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

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journal contribution
posted on 10.05.2022, 05:08 by C Notley, TJ Brown, L Bauld, EM Boyle, P Clarke, W Hardeman, R Holland, M Hubbard, F Naughton, A Nichols, S Orton, M Ussher, E Ward
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 smokefree 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.

History

Citation

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

Author affiliation

Department of Health Sciences, University of Leicester

Version

VoR (Version of Record)

Published in

International Journal of Environmental Research and Public Health

Volume

19

Issue

6

Publisher

MDPI

issn

1661-7827

eissn

1660-4601

Acceptance date

12/03/2022

Copyright date

2022

Available date

10/05/2022

Spatial coverage

Switzerland

Language

English