- Title
- Improving smoking cessation care in pregnancy at Aboriginal Medical Services: 'ICAN QUIT in Pregnancy' step-wedge cluster randomised study
- Creator
- Bar-Zeev, Yael; Clarke, M; Oldmeadow, C; Clough, A; Carson, K; Boydell, K; Lim, LL; Smith, R; Cadet-James, Y; Bittoun, R; Atkin, L; Cowling, B; Orcher, L; Bovill, Michelle; Bonevski, Billie; Gruppetta, Maree; Oldmeadow, Christopher; Palazzi, Kerrin; Atkins, Louise; Reath, Jennifer; Gould, Gillian Sandra
- Relation
- BMJ Open Vol. 9, Issue 6, no. e025293
- Publisher Link
- http://dx.doi.org/10.1136/bmjopen-2018-025293
- Publisher
- BMJ Publishing Group
- Resource Type
- journal article
- Date
- 2019
- Description
- Objectives: This study aimed to examine the impact of the ‘ICAN QUIT in Pregnancy’ intervention on individual health providers (HPs) smoking cessation care (SCC) knowledge, attitudes and practices in general, and specifically regarding nicotine replacement therapy (NRT) prescription. Design: Step-wedge clustered randomised controlled study. HPs answered a preintervention and 1–6 months postintervention survey. Setting: Six Aboriginal Medical Services (AMSs) in three states of Australia. Participants: All HPs were invited to participate. Of 93 eligible, 50 consented (54%), 45 completed the presurvey (90%) and 20 the post (40%). Intervention: Included three 1-hour webinar sessions, educational resource package and free oral NRT. Outcomes: HPs knowledge was measured using two composite scores—one from all 24 true/false statements, and one from 12 NRT-specific statements. Self-assessment of 22 attitudes to providing SCC were measured using a five-point Likert scale (Strongly disagree to Strongly agree). Two composite mean scores were calculated—one for 15 general SCC attitudes, and one for 7 NRT-specific attitudes. Self-reported provision of SCC components was measured on a five-point Likert scale (Never to Always). Feasibility outcomes, and data collected on the service and patient level are reported elsewhere. Results: Mean knowledge composite scores improved from pre to post (78% vs 84% correct, difference 5.95, 95% CI 1.57 to 10.32). Mean NRT-specific knowledge composite score also improved (68% vs 79% correct, difference 9.9, 95% CI 3.66 to 16.14). Mean attitude composite score improved (3.65 (SD 0.4) to 3.87 (SD 0.4), difference 0.23, 95% CI 0.05 to 0.41). Mean NRT-specific attitudes composite score also improved (3.37 (SD 0.6) to 3.64 (SD 0.7), difference 0.36, 95% CI 0.13 to 0.6). Self-reported practices were unchanged, including prescribing NRT. Conclusions: A multicomponent culturally sensitive intervention in AMSs was feasible, and might improve HPs provision of SCC to pregnant Aboriginal women. Changes in NRT prescription rates may require additional intensive measures.
- Subject
- smoking cessation care; smoking cessation care in pregnancy; Aboriginal Medical Services; nicotine replacement therapy; ‘ICAN QUIT in Pregnancy’ intervention
- Identifier
- http://hdl.handle.net/1959.13/1406393
- Identifier
- uon:35625
- Identifier
- ISSN:2044-6055
- Rights
- © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Language
- eng
- Full Text
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