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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Overcoming Challenges to Treating Tobacco use During Pregnancy - A Qualitative study of Australian General Practitioners Barriers
BMC Pregnancy and Childbirth, Vol.19(1), pp.1-9
07/02/2019
PMCID: PMC6367814
PMID: 30732568
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Abstract
Background: General practitioners can play an important role in addressing smoking among pregnant women but studies suggest they rarely do so. The aim of this study was to explore general practitioners perceptions about the management of smoking in pregnancy, and what would enable them to provide better care. Methods: Qualitative semi-structured interviews were conducted (Feb-July 2017), with 19 Australian general practitioners recruited from a sample that participated in a national survey on managing smoking during pregnancy; and through a national conference. The interview guide was structured using the theoretical domains framework, exploring previously reported barriers and two specific components of smoking cessation care-nicotine replacement therapy prescription and Quitline referral. Results: Participants reported high confidence and knowledge to provide pregnant patients adequate support for quitting. Nonetheless, participants reported lacking communication skills, focusing on providing information on smoking harm, accepting cutting down cigarettes as adequate, while following the 'Stages of Change' model and only providing treatment options to motivated patients. Lack of time, nicotine replacement therapy cost and safety concerns, and being unfamiliar with the Quitline (particularly for Aboriginal and Torres Strait Islander pregnant smokers) were perceived as challenges. Participants reported needing better communication skills, clear detailed nicotine replacement therapy guidelines for special populations, and visual resources they could use to discuss treatment options with patients.
Details
- Title
- Overcoming Challenges to Treating Tobacco use During Pregnancy - A Qualitative study of Australian General Practitioners Barriers
- Creators
- Yael Bar-Zeev - University of NewcastleEliza Skelton - University of NewcastleBillie Bonevski - University of NewcastleMaree Gruppetta - Callaghan, 2308 AustraliaGillian S Gould - Callaghan, 2308 Australia
- Publication Details
- BMC Pregnancy and Childbirth, Vol.19(1), pp.1-9
- Publisher
- BioMed Central Ltd.
- Grant note
- Yael Bar-Zeev is supported by the University of Newcastle and Hunter Cancer Research Alliance PhD scholarship. Gillian Gould is supported by National Health and Medical Research Council and Cancer Institute New South Wales Early Career Research Fellowships (APP1092085 and 15ECF/I-52). Funding bodies did not have any role in the design of the study, collection, analysis, interpretation of data, and/or in writing the manuscript.
- Identifiers
- 991012958099302368
- Copyright
- © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Academic Unit
- School of Health and Human Sciences; Faculty of Health
- Language
- English
- Resource Type
- Journal article