Reconfiguring identity post-partum in sustained abstinence or relapse to tobacco smoking.pdf (304.73 kB)
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Re-configuring Identity Postpartum and Sustained Abstinence or Relapse to Tobacco Smoking.

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journal contribution
posted on 07.02.2020 by T Brown, L Bauld, W Hardeman, R Holland, F Naughton, S Orton, M Ussher, C Notley
Relapse to tobacco smoking for pregnant women who quit is a major public health problem. Evidence-based approaches to intervention are urgently required. This study aimed to develop an intervention to be integrated into existing healthcare. A mixed methods approach included a theory-driven systematic review identifying promising behaviour change techniques for targeting smoking relapse prevention, and qualitative focus groups and interviews with women (ex-smokers who had remained quit and those who had relapsed), their partners and healthcare professionals (N = 74). A final stage recruited ten women to refine and initially test a prototype intervention. Our qualitative analysis suggests a lack, but need for, relapse prevention support. This should be initiated by a trusted ‘credible source’. For many women this would be a midwife or a health visitor. Support needs to be tailored to individual needs, including positive praise/reward, novel digital and electronic support and partner or social support. Advice and support to use e cigarettes or nicotine replacement therapy for relapse prevention was important for some women, but others remained cautious. The resulting prototype complex intervention includes face-to-face support reiterated throughout the postpartum period, tailored digital and self-help support and novel elements such as gifts and nicotine replacement therapy (NRT).

Funding

This study was funded with a grant from the Medical Research Council (PHIND grant ref: MR/P016944/1). Research time for TB was further supported with NIHR RCF funding from the Norfolk and Norwich University Hospital.

History

Citation

International Journal of Environmental Research and Public Health, 2019, 16(11), 1968;

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Medical Education (Pre Nov 2017)

Version

VoR (Version of Record)

Published in

International Journal of Environmental Research and Public Health

Publisher

MDPI

eissn

1660-4601

Acceptance date

25/05/2019

Copyright date

2019

Available date

27/08/2019

Publisher version

https://www.mdpi.com/1660-4601/16/11/1968

Language

en

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