Development of a Complex Intervention for the Maintenance of Postpartum Smoking Abstinence: Process for Defining Evidence-Based Intervention

Caitlin Notley, Tracey J. Brown, Linda Bauld, Wendy Hardeman, Richard Holland, Felix Naughton, Sophie Orton and Michael Ussher
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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, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH8 9YL, 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 7RH, UK
Felix Naughton: School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, 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 WC1E 7HU, UK

IJERPH, 2019, vol. 16, issue 11, 1-17

Abstract: 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).

Keywords: tobacco smoking relapse prevention; postpartum women; intervention development; mixed methods (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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