Understanding for whom, under what conditions and how smoking cessation services for pregnant women in the United Kingdom work - a rapid realist review
dc.contributor.author | Tatton, C | |
dc.contributor.author | Lloyd, J | |
dc.date.accessioned | 2024-07-04T13:38:42Z | |
dc.date.issued | 2023-12-12 | |
dc.date.updated | 2024-07-04T11:00:25Z | |
dc.description.abstract | BACKGROUND: Maternal smoking in pregnancy is associated with several adverse maternal and infant health outcomes including increased risk of miscarriage, stillbirth, low birth weight, preterm birth, and asthma. Progress to reduce rates of smoking at time of delivery in England have been slow and over the last decade, less than half of pregnant women who accessed services went onto report having quit. This realist review was undertaken to improve the understanding of how smoking cessation services in pregnancy work and to understand the heterogeneity of outcomes observed. METHODS: The initial programme theory was developed using the National Centre for Smoking Cession and Training Standard Treatment Programme for Pregnant Women and the National Institute for Health and Care Excellence guidance on treating tobacco dependency. A search strategy and inclusion criteria were developed. Four databases were searched to identify published papers and four websites were hand searched to identify any unpublished literature that could contribute to theory building. Realist logic was applied to the analysis of papers to identify the contexts in which the intended behaviour change mechanism(s) were triggered, or not, and towards what outcomes to develop context mechanism outcome configurations. RESULTS: The review included 33 papers. The analysis produced 19 context mechanism outcome configurations structured under five closely interconnected domains (i) articulating harm, (ii) promoting support, (iii) managing cravings, (iv) maintaining commitment and (v) building self-efficacy. This review identifies two key processes involved in how services achieve their effects: how material resources are implemented and relationships. Of the two key processes identified, more existing literature was available evidencing how material resources are implemented. However, the review provides some evidence that non-judgemental and supportive relationships with healthcare workers where regular contact is provided can play an important role in interrupting the social cues and social practice of smoking, even where those around women continue to smoke. CONCLUSIONS: This review clarifies the range of interconnected and bi-directional relationships between services and the personal and social factors in women's lives. It underscores the importance of aligning efforts across the models five domains to strengthen services' ability to achieve smoking cessation. | en_GB |
dc.description.sponsorship | Health Education England | en_GB |
dc.identifier.citation | Vol. 23(1), article 2488 | en_GB |
dc.identifier.doi | https://doi.org/10.1186/s12889-023-17378-w | |
dc.identifier.uri | http://hdl.handle.net/10871/136586 | |
dc.identifier | ORCID: 0000-0003-3211-5972 (Lloyd, Jenny) | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/38087281 | en_GB |
dc.rights | © The Author(s) 2023. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecom mons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data | en_GB |
dc.subject | Pregnancy | en_GB |
dc.subject | Realist review | en_GB |
dc.subject | Smoking cessation | en_GB |
dc.subject | United Kingdom | en_GB |
dc.title | Understanding for whom, under what conditions and how smoking cessation services for pregnant women in the United Kingdom work - a rapid realist review | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2024-07-04T13:38:42Z | |
exeter.article-number | 2488 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Availability of data and materials: All data generated or analysed during this study are included in this published article [and its supplementary information files]. | en_GB |
dc.identifier.eissn | 1471-2458 | |
dc.identifier.journal | BMC Public Health | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-11-30 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-12-12 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2024-07-04T13:36:45Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2024-07-04T13:38:48Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-12-12 |
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