The Indigenous Counselling and Nicotine (ICAN) QUIT in Pregnancy Pilot Study protocol: a feasibility step-wedge cluster randomised trial to improve health providers' management of smoking during pregnancy

Yael Bar-Zeev; Billie Bonevski; Michelle Bovill; Maree Gruppetta; Chris Oldmeadow; Kerrin Palazzi; Lou Atkins; Jennifer Reath; Gillian S Gould; ICAN QUIT Pregnancy Pilot Grp

doi:10.1136/bmjopen-2017-016095

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The Indigenous Counselling and Nicotine (ICAN) QUIT in Pregnancy Pilot Study protocol: a feasibility step-wedge cluster randomised trial to improve health providers' management of smoking during pregnancy

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The Indigenous Counselling and Nicotine (ICAN) QUIT in Pregnancy Pilot Study protocol: a feasibility step-wedge cluster randomised trial to improve health providers' management of smoking during pregnancy

Yael Bar-Zeev, Billie Bonevski, Michelle Bovill, Maree Gruppetta, Chris Oldmeadow, Kerrin Palazzi, Lou Atkins, Jennifer Reath, Gillian S Gould and ICAN QUIT Pregnancy Pilot Grp

BMJ Open, Vol.7(8), e016095

08/2017

DOI: https://doi.org/10.1136/bmjopen-2017-016095

PMCID: PMC5629642

PMID: 28780551

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Abstract

Introduction Indigenous women have the highest smoking prevalence during pregnancy (47%) in Australia. Health professionals report lack of knowledge, skills and confidence to effectively manage smoking among pregnant women in general. We developed a behaviour change intervention aimed to improve health professionals’ management of smoking in Indigenous pregnant women—the Indigenous Counselling And Nicotine (ICAN) QUIT in Pregnancy. This intervention includes webinar training for health professionals, an educational resources package for health professionals and pregnant women, free oral nicotine replacement therapy (NRT) for pregnant women, and audit and feedback on health professionals' performance.The aim of this study is to test the feasibility and acceptability of the ICAN QUIT in Pregnancy intervention to improve health professionals' provision of evidence-based culturally responsive smoking cessation care to Australian Indigenous pregnant smokers. Methods and analysis This protocol describes the design of a step-wedge cluster randomised pilot study. Six Aboriginal Medical Services (AMSs) are randomised into three clusters. Clusters receive the intervention staggered by 1 month. Health professionals report on their knowledge and skills pretraining and post-training and at the end of the study. Pregnant women are recruited and followed up for 3 months. The primary outcome is the recruitment rate of pregnant women. Secondary outcomes include feasibility of recruitment and follow-up of participating women, and webinar training of health professionals, measured using a designated log; and measures of effectiveness outcomes, including quit rates and NRT prescription rates. Ethics and dissemination In accordance with the Aboriginal Health and Medical Research Council guidelines, this study has been developed in collaboration with a Stakeholder and Consumer Aboriginal Advisory Panel (SCAAP). The SCAAP provides cultural consultation, advice and direction to ensure that implementation is acceptable and respectful to the Aboriginal communities involved. Results will be disseminated to AMSs, Aboriginal communities and national Aboriginal bodies. Registration details This protocol (version 4, 14 October 2016) is registered with the Australian and New Zealand Clinical Trials Registry (Ref #: ACTRN12616001603404).

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Title: The Indigenous Counselling and Nicotine (ICAN) QUIT in Pregnancy Pilot Study protocol: a feasibility step-wedge cluster randomised trial to improve health providers' management of smoking during pregnancy
Creators: Yael Bar-Zeev - The University of Newcastle, Newcastle, New South Wales, Australia
Billie Bonevski - The University of Newcastle, Newcastle, New South Wales, Australia
Michelle Bovill - The University of Newcastle, Newcastle, New South Wales, Australia
Maree Gruppetta - The University of Newcastle, Newcastle, New South Wales, Australia
Chris Oldmeadow - Hunter Medical Research Institute, Newcastle, New South Wales, Australia
Kerrin Palazzi - Hunter Medical Research Institute, Newcastle, New South Wales, Australia
Lou Atkins - Centre for Behaviour Change, University College London, London, UK
Jennifer Reath - Western Sydney University, Penrith, New South Wales, Australia
Gillian S Gould - The University of Newcastle, Newcastle, New South Wales, Australia
ICAN QUIT Pregnancy Pilot Grp
Publication Details: BMJ Open, Vol.7(8), e016095
Publisher: B M J Group
Identifiers: 991012958098202368
Copyright: 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 and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

The Indigenous Counselling and Nicotine (ICAN) QUIT in Pregnancy Pilot Study protocol: a feasibility step-wedge cluster randomised trial to improve health providers' management of smoking during pregnancy

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