Improving Clinicians’ Implementation of Guidelines to Help Women Stop Smoking in Pregnancy: Developing Evidence-Based Print and Video Materials

Jo M. Longman, Catherine Adams, Christine Paul, James McLennan and Megan E. Passey
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Jo M. Longman: University Centre for Rural Health, The University of Sydney, P.O. Box 3074, Lismore, NSW 2480, Australia
Catherine Adams: Northern New South Wales Local Health District, Locked Mail Bag 11, Lismore, NSW 2480, Australia
Christine Paul: School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
James McLennan: Alcohol and Drug Service, St Vincent’s Health Network, 390 Victoria Street, Darlinghurst, NSW 2010, Australia
Megan E. Passey: University Centre for Rural Health, The University of Sydney, P.O. Box 3074, Lismore, NSW 2480, Australia

IJERPH, 2021, vol. 18, issue 19, 1-14

Abstract: Smoking in pregnancy remains a public health challenge. Our team developed a comprehensive intervention using the Behaviour Change Wheel to support clinicians’ implementation of guidelines on supporting women to stop smoking in pregnancy. Integral to the intervention was a suite of evidence-based video and print materials. This paper describes the rationale and process for developing these materials. Comprehensive mixed methods research was undertaken to identify the key barriers and enablers for clinicians in implementing the guidelines. This research identified which behaviours required change, and which behaviour change techniques were best suited to effecting that change. Materials were developed based on this understanding, in a collaborative process with multiple stakeholders, and their feasibility and acceptability explored in a small trial. Materials developed included leadership, clinician and client resources. There are considerable advantages to systematically and collaboratively developing materials which are integral to a behaviour-change intervention even though it is resource intensive to do so.

Keywords: smoking in pregnancy; smoking cessation; antenatal care; Behaviour Change Wheel; Theoretical Domains Framework; materials development; stakeholder engagement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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