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Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Improving smoking cessation care in pregnancy at Aboriginal Medical Services: ‘ICAN QUIT in Pregnancy’ step-wedge cluster randomised study
BMJ Open, Vol.9(6), pp.1-13
06/2019
PMCID: PMC6561434
PMID: 31167863
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Source: InCites
Abstract
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.
Details
- Title
- Improving smoking cessation care in pregnancy at Aboriginal Medical Services: ‘ICAN QUIT in Pregnancy’ step-wedge cluster randomised study
- Creators
- Yael Bar-Zeev - University of NewcastleMichelle Bovill - University of NewcastleBillie Bonevski - University of NewcastleMaree Gruppetta - University of NewcastleChristopher Oldmeadow - Hunter Medical Research InstituteKerrin Palazzi - Hunter Medical Research InstituteLouise Atkins - University College LondonJennifer Reath - Western Sydney UniversityGillian Sandra Gould - University of NewcastleICAN QUIT Pregnancy Pilot Grp
- Publication Details
- BMJ Open, Vol.9(6), pp.1-13
- Publisher
- BMJ Group
- Grant note
- This work was supported by the NSW Ministry of Health and the Hunter Cancer Research Alliance. YBZ is supported by the University of Newcastle and Hunter Cancer Research Alliance PhD Scholarship. MB is supported by the University of Newcastle and Australian Heart Foundation Indigenous Scholarship (#101555). GSG is supported by the National Health and Medical Research Council and the Cancer Institute New South Wales Early Career Research Fellowships (APP1092085 and 15ECF/I-52).
- Identifiers
- 991012958099602368
- Copyright
- © 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.
- Academic Unit
- School of Health and Human Sciences; Faculty of Health
- Language
- English
- Resource Type
- Journal article