Evaluation of the babyClear© intervention to promote smoking cessation among pregnant women in North East England
PHE ePoster Library. Rutter A. Sep 13, 2016; 137940; 70
Ailsa Rutter
Ailsa Rutter
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Abstract
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Abstract Introduction/Background: Smoking rates in pregnancy have traditionally been high in North East England. The babyClear© intervention was commissioned to support adherence to relevant NICE guidance. The region-wide intervention included training of frontline staff, systematic identification of smokers at booking appointments and opt-out referral to Stop Smoking Services (SSS).Method: A phased implementation of babyClear took place across the North East. We evaluated the impact of this approach in a before and after study. Routine delivery data were linked with SSS referral data. 37,726 singleton deliveries, including 10,594 smokers, were analysed. An accompanying qualitative process evaluation interviewed staff (n=99) and pregnant women (n=17).Results: Referral of pregnant smokers into SSS increased 2.5 fold (95% CI 2.2-2.8) after implementation, and the odds of quitting smoking during pregnancy nearly doubled (adjusted OR 1.8, 95% CI 1.5-2.2). Birthweight was 6.5% (95% CI 5.8%-7.2%) higher for babies born to women who quit during pregnancy compared with those who continued smoking, equivalent to a 200g increase at term. 30 pregnant women (9 pregnant smokers) needed to be treated for each additional quit, at an estimated cost of £938 per quit.Contextual variables and active ingredients of the intervention were identified. The intervention was acceptable to pregnant women, midwifery and stop smoking staff and was generally introduced with fidelity.Conclusion: A systematic, regional approach to standardising stop smoking interventions in pregnancy is effective, and can significantly increase the likelihood of quitting, with positive impacts on birthweight. External funding details National Institute for Health Research School for Public Health Research
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