women's experience of stop smoking during pregnancy
TRANSCRIPT
Operational (e.g.)TacticalStrategic
Intervention
Promoting stop
smoking
Societal Advertising
Individual Clear message
Making services
attractive
Personalised Empathy
Choice Options
Research(Need to increase sizeof top left quadranti.e. Promote stop smoking and increase engagement with service)
Engagement with services
Barriers to services
Continued smoking
Stop smoking
Strategy (Tactical and operational details to be developed from stakeholder views)
Developing Evidence based Strategy to tackle smoking in
pregnancy using views of service users
Women’s Experience of Smoking Cessation
Support during PregnancyA Modi,1 L Wilkins,1 B Hanratty2
1. NHS Oldham2. University of Liverpool
Closely associated with health inequalities
Significant modifiable cause of adverse pregnancy outcomes
Smoking cessation programmes in pregnancy known to be effective but uptake poor
NHS Oldham sponsored research to develop strategy to reduce the proportion of pregnant women who smoke using the views of service users
Smoking in Pregnancy
Assess experiences, perceptions and expectations of women who smoked during pregnancy of the stop smoking support in Oldham and use this information to improve recruitment and quit rates in the service?
Literature review
Three focus groups
Analysed using Grounded theory
Aim and methods
InfluencesStop
smoking influences
other codes
Support from
professional
Barriers other codes
Engagement
Intervention
Positive experience
Relapse or continue smoking
Results (Data display : Green- Core category, Red- Themes, Blue- Selected Codes)
Early pregnancy------late pregnancy
Conflicting influences around stopping smoking and engaging with services
Personalised care and empathy Barriers
◦Wider determinants◦Disillusionment◦Rationalisation◦Inflexibility of services◦Lack of choice
Conclusion
Choice of NICE recommended interventions
Personalised individual care pathways
Data collection about service offered and service user feedback
Develop guidelines on how to engage with disillusioned women
Recommendations
Qualitatively assess the population's heath needs that relates to the determinants of health and allows development of effective action
Assess the evidence relating to the effectiveness of health interventions, programmes and services, and apply this to improve services
Influence the development of policies, implement strategies to put the policies into effect
Public Health Research
Public Health competencies