quit smoking. Conclusion: This study highlights the need to enhance SCC offered to Aboriginal and Torres Strait Islander pregnant women. A targeted workforce dedicated to smoking cessation should be resourced, including funding, standardised training, and ongoing SCC support tailored to Aboriginal and Torres Strait Islander pregnant women. Full article

(This article belongs to the Special Issue Smoking Cessation in Pregnancy)

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17 pages, 1582 KiB

Open AccessArticle

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

by Caitlin Notley, Tracey J. Brown, Linda Bauld, Elaine M. Boyle, Paul Clarke, Wendy Hardeman, Richard Holland, Marie Hubbard, Felix Naughton, Amy Nichols, Sophie Orton, Michael Ussher and Emma Ward

Int. J. Environ. Res. Public Health 2022, 19(6), 3670; https://doi.org/10.3390/ijerph19063670 - 19 Mar 2022

Cited by 1 | Viewed by 3307

Abstract

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. Full article

(This article belongs to the Special Issue Smoking Cessation in Pregnancy)

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14 pages, 1705 KiB

Open AccessArticle

Improving Clinicians’ Implementation of Guidelines to Help Women Stop Smoking in Pregnancy: Developing Evidence-Based Print and Video Materials

by Jo M. Longman, Catherine Adams, Christine Paul, James McLennan and Megan E. Passey

Int. J. Environ. Res. Public Health 2021, 18(19), 10522; https://doi.org/10.3390/ijerph181910522 - 7 Oct 2021

Cited by 3 | Viewed by 2198

Abstract

Smoking in pregnancy remains a public health challenge. Our team developed a comprehensive intervention using the Behaviour Change Wheel to support clinicians’ implementation of guidelines on supporting women to stop smoking in pregnancy. Integral to the intervention was a suite of evidence-based video and print materials. This paper describes the rationale and process for developing these materials. Comprehensive mixed methods research was undertaken to identify the key barriers and enablers for clinicians in implementing the guidelines. This research identified which behaviours required change, and which behaviour change techniques were best suited to effecting that change. Materials were developed based on this understanding, in a collaborative process with multiple stakeholders, and their feasibility and acceptability explored in a small trial. Materials developed included leadership, clinician and client resources. There are considerable advantages to systematically and collaboratively developing materials which are integral to a behaviour-change intervention even though it is resource intensive to do so. Full article

(This article belongs to the Special Issue Smoking Cessation in Pregnancy)

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16 pages, 344 KiB

Open AccessArticle

Agreement and Disparities between Women and Stop-Smoking Specialists about How to Promote Adherence to Nicotine Replacement Therapy in Pregnancy

by Lisa McDaid, Ross Thomson, Joanne Emery, Tim Coleman, Sue Cooper, Lucy Phillips and Felix Naughton

Int. J. Environ. Res. Public Health 2021, 18(9), 4673; https://doi.org/10.3390/ijerph18094673 - 28 Apr 2021

Cited by 3 | Viewed by 2766

Abstract

Evidence for the effectiveness of nicotine replacement therapy (NRT) for smoking-cessation in pregnancy is weak. This has been attributed to insufficient dosing and low adherence. This study investigated the acceptability of key messages and delivery modes for a behavioral intervention to increase NRT adherence in pregnancy. Semi-structured telephone interviews were carried out with pregnant or postpartum women aged ≥16 from across England, who had been offered NRT during pregnancy as part of a quit attempt and who struggled to quit (n = 10), and a focus group with stop-smoking specialists from across England (n = 6). The two data sources were coded separately using a thematic approach and then integrated to compare perspectives. Women and specialists agreed on message tone and delivery modes. However, views diverged on the most influential sources for certain messages and whether some information should be given proactively or reactively. There was also disagreement over which messages were novel and which were routinely delivered. This study demonstrates the value of capturing and integrating different perspectives and informational requirements when developing behavior-change interventions. The findings provide useful insights for designing a pregnancy-specific NRT adherence intervention that is acceptable to both those who will deliver and receive it. Full article

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