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Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care

Author

Listed:
  • Caitlin Notley

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK)

  • Tracey J. Brown

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK)

  • Linda Bauld

    (Usher Institute and SPECTRUM Consortium, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh EH8 9AG, UK)

  • Elaine M. Boyle

    (Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK
    Neonatal Unit, Leicester Royal Infirmary, Leicester LE5 4PW, UK)

  • Paul Clarke

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
    Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich NR4 7UY, UK)

  • Wendy Hardeman

    (School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK)

  • Richard Holland

    (Leicester Medical School, University of Leicester, Leicester LE1 7HA, UK)

  • Marie Hubbard

    (Neonatal Unit, Leicester Royal Infirmary, Leicester LE5 4PW, UK)

  • Felix Naughton

    (School of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK)

  • Amy Nichols

    (Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich NR4 7UY, UK)

  • Sophie Orton

    (Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK)

  • Michael Ussher

    (Population Health Research Institute, St George’s, University of London, London SW17 0RE, UK
    Institute for Social Marketing and Health, University of Stirling, Stirling FK9 4LA, UK)

  • Emma Ward

    (Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK)

Abstract

Neonatal intensive care units (NICUs) have a disproportionately higher number of parents who smoke tobacco compared to the general population. A baby’s NICU admission offers a unique time to prompt behaviour change, and to emphasise the dangerous health risks of environmental tobacco smoke exposure to vulnerable infants. We sought to explore the views of mothers, fathers, wider family members, and healthcare professionals to develop an intervention to promote smoke-free homes, delivered on NICU. This article reports findings of a qualitative interview and focus group study with parents whose infants were in NICU (n = 42) and NICU healthcare professionals (n = 23). Thematic analysis was conducted to deductively explore aspects of intervention development including initiation, timing, components and delivery. Analysis of inductively occurring themes was also undertaken. Findings demonstrated that both parents and healthcare professionals supported the need for intervention. They felt it should be positioned around the promotion of smoke-free homes, but to achieve that end goal might incorporate direct cessation support during the NICU stay, support to stay smoke free (relapse prevention), and support and guidance for discussing smoking with family and household visitors. Qualitative analysis mapped well to an intervention based around the ‘3As’ approach (ask, advise, act). This informed a logic model and intervention pathway.

Suggested Citation

  • Caitlin Notley & Tracey J. Brown & Linda Bauld & Elaine M. Boyle & Paul Clarke & Wendy Hardeman & Richard Holland & Marie Hubbard & Felix Naughton & Amy Nichols & Sophie Orton & Michael Ussher & Emma , 2022. "Development of a Smoke-Free Home Intervention for Families of Babies Admitted to Neonatal Intensive Care," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3670-:d:775100
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    References listed on IDEAS

    as
    1. E. Kathleen Adams & Vincent P. Miller & Carla Ernst & Brenda K. Nishimura & Cathy Melvin & Robert Merritt, 2002. "Neonatal health care costs related to smoking during pregnancy," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 193-206, April.
    2. Laura J. Rosen & Vicki Myers & Jonathan P. Winickoff & Jeff Kott, 2015. "Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(12), pages 1-17, December.
    3. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    4. Tracey J. Brown & Sarah Gentry & Linda Bauld & Elaine M. Boyle & Paul Clarke & Wendy Hardeman & Richard Holland & Felix Naughton & Sophie Orton & Michael Ussher & Caitlin Notley, 2020. "Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
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