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, 15:38 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).


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.



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

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


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International Journal of Environmental Research and Public Health





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