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

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
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Caitlin Notley: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Tracey J. Brown: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Linda Bauld: Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH8 9AG, UK
Elaine M. Boyle: Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK
Paul Clarke: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
Wendy Hardeman: School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK
Richard Holland: Leicester Medical School, University of Leicester, Leicester LE1 7HA, UK
Marie Hubbard: Neonatal Unit, Leicester Royal Infirmary, Leicester LE5 4PW, UK
Felix Naughton: School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK
Amy Nichols: Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich NR4 7UY, UK
Sophie Orton: Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK
Michael Ussher: Population Health Research Institute, St George’s, University of London, London SW17 0RE, UK
Emma Ward: Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK

IJERPH, 2022, vol. 19, issue 6, 1-17

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.

Keywords: neonatal; smoking cessation; smoke-free homes; relapse prevention; intervention development (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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