How to improve smoking cessation support for pregnant women? Guideline implementation in The Netherlands.
This study aimed to develop and evaluate plans for the implementation of the Dutch guideline 'Treatment of tobacco addiction and smoking cessation support for pregnant women'. Participatory action research was used for the development and evaluation of implementation plans for maternity collaboratio...
| Publicado en: | Health Promotion International Vol. 40; no. 3; pp. 1 - 12 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186811143&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186811143 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Jun2025 vid: 40 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 186811143 186811143 186811143 10.1093/heapro/daaf084 186811143 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: How to improve smoking cessation support for pregnant women? Guideline implementation in The Netherlands. aug: au: Weiland, Stella Jansen, Danielle E M C Welker, Gera A Berger, Marjolein Y Erwich, Jan Jaap H M Peters, Lilian L affil: Department of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands sug: subj: Smoking Cessation In Pregnancy Support, Psychosocial Expectant Mothers Psychosocial Factors Health Promotion Practice Guidelines Program Evaluation Program Implementation Human Funding Source Netherlands Female Pregnancy Hand Off (Patient Safety) Counseling Midwifery Motivational Interviewing Prenatal Care Referral and Consultation Action Research Program Development Collaboration Multimethod Studies Transitional Care Health Personnel Skill Acquisition Implementation Science Multicenter Studies Data Collection Methods Pilot Studies Surveys Descriptive Statistics Data Analysis Software Thematic Analysis Epistemology Focus Groups Quality of Health Care Health Services Accessibility Conceptual Framework Professional-Patient Relations Female ab: This study aimed to develop and evaluate plans for the implementation of the Dutch guideline 'Treatment of tobacco addiction and smoking cessation support for pregnant women'. Participatory action research was used for the development and evaluation of implementation plans for maternity collaboration units in the north of the Netherlands. Mixed methods were used to evaluate the implementation by using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. The maternity collaboration units implemented the intervention to refer pregnant women who smoke to a counsellor from addiction care. Twenty-one of the 50 midwifery care practices (42%) and two of the five obstetrics departments (40%) referred women to addiction care. The results showed that of the 558 women who smoked during pregnancy in 2021, 73 women (13%) were referred to addiction care, 58 (10%) started a coaching trajectory and 12 women of the 48 (25%) who finished a coaching trajectory stopped smoking. The results of interviews and focus groups gave insight into the challenges for referral and indicated that the communication between the midwife/counsellor and the pregnant woman is important for counselling. A minority of maternal care professionals referred women to a counsellor from addiction care and a small percentage of women managed to stop smoking. Opportunities in the repetition of implementation strategies and increasing skills in motivational interviewing for maternity care professionals could improve adoption of interventions in future implementation. To increase the effectiveness of the intervention, the counsellors could consider combining their counselling with nicotine replacement therapy, feedback or incentives. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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